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Online Resumes with "Payors"



ACO Innovations Quality Efficiency Payor Provider Contract Professional

Partner with an innovative health care company that solves the dilemma of cost quality access and bending the health care trend of increasing portion of GNP with results that are below most other developed countries.

Tags for this Online Resume: Managed Care Contracting, Network Development, CQI, Quality Audit , Cost Containment, Quality and Efficiency

healthcare management maine

enhance stewardship of healthcare benefit for payor, provider and consumer

Pharmacist - 13 Years of Experience - Near 30265

Manage chain of pharmacies that can exemplify excellence patient, business, and community services by recognizing and being able to adapt to the dynamic changes in our pharmacy industry such as keeping up with the technology, regulatory, prescription benefit management changes, third party payors, suppliers, patient population and their unique needs, and etc.

Tags for this Online Resume: manager, leader, organizational skills, 13 years of experience, Newnan, Georgia, Ohio and Georgia licensed to practice Pharmacy

Featured Profile

Licensed Nursing Home Administrator-20 years Experience-Houston, Texas

To lead a heath care team to be as focused and united as possible while delivering the highest quality of care to the residents.

Ideal Companies: Fundamental, Manor Care, Sava, Diversicare, Regency Health Care, Kindred Health Care, Texas Resources, Senior Care Centers, Daybreak, Department of Veteran Affairs, Houston Methodist, Seton Health Systems, Preferred Care Partners Management Group, Devore Recruiting, Talent Achievement Group, Harris Health System, Brookdale, Elmcroft Senior Living, Life Care Centers of America, Briarwood Nursing Home, Charleston Health Care, Master Consulting Group, Highland Park Care Center, Nacadoches skilled nursing facility, Keystone Health Care, Creative Solutions in Healthcare, Frontier Management, Williamsburg Village Health Care Campus, Regency Post Acute Healthcare System, Davita, Fresenius, 360 Healthcare, Atria Senior Living, HMG services, Stonegate Senior Living, Christus Continuing Care, Christian Care Centers, Gentiva Health Services, Correctional Health Care Companies, Correct Care Solutions, Life Care Centers of America, Baylor Scott and White Health, Sunrise Senior Living, Cedar Bayou, De Vore Recruiting, , The Medical Consulting Group, Sava Senior Care, Master Consulting Group, Rodger Scott, Wengler and Associates, Genesis Health Care, Senior Care Centers, Memorial Herman,

Tags for this Online Resume: Marketing, Budgeting, Cost Control, Regulatory Compliance, Quality Improvement, Systems analysis and development, Houston, Texas, Texas Licensed Nursing Home Administrator, Business Development, Medicare, Managed Care, Employee Relations, Micosoft Office, Outlook, AHT, DSSI

Regional Vice President of Sales, Seattle

To apply 20 plus years of successful medical sales, medical sales management and business development in a new sales management or senior level sales opportunity. The ideal position will take advantage of my broad range of experience, which encompasses work with hospitals and health care systems, payors, physicians and alternate care. Skills acquired include not only sales and sales management, but contract negotiation an...

Tags for this Online Resume: Medical, Seattle, Sales, Vice President, Business development, Marketing

Featured Profile

Compliance Officer - 10 Years of Experience - Near 20866

Ensure compliance and promote the best interest of the company and its employees to the best of my ability.

Ideal Companies: AARP, United Health, World Health Organization

Tags for this Online Resume: communications, health admin, claims, Medicare, Medicaid, Managed Care, Systems, C, MS Project

Case Manager - 14 Years of Experience - Near 39649

My desire is to obtain a job as a case manager doing clinical reviews at home(telephonic),hospital setting, or as home health/hospice nurse. AS, a case manager I would also be interacting with payor sources

Tags for this Online Resume: Hammond,LA

Financial Specialist - 14 Years of Experience - Near 10473

As a professional billing and coding specialist, I desire to plant and grow the method of team work between support staff, providers and payors. Being the glue that keeps everyone focused on the same goal...to provide excellent service and make a difference in our communities that cause movements.

Ideal Companies: None specified

Tags for this Online Resume: Medical Billing, Medical Coding, Billing Specialist, Billing Supervisor, Consulter, Credentialing , Data Entry, Analyst

Pharmaceutical Sales Representative - 10 Years of Experience - Near 37179

Tags for this Online Resume: Pharmaceutical Sales, Territory Management, Sales Experience, Managed Care, Payors, Medicare, Award Winning, Excellent Communication Skills

Featured Profile

Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430

Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...

Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence

Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle

Sales Manager - 20 Years of Experience - Near 22182

SUMMARY Senior Sales & Management Professional with 20 years' experience in Pharmaceutical/ Biologics Health Care Industry. Expanded market access through innovative public-private partnerships in the community across key payors, healthcare organizations, employers, associations, and the DC Department of Health to position Novo Nordisk favorably over key competitors. Recruited, staffed, and led high performing teams by driv...

Tags for this Online Resume: Medical, Messaging, Business Plan, Management, Assessments, Focus, Sales, Cardiovascular, Health Care Industry, HR

Health Technologist - 18 Years of Experience - Near 02446

Summary: I have over 16+ yrs. experience in HIT leadership and 9 years in academic research. I am passionate healthcare and biotechnology program delivery. I am a certified PMP practitioner of Waterfall and Agile management methodologies, consistently promoting a standard platform for implementation, upgrade and support of clinical, operational, analytical and administrative software and hardware I have led large teams both...

Tags for this Online Resume: Billing, Project Management, Project Manager, Publishing, Scheduling, Senior Project Manager, Support, ANSI, Ansi (Am Natl Stds Inst), EDI