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Online Resumes with "P4P"



Coordinator of Quality Management

Diversified professional with 32 years of experience in the nursing field. major strengths in organization, planning and supervision with additional skills in best practices, HEDIS medical record review, P4P. MSWord, Excel, Outlook computer skills including various dtabases such as Facets.

RN-Administration

Seeking administration healthcare work that could possibly be a telecommuting position. Eager to obtain new opportunities as I love a new challenge.

Tags for this Online Resume: Hedis, P4P, Case Manager

Featured Profile

Director of Operations

Versatile and accomplished Senior Manager with proven ability to drive revenue, recruit top performers and minimize turnover. Adept at identifying, coaching and developing high performing teams. Author training materials, gather and analyze key data and deliver plans of action improving operations. Skilled in full life cycle of vendor management. Focused on growth and cost center objectives.

Ideal Companies: Retail, Retail Services, Inventory Services, Business Services, Warehouse, Distribution

Tags for this Online Resume: Process Improvement, Productivity, Workforce Planning, Team Leadership, Change Management, Multi-Unit, Vice President, Operations Manager, Director of Operations, District Manager, Profit and Loss, Project Management, Sales, Customer Service, Inventory Management, Budgeting, Client Procurement, People Development, Retail, Retail Services, Hiring, Training, Management, Performance Management

Licensed Nurse - 12 Years of Experience - Near 75435

Strategic, focused, and business oriented professional with more than twelve years hands-on healthcare experience. Supervisory and training experience in hospital, home health, and primary care environments. Intimately familiar with current events in US Healthcare Reform including Meaningful Use (MU) Requirements, formation of Accountable Care Organizations (ACO), ICD-10 Conversion efforts and HIPAA Privacy Ruling. An excep...

Tags for this Online Resume: Director, Manager, Administrator, RN, Quality Assurance

System Engineer - 20 Years of Experience - Near 80538

Self-motivated Information Technology Engineer with a broad skill range and twenty years of multi-faceted experience comprised of system development and analysis, data management, development and maintenance of hardware and software, and systems engineering. Outstanding product delivery and management through strong written and verbal communications with a well-developed aptitude for acquiring new skills. Work Skills PLATFO...

Tags for this Online Resume: Linux, Security, Clearcase, Disaster Recovery, Rational, SAN (Storage Area Network), SAN Engineer, BEA WebLogic, Linux, Security, Clearcase, Disaster Recovery, Rational, SAN (Storage Area Network), SAN Engineer, BEA WebLogic, IBM AIX, HP/UX, Lightweight Directory Access Protocol, Samba, Sun Solaris Operating System, Unix

System Administrator - 8 Years of Experience - Near 08820

SUMMARY: * Working since over 5 years in the field of technological industry as UNIX/AIX System * Administrator/Consultant * Experience in AIX Operating System including File Systems, Processes, Performance tuning, and troubleshooting. * Administration and 24/7 support of IBM pSeries Servers including p4/p5/p6 Servers * Experience in LPAR/DLPAR technology for installing partitions through NIM and Managing partitions through...

Tags for this Online Resume: Infrastructure, SAN (Storage Area Network), Configure, Data Extraction, File Transfer Protocol, IBM AIX, Network Configuration, Networking, Systems Administrator, Performance Tuning, it jobs

Customer Service Representative - 19 Years of Experience - Near 28273

Standards for resolving Merchant and/or Card Member Claims. * Maintained an average of 80% of "Excellent" and "Refer to a Friend" survey which placed me in the top 5% of the department for 2 years consecutive years. * Investigated questionable financial merchant/card member transactions via phone & E-mail. * Nurtured customer relationships internal/external on every interaction fostering a substantial customer value. * Deli...

Tags for this Online Resume: Dsp, DSPs, Ecommerce, Legacy, Management, Medical, Planning, Production Planning, customer service, customer service representative, retail, event specialist, call center

Medical & Health Services Manager - 18 Years of Experience - Near 89141

SKILLS SUMMARY * Provider Relations and Liaison * Trainer, Presenter, Speaker * Medicaid, Medicare Advantage, Dual Eligible * Network Management, Development, and Recruitment collaboration with Regional Teams * P4P, PPO, POS, Managed Care, Medicaid, and Medicare contracting * Ancillary, Physician/Medical Group, and Facility contract administration * Complex issue resolution * HIPAA, NCQA, and CMS Compliance and contracting ...

Tags for this Online Resume: AR, Accounts Receivable, Compliance, Corrective Actions, Field Work, Financial Services, Medicare, Managed Care, Healthcare Exchange, Medicare Advantage, Medicaid Managed Care, Project Management, Provider Contracting

Featured Profile

Project Manager - 20 Years of Experience - Near 76182

I'm seeking a JOB in AIX administration position. With 15+ years providing level 3 support for identity issues and email problems, I possess a track record of achievements and leadership skills that I can bring to benefit your client team. I am an excellent leader who achieves ongoing success with their teams by building morale, providing training, and recognizing member strengths. Some achievements from my resume inclu...

Ideal Companies: Charles Swabb Toyoto PennyMac Dell Amazon

Tags for this Online Resume: Mumps Programming Language, Perl Programming Language, Systems Administrator, Firewall, IBM WebSphere, Local Area Network, Middleware, Support, AIX Administration

Featured Profile

Product Development

High performing, hands on healthcare executive and has contributed efforts to over 30 startups mostly in the healthcare industry. Personally deployed direct investments and founding 13 technology companies and is a recipient of numerous patents in the areas: HIPAA opt in, mobility couponing, formulary benefit automation, electronic prescribing, and medication affordability and adherence through opted in, personalized messag...

Tags for this Online Resume: Sales, Pharmaceutical, Audit, Point Of Sale (Pos), SAP MM module, Billing, Clinical Programs, Compensation, Inventory, Logistics