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Online Resumes with "Payers"
Sales Manager - 20 Years of Experience - Near 25526
I am a highly motivated individual that has strong interpersonal skills. I have a consistently proven & documented track record of both business results & leading employee engagement. I enjoy seeing my direct reports grow and develop while meeting their goals. I am proud of my ability to successfully lead a group while recognizing the importance of situational and individualized coaching. I am currently leading a highly suc...
Tags for this Online Resume: West Virginia, Proven Leader, Account Managment, Cross Functional Teawork, Building Teams, Top Performer, GM Mindset, Specialty Pharmacy
Gregarious Registered Professional Nurse Executive
Senior healthcare executive and management consultant with 25+ years of operating and operational healthcare consulting experience across the healthcare value chain â?? sub-acute, acute, and post-acute facilities, with balance across payer and payee mix. Key competencies are in detailed healthcare business assessment, system redesign and performance improvement (e.g., increasing patient throughput), healthcare supply chain...
Ideal Companies: NYC Healthcare Systems
Tags for this Online Resume: New York City, Care Mgt, Transitions of Care, VP, Director, Hospital/Healthcare System Operations
Sales Manager - 10 Years of Experience - Near 77084
I am writing to express my interest in the position of director of sales advertised as being open at this time with your organization. I am a highly talented and dedicated professional with broad-based and progressive experience in sales and marketing, business development, and customer service management. Now I would like to bring my expertise and knowledge to work for your organization. My unique skills, keen eye for d...
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Medical Sales Representative
SUMMARY Self-motivated and results driven Bilingual Healthcare Executive. Proven experience with both private and public payer sectors. Achiever with demonstrated relationship management skills, and the ability to work in a team environment. Teacher and trainer who motivates and mentors staff to attain goals and be promotable to the next level. Leader adept at developing strategically targeted account specific plans that ad...
Tags for this Online Resume: ADA, Ada Programming Language, Audit, Medicare, Health Care Industry, Inventory, Retail, Business Planning
Billing Specialist - 3 Years of Experience - Near 02053
Hands on manager with medical billing expertise, combining my understanding of medical office management and how it impacts the revenue cycle to submitting clean claims that get paid. MBA from Babson College. Seeking opportunity to problem solve for a great organization. From analysis to practical solutions, I am looking to get real and keep it real.
Ideal Companies: Medical Groups, Hospitals, Surgical Groups
Tags for this Online Resume: Medical Billing, Management, Analysis, EMR, Meditech, Medassets, Emdeon, Passport, Revenue Cycle, Research
Registered Nurse - 13 Years of Experience - Near 28037
Dedicated RN with 13 years of experience within emergency department, care coordination, and payer contracting. Possesses a Bachelorette qualification in nursing and currently focused on earning Master Degree in this field. Aiming to leverage my experience and knowledge to effectively fill the nursing position at your facility.
Tags for this Online Resume: Nursing, Patient Care, Quality, ACLS, Advanced Cardiac Life Support, Automobile Claim Law Specialist, Basic Cardiac Life Support, BASIC Programming Language
Claims Adjuster - 10 Years of Experience
Qualifications: . 10 years of experience working in a medical center handling patient and referral requests. . Knowledge of claim processing in medical insurance segment comprising of ICD-9, ICD-10 and CTP coding . In -depth knowledge of insurance policies and coverage's, Claim payment procedures . Ability to work with numbers and word meticulously . Familiarity about working in fast pace environment . Strike a positive coo...
Tags for this Online Resume: Benefits, Documentation, Insurance, Nursing, Medical, Bilingual, Citrix, Claim Processing, Billing, Medicare
Executive Assistant to Assistant Superintendent for Human Resources & Cimmunications
To obtain a challenging position, that will allow me to utilize my results oriented adaptable/transferable skills and knowledge I have gained in my twenty years of combined education and experience such as ,HR Executive Assistant Operations Manager, Administrative Assistant, Intake Coordinating Manager, Clerical and Office Management,/ Commercial Medical Real estate/ Business Ownership, strong patient, provider and payer re...
Tags for this Online Resume: Insurance, HR, Insurance Claims, Billing, Financial, Inventory, Inventory Control, Payroll, Team, adaptable, Detail Oriented
Insurance Sales Manager - 20 Years of Experience - Near 37343
CAREER SUMMARY Strategic, results oriented B2B business development leadership executive with proven national and regional sales, sales/market division management and national account market segment leadership experience in the health plan, direct employer, and consultant/agency driven markets. Expertise spans all financial arrangements, distribution channel development including health plan/payer space sales/account strate...
Tags for this Online Resume: Behavioral Health, CFO, IBM, Lexmark, NCR, Advertising, Benefits, Consulting, Business Development, Health Care Industry
Quality Assurance Specialist - 13 Years of Experience - Near 08840
EXPERIENCE SUMMARY 14+ years of hands-on work experience in software testing and test management. I have wide experience in Industry domains like : HealthCare (payer and Provider), Life Sciences (Medical devices) BFS (Credit Cards, Retail banking, Investing Banking), Travel, Telecom and Retail I have led and managed many programs/engagements and worked within tight deadlines. I have experience in leading/managing multiple p...
Tags for this Online Resume: Java 2 Enterprise Edition (J2EE), SQL, Testing, HealthCare, ALM, Quality Assurance, Quality Center, QTP, Requirements Analysis, Test Manager, Test Lead
Clinical Research
Tags for this Online Resume: Pricing, Pharmaceutical, Oncology, Licensing, Consulting, Research, Urology, Market Access, Patient Access, Outcomes Research, Health Economics, Neuroscience, Boston, Cambridge, Pharmaceutical Administration, Device, Biotechnology, Health Technology Assessment, Marketing, Policy, clinical trials, clinical research
