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Online Resumes with "Payers"



Medical & Health Services Manager

Tags for this Online Resume: Benefits, Billing, Business Strategies, Coding, Integrate, Medicare, Audit, Cms, Insurance, Quality Assurance

Featured Profile

Pharmaceutical Sales Representative - 15 Years of Experience - Near 28277

A comprehensive provider of successful sales/account management/managerial leadership in the, infusion/specialty pharm arenas that offers over twenty years of comprehensive experience with all commercial/managed care and Government payer groups. A well organized and focused manager, skilled at effective leadership and team building strategies. A successful negotiator and contract implementation specialist that can handle al...

Tags for this Online Resume: Medicare, Urgent Care, Integrate, Managed Care, Management, Pharmaceutical, Oncology, Patient Care, Medicaid, Contracts, Reporting

Legal Secretary - 20 Years of Experience - Near 30349

Ideal Companies: Law Firms

Tags for this Online Resume: Litigation, Video, Filing, Legal, Real Estate, Pleading, Product Liability

Featured Profile

Director of Comprehensive Services with 20 Years of Experience in Nursing - Near 89122

Experienced Register Professional Nurse, Case Manager aware of all aspects of Case Management and Transitions of Care. Creates strategic alliances both internally and externally for the benefit of the patient. Able to develop programs and through the continuous assessment of data and process improvement put in place initiatives that benefit the patient while improving organizational compliance and fiscal responsibility I a...

Ideal Companies: Health Care Vendor, Hospitals, Insurance Company, EMR Company

Tags for this Online Resume: Human Resource Specialist, Payroll specialist, CQI Officer, Safefy Compliance Officer, Director of Operations, UM Manager, Liason, On Boarding, Adaptability, Fleibility, attention to detail, Cooperation, Team Player, discipline experties, Self-Control, Innocation, Microsoft Office, EPIC, Kronons, People Soft, Inguage, Coachiing and Developing, Critical Thinking, Education and Training, Learning Strategies, Monitoring, Communication, Case Managment

Medical Office Manager

Tags for this Online Resume: Financial, Financial Services, Management, Services, Coding, Documentation, Evaluate, Monitoring, Training, Accounts Receivable

Featured Profile

Sales Director

Experienced winning sales leader and project manager with extensive coaching, leadership, and training experience. Led National Product launches as a Sales Leader and Training Manager including leading national portfolio projects, operationalized large scale national initiatives, combined with knowledge of complex pharmaceutical payer markets. Worked corporate headquarters and outside sales environments and understand the ...

Ideal Companies: Phamaceutical, Biotech, Technology

Tags for this Online Resume: Analytical Skills, Business Strategies, Facilitator, Management, Outside Sales, Pharmaceutical, Pharmaceutical Industry, Policies and Procedures, MBA, project management, strong communication skills, Pharmaceutical payer management

Featured Profile

Payment Integrity / Payment Review Manager, Over 19 years in healthcare adminstration a team motivator and corportate collaborator.

Accomplished professional offers extensive experience in organizational leadership and operations within the healthcare insurance industry, demonstrating particular strengths in clinical and pharmaceutical claims, customer service, business processes, project lead, and medical review. Proven management and leadership skills in developing cross-functional teams via HR processes, training, supervision, and successfully leadin...

Ideal Companies: Pharma Company, Health Insurance Company

Tags for this Online Resume: Healthcare, Insurance, Payer, Reimbursement, HIPPA, CLAIMS, Coding, Reimbursement Policies, Medical Review Policies, SOP, Facets, Clinical Review, Customer Service, Salesforce, Tableau

Medical Office Manager - 10 Years of Experience - Near 78501

Exceptional leader committed to cost effective management of resources and quality performance by combining hands on experience with a broad-based knowledge of the healthcare and managed care fields. SKILL HIGHLIGHTS Billing & collections management Budget and finance administration Project management Strategic development Conflict resolution Risk management process analysis Profit & Loss management Vendor management Proces...

Tags for this Online Resume: Project Management, Project Manager, Staffing & Recruitment, Statistics, Test, Urology, Vendor Management, Account Reconciliation, Accounting, Audit

Featured Profile

Director of Sales and Operations - 15 Years Experience

Top performing pharmaceutical sales executive with proven experience building sales organizations from ground up, driving performance value throughout company, and to bottom line. Recruit, hire, develop and deploy highly effective sales teams that maximize account value, market penetration and overall product ROI.

Ideal Companies: Gilead, Teva, Boeringher-Ingelheim, Lexicon, Abbott, Biogen Idec

Tags for this Online Resume: Pharmaceutical, Medicare, P&L, Business Planning, Cardiology, Contract Negotiations, Distribution, Managed Care, Marketing Management, Planning, Forecasting, Performance Management, Recruiting, Hiring, Coaching, Cross Functional Leadership

Featured Profile

Dynamic and Experienced Leader in Insurance Operations and Technology

I am a strong leader with proven history of cultivating high performing teams and delivering results. Experienced at large project oversight, solving business challenges with technology, vendor management and influencing the culture. I have in depth knowledge of the health insurance industry. I am seeking a leadership opportunity that will allow me to continuously learn and contribute to the success of an insurance organiza...

Ideal Companies: United Health Group, Anthem, Neugen, SSM Health, American Family, Cognizant

Tags for this Online Resume: Automation, Billing, Budgeting, Document Management, Insurance, Management, Operating Budget, Portfolio Management, Process Improvements, Support

Medical or Health Services Manager - 19 Years of Experience - Near 07424

A highly experienced and motivated Manager with 19 years of experience in Revenue Cycle Management combined experience in Hospitals located in New Jersey and California and Ambulatory Surgical Centers in New Jersey, New York and Florida looking for the opportunity to provide my knowledge to a health care organization. * Extremely focus on the Account Receivable, Cash collection and Process improvements. I have very strong l...

Ideal Companies: Health Care Organization, Credit Analyst, Biiing expert

Tags for this Online Resume: customer service skills, Dos, Insurance, Management, Medicare, Microsoft DOS, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Outsourcing

Manager - 0 Years of Experience

Total Work Experience 8 years. Working as Project Coordinator / Certified Scrum Master guiding team on methodologies, tasks, dependencies, risks, deliverables and other issues through life of project. * Gathering and updating project materials, completing budgeting, forecasting, project documentation, business flows, and lessons learned documents * Scheduling and allocating work, providing advice and guidance, and resolvin...

Tags for this Online Resume: Applications, CICS, Coding, Management, Progress, Support, Ad hoc reporting, Claim Processing, Data Analysis, Data Reporting