CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "Provider contracting"

IT Service Continuity Manager

Highly accomplished, motivated Information Technology Professional with extensive expertise within private sector providing contracting services. IT experience includes program and project management, software development, system and application maintenance, data migration and Continuity of Operations implementation.

Tags for this Online Resume: Disaster Recovery, Planning, Documentation, Information Technology, Access Control Facility 2, Ca-Datacom, Certificate Authority, CICS, Datacom, Endevor, Security, Organized, Mainframe, Continuity of Operations, Management, Implementations

Mental Health Therapist - 20 Years of Experience - Near 93245

Career Summary More than thirty years of rewarding and uncommonly diversified positions and projects in the fields of mental health, public health promotion, alcohol and other drug prevention and recovery, public policy and government, education (K -12 and post-secondary), and grant writing and other publications. This professional biography briefly organizes both full-time employment positions and the major part-time freel...

Tags for this Online Resume: Consulting, Assessments, Evaluate, Needs Assessment, Technical Writing, Family Practice, Planning, Strategic Planning, Government, Acquired Immune Deficiency Syndrome (AIDS)

Manager - 20 Years of Experience - Near 80033

Career Summary and Achievements SCL Health System 12/09 - 12/16 Manager, Epic Reporting. Denver, CO Responsible for business, revenue cycle and clinical Epic Clarity reporting for ambulatory (100+ clinics) and acute care (8 hospitals) settings. Supervise business analysts, report writers and application analysts (12 FTEs). * Accomplishments include: * Led reporting implementation of Epic Clinical and Financial at five hospi...

Tags for this Online Resume: Business Plan, Health Insurance, Epic, Business Analysis, Business Intelligence, Consulting, Data Analysis, Data Warehouse, Denver, Healthcare, Project Management

Chief Executive Officer - 15 Years of Experience - Near 10036

SUMMARY OF QUALIFICATIONS Executive Management Skills: Effective communicator as management at an executive level with strong organizational and problem solving skills with proven abilities to liaise with various departments, institutions (providers), insurance companies, unions, and the public to raise awareness and bring support to facilities. Worked with the medical and behavioral health, care coordination and outreach d...

Tags for this Online Resume: Information Technology, Insurance contract negotiations, french, Investment Opportunities, spanish, Executive Leadership, budget Management, Medical management, electronic Medical Records, Medicare/medicaid, program development

Federal Government - 20 Years of Experience - Near 60544

Managed Responsible for the solicitation, negotiation, administration, close-out, and termination of purchase orders and contracts using procedures outlined in the Federal Acquisition Regulations, VA Acquisition Regulations, Public Laws, and Agency policy. Develop, implement, and review contracting plans for pre-award, post-award, price/cost analysis and a wide variety of procurement activities. Responsible for recommending...

Tags for this Online Resume: Procurement, Acquisitions, Contracting, Documentation, ECMS, Market Research, Research, Planning, Solicitations, Architectural, Negotiations, Contract Administration

Executive Vice President - 15 Years of Experience - Near 92708

Energetically outperforming healthcare executive with various roles as VP/ CFO/ COO who helps started two MAPD SNP Health Plans, a MSO, 2 IPA's, a Multi-Specialty Medical Facility successfully from scratch. Ability to roll up sleeve and dive in any challenge incurred in healthcare management and increase shareholder ROI.

Tags for this Online Resume: Management, Accounting, Consulting, Medicare, Infrastructure, Billing, CMS, EDI, Electronic Data Interchange, Insurance, Medicaid, CMS, Program Management, Project Management, Operations, HEDIS, Risk Adjustment, Revenue Cycle, Provider Contracting, Network Expansion, Healthcare Software Development, Claim Operations, Finance

Programmer Analyst- 20 Years of Experience - Near 75034

Summary of Qualifications Over twenty-nine years experience in Mainframe business application systems environments, including both development and maintenance projects as project leader, technical lead and programmer analyst. I have worked with users developing project specifications using SDLC protocols and have developed implementation and testing strategies. I have analyzed, designed, coded, tested and implemented COBOL ...

Tags for this Online Resume: Cobol Programming Language, Test, Securities, Support, Acceptance Testing, Banking Industry, Endevor, Management, User Acceptance Testing

Not Listed - 9 Years of Experience - Near 66216

To successfully contribute to the creation and maintenance of an effective healthcare provider network for a health insurance plan.

Tags for this Online Resume: Kansas City/Overland Park, Kansas, Provider contracting, Emptoris/ CRM software systems, Microstrategy, Behavioral Health, Nursing, Strategic Planning, Financial, Financial Analysis, Financial Management

Vice President - 11 Years of Experience - Near 85737

RESUME SUMMARY An innovative, customer oriented healthcare management professional with extensive experience in Medicare FFS, Medicare Advantage, managed Medicaid, ACA/Exchange and Workers' Compensation. A coaching leadership style with a strong background in account management/client services, provider contracting and network management, and sales. Specific areas of expertise include: * HCC Risk Adjustment * Encounters Rep...

Tags for this Online Resume: Management, Book of business, Leadership, Product Launch, Project Management, Account Management, Medicare, P&L, manager, management