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Online Resumes with "Part D"
Claims Examiner - 12 Years of Experience - Near 06249
SUMMARY Diverse, Deeply Experienced Professional and PhD Candidate, MBA, MSM, Certified Six Sigma Green Belt, and Certified Lean Six Sigma with broad technical savvy seeks a role commensurate with my work experience and education that maximizes my finance, project management, strategic, and analytical expertise to deliver value-added results and competitive advantage to a growing firm. BUSINESS ACUMEN * Management: Staff Ma...
Tags for this Online Resume: Audit, Financial, Quality, Quality Assurance, Quality Control, Underwriting, Account Management, Account Reconciliation, ACH, Banking Industry
Health Technologist - 16 Years of Experience - Near 20191
My objective is to find an organization where I can apply my skill sets, and passions, for delivering effective IT solutions to business stakeholders and end users. This includes full investment lifecycle, regardless of development/deployment methodology, from the point of business case development through post implementation value measurement. I have deep expertise in the healthcare industry, both clinical and hospital fin...
Ideal Companies: Cerner, CoverMyMeds, Evolent, CareCloud, Enli Health, GE Health, Visiquate, Optum, Medstar
Tags for this Online Resume: Cms, Content Management, Financial, Financial Management, Management, Program Management, Benefits, Business Case Development, Computer Aided Software Engineering, EHR, Health IT, Revenue Cycle Management, Digital Health, Risk Management, Quality Management, Performance Improvement, Business Process Management, Enterprise Content Management, Health Information Exchange, Population Health Management
Marketing - 20 Years of Experience - Near 55345
Areas of Expertise Campaign Management * Managed complex data driven Medicare direct mail campaign with zero errors - monthly mailings of over 1,000,000 of 35 various data driven formats/packages. * Leading projects from concept through completion * Budget Management - Successfully managed budgets from $2,000 to $17,000,000 with zero cost overruns * Suggested and implemented format changes to the multiple touch points for a...
Tags for this Online Resume: Ariba, Budgeting, Cms, Health Care Industry, Inventory, Legal, Management, Medicare, Microsoft, Microsoft Office, project manager, budget management, vendor management
Pharmacist - 20 Years of Experience - Near 85374
Summary Pharmacist and Pharmacy Manager (PIC) with over 30 years of experience in ambulatory Pharmacy. I have managed chain Pharmacies and have experience in 340B Pharmacy Management and Operations and HRSA compliance regulations for 340B Pharmacy. Experience with EHR using E-Clinical Works and Pharmacist prescribing and refill authorization using protocols. I have experience as a Clinical Pharmacist doing Medicare Part D P...
Tags for this Online Resume: Insulin, Purchasing, Inventory, Scheduling, Ambulatory Services, Compliance, Drug Interaction, EHR, GloboMax PDx Pharmaceutical Development Expert Tools, Interactive Voice Response, Pharmacist
Pharmacist - 16 Years of Experience - Near 46033
Continue to expand my pharmacy career and tool set in a new setting to adjust for the expanding role of pharmacists in healthcare. * Be versatile to using my accumulated professional skills in a very new atmosphere and position that will challenge me in a new way. If a new interesting position should arise. * Serve as an important vehicle in our healthcare to improve healthcare by targeting medication (s) and the manner of ...
Tags for this Online Resume: Ambulatory Services, Drug Information, Injections, Insulin, Family Practice, Management, Microbiology, Pain Management, Patient Care, Patient Education, physical therapist, pharmacist, health coach, wellness coach, medicare part D
Pharmaceutical Sales Representative - 7 Years of Experience - Near 32756
Summary of qualifications Specialty Pharmaceutical Sales/Clinical Liaison/MSL/Marketing Professional and Physician with extensive experience in numerous areas of the medical profession. Proven ability to drive revenue growth and increased market penetration through effective business planning, superior presentation abilities, and exceptional relationship building. Skill Set is transferrable to many roles including Pharmaceu...
Tags for this Online Resume: Cardiology, Gastroenterology, Management, Pain Management, Rheumatology, Sales, Cancer, Dermatology, Hematology, Nursing
Director - 20 Years of Experience - Near 27526
Areas of Expertise * Resource & Business Planning * Strategy Process Creation * Impact Assessment * Project Implementation * Training & Development Programs * Corporate Compliance * Mentoring & Coaching * Drafting & Negotiating Contracts * Contracts Law Key Accomplishments * Improved payment timelines over 25% in first quarter while overseeing rebate payments of $14M/quarter by working with IT to create reports to validate ...
Tags for this Online Resume: Pricing, Management, Compliance, Full life cycle, Planning, Audit, Billing, Business Planning, cross functional training, department training, GTN, Pricing Strategy and Analysis
Tester - 8 Years of Experience in U.S
Summary: * Extensive hands-on experience on developing, Writing and executing Test Plans, RTM, Test Scripts and Test Cases from Requirements, Use cases, Design Documents and other project documentations and able to work closely with development team and business analyst to analyze test case scenarios. * Extensive Knowledge and experience in all stages of the software development life cycle (SDLC) beginning from initiation a...
Tags for this Online Resume: Test, Test Cases, Management, Test Scripts, Billing, EDI, Electronic Data Interchange, Quality, Scheduling, Coding, sql, agile, javascript, it jobs, software, html, linux
Health Technologist - 18 Years of Experience - Near 10001
PROFESSIONAL SUMMARY: Extensive experience working with internal and external clients and users. Medical loss ratio reports, provider score cards, pay for performance, risk analysis of members for intervention, government reporting requirements for the healthcare industry. Reporting to actuarial, sales, marketing, membership, federal and state requirments. Reconciliation and auditing of Medicare Part D claims and eligibilit...
Tags for this Online Resume: IBM, IBM Mainframes, Structured Query Language, Microsoft SQL Server, Oracle, Unix, VSAM, Data Management, Management, Microsoft ASP.Net, SAS, SQL, SQL Server, Tableau, Alteryx, SAS Metadata Server, SAS Data Integration, SAS Visual Analytics, Programmer
Purchasing
Key Qualifications - * Proven track record with pharmacy benefit management. Accurately complete research on plans, creating proposals on request for various clients, collaborating with multiple departments and resolving issues. * Adept at developing and maintaining detailed research databases and troubleshooting/testing code before and after implementation. * Highly focused and driven with a wealth of experience identifyin...
Tags for this Online Resume: Medicare, Benefits, Research, Coding, Management, Planning, Purchasing, Quality Assurance, Test, Triage
Pharmacist
Summary of Qualifications * President and owner Coastal Drug Institutional Pharmacy in Maryland * 10yrs as Pharmacist in Charge for Long Term Care Pharmacy * Senior Management Consultant for Big 5 consulting firm * Six Sigma Black Belt * Associate Director of Project Management for biopharmaceutical company * Director of Clinical Benchmarking for mid-tier consulting firm * Project Manager for top 10 pharmaceutical company *...
Tags for this Online Resume: Budgeting, Business Plan, Long Term Care, Operating Budget, Purchasing, Retail, Black belt, Pharmaceutical Industry, Research, Research and Development
Marketing - 20 Years of Experience - Near 54729
To become a full-time, permanent member of a marketing team.
Ideal Companies: Marketer
Tags for this Online Resume: Communications, Manager, Account Manager, Regulatory, Proposal Writer, Management, Retail, Benefits, Budgeting, Business Requirements, Buying, ROI, Healthcare Compliance, Marketing, Remote, Telecommute, marketing, account manager, marketing manager, compliance and regulatory Medicare Part D
