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Online Resumes with "Provider Relations"

Chief Operations Officer

Summary of Qualifications Senior Healthcare Executive in progressively responsible operational leadership roles with proven business acumen to deliver dynamic year-over-year revenue growth. Strategic thinker with a history of success leading business development initiatives and fueling bottom-line growth for large healthcare organizations. Highly effective manager recognized for operational and leadership performance. Adept...

Tags for this Online Resume: Acquisitions, Management, Urgent Care, CFO, Complaints, Development Activities, Financial, Health Insurance Portability And Accountability Act, Integrate, Managed Care

Claims Examiner - 10 Years of Experience - Near 75227

QUALIFICATIONS I have proven success managing a large spectrum of service related operations with specialized experience in the following areas: * Provider Relations Analyst * Auditor * Customer Satisfaction * Workman Compensation

Tags for this Online Resume: Arbitration, Compensation, Documentation, customer service

Medical & Health Services Manager - 20 Years of Experience - Near 33437

Profile Sales Team Development Quality Control New Venture Start-Ups Process Systems/Controls Utilization Review Executive Management HMO & ACHA Compliance Provider Relations Account Management Operations Management Business Expansion Centers of Excellence

Tags for this Online Resume: Dos, ICD-9, Microsoft DOS, Statistics, Management, Assessments, Microsoft, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, management, PRACTICE MEDICAL MANAGEMENT AND CONSULTANT

Admissions Registration Clerk

QUALIFICATIONS I have proven success managing a large spectrum of service related operations with specialized experience in the following areas: * Provider Relations Analyst * Auditor * Customer Satisfaction * Workman Compensation

Tags for this Online Resume: Arbitration, Compensation, Documentation, Workers Compensation

Medical Office Manager - 15 Years of Experience - Near 91306

QUALIFICATIONS * Experienced/ highly skilled in recruiting physicians * Track record of completing multiple high-level tasks independently * Highly-developed time management skills * Superlative written and spoken communication ability

Tags for this Online Resume: Microsoft Office, Budgeting, Litigation, Recruiting, Training, Physician Office Administration, Provider Management, Provider Relations, Human Resource Director, Insurance, physician relations, editing

Medical or Health Services Manager - 20 Years of Experience

QUALIFICATIONS AND EXPERIENCES * Proven excellence in Contracting, Credentialing, Health Insurance knowledge, Education, Sales, Employee Benefits, Claims, Provider Relations, Customer Service and Management. Group presentations and seminars have been a major part of my career responsibilities. * Contracting, Provider Relations, Network Development for Government Programs such as Project Hero (Veterans) and Tricare (Military...

Ideal Companies: ASBS

Tags for this Online Resume: Customer Service, Government, Networking, Management, Email, Benefits, Complaints, Computer Literate, Forth Programing Language, Health Insurance

General - 20 Years of Experience - Near 34608

Promoted to Provider Relations Supervisor * Managed customer services team of call center agents handling calls from Medicare, Medicaid, and commercial customers * expanded staff from 3 to 16 positions * Created work tools using Excel and Access used by entire staff

Tags for this Online Resume: Health Insurance Compliance, Audit, Compliance, Medicare, Call Center, Services

Manager/Director Provider Relations

Experience Summary * 5 years of experience in Medicaid Medicare Marketing * 17 years of Provider Relations, Network Development/Management and Contracting * 10 years Managerial Experience in Provider Relations & Business Development * Full Knowledge of CMS & NCQA Regulatory Guidelines. Completed Six Sigma Seminar. * Performed QAR and STAR data analysis & CQI projects initiatives.

Tags for this Online Resume: Complaints, Services, Management, Network Management, Networking, Referrals, Business Development, PEDIATRIC, Quality Assurance, Test

Medical Office Manager - 2 Years of Experience - Near 33313

PROFILE Dedicated, enthusiastic, results-oriented Management Professional with proven ability in project management, managing people, managing work, and managing change. Demonstrates planning / project management, business acumen, oral and written communication, forward thinking, organizational and interpersonal skills. Possess excellent problem solving techniques, a strong orientation in physician data contracting methodol...

Tags for this Online Resume: Audit, Internet, Microsoft, Microsoft Excel, Microsoft Word, NICU, PICU

Director - 20 Years of Experience - Near 06906

& Notable Contributions Can We Talk Newsletter ADP AMISYS Provider Solutions CIGNA Health Plan of Connecticut Oxford Health Plans and EMPIRE Blue Cross Blue Shield (1984 - 2006).

Tags for this Online Resume: managed care, government programs, re-engineering, call center, events, enrollment, customer service, operations management, Behavioral Health, Management, management, Customer experience

Account Manager, Maryland

(see resume)

Tags for this Online Resume: Account Manager, Career Advisor Specialist, Provider Relations Representative, Hospital Interface Specialist, Coustomer Service Manager, Implementation Specialist

Medical or Health Services Manager - 10 Years of Experience - Near 78665

Professional Summary Extensive experience in Network Development and Provider Contracting with Medicare, Medicaid, Commercial and Worker Compensation. Experience includes Senior Leadership roles managing a team between 5-25 people. Considerable success with building providers network in several states by designing, developing and implementing standard contracts to meet industry standards. Key skills include: Provider Relati...

Tags for this Online Resume: Networking, Medicare, Behavioral Health, Billing, Business Development, Business Strategies, Business Strategy, Coaching, Compensation, Contract Negotiations