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Online Resumes with "Payer "
Medical or Health Services Manager - 20 Years of Experience - Near 46220
Areas of Expertise * Territory Management * Product Knowledge & Research * Develop Key Oncology Leaders * Disease Management Programs * Product Launches * Clinical Registry Development * New Business Development * Strong Client Relations * Hands-on Experience in Healthcare * Outcomes Marketing & Registry Research * CME Coordinator w/Medical Event Planning * Work w/Payers & State Associations
Tags for this Online Resume: Managed Care, HIV, Home Health, Disease Management, Gynecology, High Risk Obstetrics, Obstetrics, Sales, Account Manager, Oncology, Cardiology, Marketing
Director
Summary of Qualifications & Expertise Training * Business Development: research, strategy, budgeting, * CECOR VOC (Voice of Customer) - General Electric, complex partner negotiation, value proposition expert Persuasive Selling, Black & Decker Sales: Miller * Global Sales & Marketing Management: strategic Heiman, Complex Strategic Selling planning, marketing research, product and brand * Lean / Six Sigma Blackbelt, CAP (Chan...
Ideal Companies: Nestle, Norwegian , Royal Caribbean
Tags for this Online Resume: Urgent Care, Business Development, International, Brand Management, Strategic Planning, Account Management, Marketing Management, Distribution Strategy, Product Marketing, Budgeting, Product Development
Medical Office Manager - 15 Years of Experience - Near 11003
Qualifications Summary Dedicated and goal orientated Healthcare Revenue Cycle Operations professional with a proven track record in optimizing reimbursement from both payers and patients while maintaining a high level of professionalism, integrity and ethical behavior. * Exceptional capacity to multitask and manage priorities with ease while delivering superior results * Strong conceptual and analytical skills with the abil...
Tags for this Online Resume: Compliance, Receivables, Spreadsheet, IDX, Management, Medicare, Reproductive Medicine, Delinquent Accounts, Medical, Medical Records
Admissions Director - 20 Years of Experience - Near 20879
SUMMARY OF QUALIFICATIONS Senior healthcare Administrator with 15+ years experience leading cross-functional teams of up to 160 to design, develop & deliver streamlined processes driving patient satisfaction while improving their own to 90th percentiles. Successfully doubled patient satisfaction percentiles, halving payer denials & spiking by up to 38% POS cash for up to 1000 bed hospital systems. Increased clean claim rate...
Tags for this Online Resume: Training, Process Improvements, Folder, Microsoft Access, Patient Access, Scheduling, Audit, Policies and Procedures, Resource Scheduling
Project Manager and Agilist - 20 Years of Experience - West Coast or Travel
Analytical, adaptable Program and Project Management Professional with extensive leadership experience and a proven history of developing, deploying and evaluating systems aimed at improving quality and efficiency. Highly skilled in translating end-user needs to business change and IT solutions, with an emphasis on establishing enduring processes, tools, and approaches. Equally adept at waterfall and agile practices, wi...
Tags for this Online Resume: Agile, Project Management, Project Manager, Legacy, SCRUM, Vendor Management, Coaching, Health Insurance, Insurance, Kanban, Scaled Agile, SPC4, PMP
Medical Records Assistant - 2 Years of Experience - Near 71640
Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies guidelines and procedures to assure consistent quality. Experienced with Microsoft Word, PowerPoint, Excel, and Outlook Types 36 WPM. Willing to learn new skills and take on new challenges. KEY ...
Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Customer Service, EHR, EMR
Partner - 20 Years of Experience - Near 07006
Career Highlights Global Delivery Innovation Lead at Accenture, Accountable for Enhanced Global Talent Fulfillment / Crowdsourcing/Machine Learning, Design Thinking Capability, and Language Migration practices. Responsible for the P&L, vision/strategy, operations, industrialization of delivery, governance, tactical and strategic planning, and management of a $250M annual group pipeline. Global Application Modernization Lead...
Tags for this Online Resume: Infrastructure, Banking Industry, Manufacturing, Automation, Architect, Consulting, leadership, transformation, mentor, Delivery, Financial services, Machine Learning, Travel and Transportation, innovation, thought leadership
Medical Office Manager - 20 Years of Experience - Near 34476
Areas of Expertise * Quality Improvement * Medical Billing & Coding * Account Receivables * Medicare & Medicaid Billing * MCR/MCD Dual Plans * MCR/MCD HMO Plans * ICD-9 CM & ICD-10 CM * Account Reconciliation * EHR/Practice Management Systems * Customer Service * Innovative Goal Setting * Compliance Plans & Programs * Policy & Procedure Writing * CMS-1500 & UB - 04 * Project Management * Team Leadership * Setting Fees * CDI...
Tags for this Online Resume: Audit, Training, Coding, Customer Service, Policies and Procedures, Necessary Adjustments, Medicare, Reviews, Evaluate, Leadership, Billing Manager, Revenue Integrity Manager, Revenue Cycle Manager, Reimbursement Manager, Medical Billing Manager, Accounts Receivables Manager
Manager
Summary * 19+ years of Experience in IT industry * Certified Project Management Professional (PMI) with 10 years of Strong Delivery/Program/Project Management experience * Excellent at Managing Stakeholders * Strong End to End management of Delivery People, Process, Operations, Profitability in Products and Projects development and Maintenance * Expertise include Delivery of Digital Programs/Projects in Microsoft, SFDC, Jav...
Tags for this Online Resume: HP, Information Technology, Agile, Budgeting, D.O.T., Health Care Industry, Insurance, Java Programming Language, Java Technologies, Management
Project Manager - 20 Years of Experience - Near 07601
Project manager and senior business analyst with 6 years in Television media, over 10 years in e-commerce, 10 years of experience in healthcare I.T. from payer and provider sides, 5 years as Project Management Office Director, 5 years of operations management experience (managing an I.T. department of over 40 people with responsibility for systems, operations, production support, help desk and business continuity), and 3 ye...
Tags for this Online Resume: Change Management, Customer Service, Documentation, Structured Query Language, Training, Web, Web Portal, HIPAA privacy, Change management, business analysis, PMO, Business continuity, operations management, User interface, Data analysis, UAT, JIRA, project management, work breakdown, project plan, kanban, agile, waterfall, SDLC
Manager - 20 Years of Experience - Near 40207
Summary Senior Information Technology leader with 30+ years of experience managing and directing IT and commercial software delivery organizations. Consulting practice leader responsible for selling, closing and managing data management services delivery to multiple Clients. Skills include: * Enterprise program management * Leading project teams * Team collaboration and development * Solution development * Client engagement...
Tags for this Online Resume: Management, Black belt, CMMI, Itil, Regression Testing, SCRUM, Scrum Master, Test, Benefits, Budgeting, it jobs, agile, software
Business Analyst - 7 Years of Experience - Near 37209
Professional Summary * Over 8+ years of diverse experience as a Business System Analyst in developing and implementing innovative business processes. * In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies. * Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid. * Expertise in creating the companion guides on various EDI transactions. * Specialize in...
Tags for this Online Resume: Management, Structured Query Language, Business Requirements, Microsoft Visio, Oracle, Use Cases, VISIO, Business Analysis, Business Analyst, Health Insurance Portability And Accountability Act, agile, software, html, c++, sql, medicaid, CMS, HIPPA, Testing
