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Online Resumes with "Provider Relations "



Enrollment Coordinator- 7 Years of Experience - Near 07650

Summary Statement As Sr. Enrollment Coordinator I became technology savvy and flexible. A team player who achieves consistent results and delivers innovative solutions to complex business needs. My expertise includes commitment, assertive, and hands on. Summary of Qualifications * Proficient in Microsoft Suite as well as Adobe Photoshop and Power Point, * (In House Application) * Alchemy, Facets, Cactus, Outlook, Legacy, Ca...

Tags for this Online Resume: Management, Managed Care, Data Entry, Medicare, Reconciliations, work from home, Audit, Quality Assurance, Spreadsheet, provider relations

Medical or Health Services Manager - 8 Years of Experience - Greater Chicagoland area

CAREER SUMMARY: Experienced Healthcare professional, MBA graduate, with distinction, concentrating in Health Sector Management and Operations Management, creative problem solver and successful operations management professional with proven track record of success in hands-on leadership, organizational management, managed care oversight, quality control, and quality patient care in healthcare environment. Eager to contribute...

Tags for this Online Resume: Medicare, Policies and Procedures, Billing, Coding, Compliance, Financial, Financial Statements, Managed Care, Contracting, Quality Improvement, HEDIS, Project Management, Provider Relations, Provider Engagement

Chief Financial Officer

PROFILE Experienced Senior business leader in multiple professional disciplines and environments, with extensive experience in corporate and governmental, accounting, auditing, finance, new systems implementation, change management, process improvement, project management, and university teaching. Results oriented strategic and operational manager. Ability to succeed where others have been unsuccessful in implementing new s...

Tags for this Online Resume: Oracle, Oracle Financials, Financials, Legacy, Management, Procurement, Project Management, Project Manager, Utility Industry, Accounts Payable

Director - 7 Years of Experience - Near 85395

Areas Of Expertise Relationship Building Business Development Strategic Planning Customer Engagement Sales & Marketing Revenue Growth Data Analysis & Reporting Budgeting & Cost Control Financial Performance Competitive Intelligence Physician/Provider Relations Training & Communications Healthcare Services Hospital Operations Project Management Pricing & Negotiations Employer Relations Service Excellence

Tags for this Online Resume: New Business Development, Sales, Customer Engagement, Strategic Client Engagement, Relationship Building, Marketing, Employer Relations, Pricing & Negotiations, Project Management, Networking, Revenue Growth

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

Executive Director

SUMMARY Executive leader with excellent administrative, communication, relational, and motivational abilities. Recognized for accomplishments in for-profit settings and non-profit mission oriented environments with highly invested participation in management, marketing, sales, fundraising and development, public relations and community events. Increased client satisfaction and directed major expansions of networks and fisca...

Quality Coordinator

Summary: Insurance Industry experience includes Managed Care, Indemnity, Risk Management, Federal Government Associated Investigations. Strong Client Sensitivity in Nurturing Business Relationships, Strong knowledge in applying CMS edits, Accomplished in determining, Communicating and Resolving Client Concerns.

Tags for this Online Resume: Provider Relations Specilist, Distribution, Documentation, Insurance, Insurance, Query, Cms, Government, Managed Care, Management

Analyst - 7 Years of Experience

related EXPERIENCE surveys Summary: The Client was keen on keeping its customers satisfied. To achieve this upscale image, it offered trendy and stylish goods in an environment that was bright and attractive, unlike other discount stores. In order to cater to the needs of all, and increasing its share across all sections, it wanted to devise differentiation to increase its market share without decreasing its profitability a...

Tags for this Online Resume: HIV, Advertising, Benefits, Blueprints, Collection, Collection Procedures, Evaluate, Focus, Forecasting, Information Technology

Medical Office Manager

Summary As an experienced, innovative, strong & creative leader among my accomplishments are: * Maximizing operational efficiencies & reducing costs while assuring quality & customer satisfaction. * Designing databases, analytic models & reporting to identify & quantify opportunities to increase profitability spread "best practices" & improve service. * Perform numerous database analytics to quantify critical metrics. * Sav...

Tags for this Online Resume: Benefits, Complaints, Managed Care, Services, Billing, Provider Operations, Long Term Care, Medicare, Transportation, Account Management, Revenue Cycle, Contracting, Network Development, Provider Relations, Management

Business Analyst - 20 Years of Experience - Near 20721

Tags for this Online Resume: Washington DC, Data Analyst, Provider Relations, Healthcare

Registered Nurse

SUMMARY OF QUALIFICATIONS * Certified Wound care Nurse with remarkable experience in wound care management and treatment * Excellent skills in exhibiting support and care as well as educating the patients * Caring ability to give sympathy and comfort to help patients * Detailed knowledge about all skin care problems in wound care and ostomy care, including infection control * Exceptional knowledge about proper treatment pla...

Tags for this Online Resume: Quality, Triage, Compliance, Management, Home Health, Insurance, Intensive Care, Intubations, Referrals, Respiratory Therapy, Team work, reliable, Compassionate, integrity

Licensed Nurse - 20 Years of Experience - Near 78748

To utilize the unique skills in nursing, management including recruitment, interviewing and hiring, education and business earned while working in a variety of healthcare environments. Communication: In service and sales presentations, development of manuals, policies & procedures and designed forms. Assisted in development of ads for recruitment, completed candidate selection using Selective Interview Tools from class atte...

Tags for this Online Resume: Patient Care, Nursing, Documentation, Management, Buying, Call Center, Computer Aided Software Engineering, Recruiting, Rehabilitation, Sales