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Online Resumes with "RISK ADJUSTMENT"
Project Controls Scheduler
eliminating potential delays and obstacles through proper planning and coordination of labor, parts and materials, using scheduling, and risk analysis. Project planning with an emphasis on risk analysis – build risk adjusted schedules to determine confidence levels for project success.
Tags for this Online Resume: Project Scheduler, Scheduler, Project Controls Scheduler
Solid track record for diminishing challenges that enables companies achieve their mission-critical goals and exceeding expectations
Innovative thinker with broad-based expertise in management, operations, and business development. Proven ability to quickly analyze key business drivers and develop strategies to grow the bottom-line
Ideal Companies: Companies that promote employees due to employees contributions and abilities
Tags for this Online Resume: Business Development, Account Management, Mentoring, Process Improvement, Operational Efficiency, Management, Director, Decision Maker, Managed Care /Health Care, Persistent, Disciplined
Finance Professional with Over 20 Years Finance, Accounting, Treasury, Investments & Management Experience, MBA, MA Acc., CPA
I am a hands-on, highly motivated financial professional. I have over twenty years of corporate finance, investments, accounting, planning, cash management and forecasting, and capital budgeting experience, including the last eleven years in the Assistant Treasurer role. I spent the last six years as Director of Investments and Assistant Treasurer of BlueCross BlueShield of Tennessee. For the five years prior to that, I was...
Tags for this Online Resume: Treasury, Finance, Investments, Portfolio, Cash Management, Forecasting, Risk Management, Planning, Foundations, Health System, Health Insurance, Debt Financing, Capital Structure
Coding Educator, Certified, Coding Certificate, ICD-10 certification, Risk Adjustment experience
Career Summary Certified Professional Coder (CPC) with several years of experience in a large multi-specialty clinic and teaching facility Coding and Auditing for 13 years Certified Professional Medical Auditor Experienced in HCC coding and auditing for Risk Adjustment ICD-10 certification Experience working with a variety of electronic medical records in several different settings Published multiple coding articles created...
Tags for this Online Resume: documentation education, medical coding, electronic medical record, coding certificiate, certified professional coder, medical chart review, Evaluation and Management education, ICD-10-CM certification, Hierarchical Condition Categories experience, Documentation
Chief Financial Officer - 20 Years of Experience - Near 30327
My name is Tom Garr and, I would like to, respectfully, submit my attached resume to you for consideration for a position on your team as a Chief Operating Officer or Chief Financial Officer.
Tags for this Online Resume: Risk, Finance, Audit, Management, Marketing, Profitability, Strategic, Atlanta, Funding, Cash Flow, Shareholder
Healthcare/Medicare Insurance Consultant and Outreach Manager. Over 5 years experience in compliance, project management, and Medicare Risk Adjustment. Conducted over 250 seminars and developed strong training and presentation skills.
Over 5 years of acquired Medicare expertise in the healthcare industry. Conducted hundreds of educational seminars on Medicare fraud, waste, and abuse to beneficiaries and providers. A strong focus on reducing unnecessary healthcare waste and increasing provider and beneficiary relationships.
Tags for this Online Resume: Medicare, Risk Adjustment, Provider Relations, Compliance, Consultant, Presentation. Training, Education, Travel, Outreach, Quality Assurance, Quality Management
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
Medical Coder/Medicare risk Adjustment Analyst
To obtain a career opportunity to showcase my skills, experience and knowledge and make a difference in physician education and medical record documentation
Credit Analyst - 15 Years of Experience
Software Engineer - 8 Years of Experience - Near 30144
Summary of Qualifications IT professional with experience supporting information technology infrastructures. ServiceNow, Elementool, Snagit/Camtasia, VersionOne, Slack, JIRA, SVN, SSMS 2012, and Octopus for automatic deployments. 3+ years of experience in the Health Care record review field Multiple years of HIPAA regulations expertise Multiple years of experience with HEDIS and Risk Adjustment project cycles Skilled in gra...
Tags for this Online Resume: Agile, Quality, Quality Assurance, Structured Query Language, Automation, Business Analysis, Business Analyst, Confluence, Data Management, Health Insurance
Mental Health Therapist
Aiming to use my extensive knowledge in a behavioral healthcare facility in order to strengthen the health care system and increase patient and client satisfaction in the industry. Seeking a position that best suits my skills in regards to auditing, investigation, and potential risk adjustments in the behavioral healthcare and insurance industries.
Tags for this Online Resume: Staffing, Management, Process Improvements, Scheduling, Services, Behavioral Health, Integrate, Mental Health, Patient Care, Programming, Murfreesboro, Nashville, Fraud Investigation, Insurance
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
