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Online Resumes with "Provider Relations "
Medical or Health Services Manager - 19 Years of Experience - Near 98418
Experienced, Inspirational and compassionate health care manager seeking an opportunity with a cutting edge medical operations entity. Lean Kaizen process change approach to barriers and waste. Community health center and hospital operations experience.
Ideal Companies: Amazon, Medical Device Company
Tags for this Online Resume: Seattle Metro area, South King County, EHR, Lean Kaizen, Operations Manager, HR skills, Budget, Provider Relations, Diversity, Documentation, Kaizen, Facilitator, Insurance, PeopleSoft, Policies and Procedures, Process Improvement, care, outpatient rehabilitation, healthcare
Quality Assurance Director - 20 Years of Experience - Near 27707
QUALIFICATION SUMMARY Experienced healthcare executive with proven results in developing new programs, turning around operational challenges, transitioning separate entities into an integrated operational system in the profit and non- profit sectors. Team focused experience with diverse groups, community minded, enterprising style that supports building a successful organization, while working to develop major projects, enh...
Tags for this Online Resume: Radiology, Consulting, Management, Managed Care, Risk Management, Quality, Quality Assurance, Quality Control, Support, Technical Support
Billing/Coding Specialist
COVER LETTER: My objective is to obtain a position where I can utilize my knowledge and skills in medical coding. I am a team player, with the dedication of a self-motivated person. I will jump in and lend a hand in any area that needs assistance to get the job done. I have the required years of experience in medical coding and I am a certified professional coder (CPC) as well as other coding certification. I have taken and...
Tags for this Online Resume: Documentation, ICD-9, Management, Medical, Medical Records, Pathology, Payment System, Radiology, Certified Pension Consultant
Sales Representative - 15 Years of Experience - Near 622226
SUMMARY Seasoned Sales Consultant and Marketing professional with over 20 years of expanding business markets, growing revenue, maximizing return on investment, developing sales cycle, executing daily call planning, account management, market analysis, product positioning, team building and leadership experience, primarily in corporate sector for "Fortune 500" organizations under a competitive strategy business model. Indus...
Tags for this Online Resume: Account Management, Advertising, Insurance, Leadership, Managed Care, Management, Marketing Management, Planning, Sales, Sales Executive
Medical & Health Services Manager - 15 Years of Experience - Near 07111
ACCOMPLISHMENTS Healthfirst NJ * Assisted with the design and implementation of a developing Medicaid Product * Assisted with the design and implementation of a developing Medicare Product * Assisted with the Development and implementation of operational policies * Design and implement operational initiatives
Tags for this Online Resume: Policies and Procedures, Management, Network Management, Networking, Cms, Process Improvement, Information Technology, Pricing, Transportation, Data Management
Compliance Officer
Tags for this Online Resume: Billing, Health Insurance, Insurance, Medical, Medical Billing, Policies and Procedures, Quality Assurance, Test, Acceptance Testing, Benefits
Claims Investigator
SUMMARY OF QUALIFICATIONS Experienced insurance management professional with expertise in provider relations, contract development, compliance, operations, call center management, reinsurance, and account/program management. Organized, self-starter with in-depth knowledge of employee benefits, group and individual health, life, Medicare and Medicaid products. Extensive experience in managing professional staff, developing e...
Tags for this Online Resume: Compliance, Insurance, Managed Care, Policies and Procedures, Process Improvement, Process Improvements, Management, Networking, Pricing, Project Management
Medical Office Manager - 15 Years of Experience - Near 27603
Seasoned and bottom-line focused healthcare administration professional with proven track record of 15 years in securing high-impact turn-around results within large, complex, and highly-matrixed healthcare organization. A broad base of knowledge in the structuring the physician/provider practice for maximization of efficiencies and productivity; while maintaining safety, quality, compassion, accountability, transparency an...
Tags for this Online Resume: Referrals, Acute Rehabilitation, Behavioral Health, Billing, Call Center, Compensation, Complaints, Compliance, Documentation, Pathway, healthcare
Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas
I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting. I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...
Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System
Tags for this Online Resume: contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid
Business Analyst
Tags for this Online Resume: Billing, Coding, Health Insurance Portability And Accountability Act, Insurance, Statutory, Test, Test Plans, Business Analysis, Business Analyst, Communications
Claims Adjuster - 10 Years of Experience - Near 46342
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: Management, Network Management, Networking, Documentation, Distribution, Insurance, Nursing, Query, Behavioral Health, Cms
Customer Service Representative - 0 Years of Experience
Seeking to represent a credible organization to utilize my abilities in a management setting with experience in customer service and sales service with team building in telesales and direct marketing and premium billing experience. Having a positive and professional attitude and goal oriented. Executing projects given and demonstrating workforce project accomplishments. * Provided quick efficient service For UMR/ United Hea...
Tags for this Online Resume: Bilingual, Inventory, Inventory Control, Medical, Medical Records, Patient Care, PEDIATRIC, Pediatric Patients, Management, Insurance
