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Online Resumes with "Provider Network Manager "



Business Leader Supreme

High energy business leader with proven success in building high performance teams, expanding profitable business, and managing/executing business turnaround projects.

Ideal Companies: General Electric, United Health Group, Citi, Fidelity Investments,

Tags for this Online Resume: Director, AVP, VP, Regional Leader, Market Leader, Senior

Senior Director Provider Network Management/Business Operations

To work with a company that provides challenging and rewarding positions.

Tags for this Online Resume: Healthcare-Insurance, Provider Network Management, Provider Contracting, Client Services, Provider Services, Healthcare Operations

Account Executive/ Account Manager/ Relationship Manager

Seeking a permanent Account Executive, Account Manager, Relationship Manager or Healthcare consulting position with additional qualifications (i.e. financial analysis/ data reporting/ project management).

Tags for this Online Resume: Provider Network Manager , Managed Care, Health Insurance, Contract Management and Negotiation, Financial Analysis and Reporting , Account Management, Healthcare Consultant

Service Delivery/Project Manager

I am a highly motivated, experienced professional with an extensive background in directing both local and national field service personnel and project management. I am accustomed to a fast paced environment where deadlines are priority and handling multiple jobs simultaneously is the norm. I am seeking the opportunity to further challenge my knowledge and expertise.

Ideal Companies: Dell, Siemens, Northrop Grumman, General Dynamics

Tags for this Online Resume: Service Delevery management, Implementation Project Manager, Field Service Management

Featured Profile

Seasoned Provider Network Management professional with 27+ year of experience

I'm a Provider Network Director who has 27+ years of experience who is expert at developing, recruiting and managing provider networks, expertise developing physician/hospital Provider Relations, and am strategic in planning and tactical in organizaing and implementing activities.

Tags for this Online Resume: managed care professional, provider contracting negotiator, Provider Risk Contracting, provider network development, managed care strategist, NCQA/HEDIS expert

Experienced Provider Network Manager, New York City - 20 years. Multi Langual.

I am an experienced healthcare professional with 20 years of expertise and experience in managed care marketing, provider relations and contracting in New York City. Eight of these years include management and team leadership experience.

Director, Strategic Planning & Decision Support

I am seeking a position with a healthcare organization that will benefit from my experience in the following areas within both the healthcare provider and payer market segments: • Client Engagement • Healthcare Strategic Planning and Analytics • Business Intelligence • Population Health Strategic Planning/Implementation • Systems Integration • Hospital/Clinical Process Transformation • Large Team Leadership and Program Ma...

Tags for this Online Resume: Healthcare, Director Clinical Quality Management, Market Research Director HealthCare , Director of Analytics & Insights, Strategic Planning Manager healthcare, Director Decision Support Healthcare, Healthcare Research Manager, Director of Operations Healthcare, Healthcare Market Analyst, Director of Strategic Planning Healthcare, Business Development Manager Healthcare, Director of healthcare quality/Risk Management, /Manager Clinical Quality Management, Market Research Manager HealthCare , Manager of Strategic Planning Healthcare, Manager of healthcare quality/Risk Management, Clinical , Population health, Electronic Health Record, Clinical integration, Verisk analytics, medecision, Healthcare provider network management, patient registry, Physician Performance measurement, Physician Pay for performance, value based reimbursement, Physician Quality and cost measurement, ACO analytics

Health Plan / Provider Network Management

Highly organized and experienced managed care business professional with accomplished track record of success in managing the delivery of sound operational and customer service to employer groups, providers, and patients. Experienced in provider network management with network development and expansion, project management and operational expertise in oversight of commercial and government programs including Original Medicar...

Tags for this Online Resume: Network Operations Management, Health Plan Network Development and Expansion, Provider Education and Training, Provider Communications and Manuals, Leadership / Team Collaboration, Credentialing / Re-Credentialing, Claims Troubleshooting, TeleHealth Development

Business Analyst - 8 Years of Experience - Near 30281

SUMMARY I have a diverse background from claims processing, provider network management, provider relations, report development and application design. A strong background in data analysis, data mining, as well as test cases extensively in SQL. I am seeking career growth where data analysis, data mining and test casing can be utilized.

Tags for this Online Resume: Audit, Management, Medical, Medical Procedure, Automation, Data Analysis, Data Mapping, Data Mining, Data Quality, Gathering Requirements

Chief Executive Officer - 20 Years of Experience - Near 48858

Tags for this Online Resume: Assessments, Drafting, Networking, Quality Assurance, Test, Billing, Accounting, Benefits, Insurance, Medicare

Medical or Health Services Manager - 20 Years of Experience - Near 11203

Tags for this Online Resume: Training, Documentation, Financial, Medicare, Billing, Consulting, Credit and Collections, Insurance, Accounts Receivable, Cash Flow