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Online Resumes with "RISK ADJUSTMENT"
Medical or Health Services Manager - 17 Years of Experience - Near 92648
SUMMARY * Experience Healthcare quality improvement and process improvement. * Data processing professional, application development and project management experience. * Extensive knowledge in Systems Development Life Cycle (SDLC) and methodologies. * Excellent work ethics and communication and interpersonal skills. * Outstanding technical and analytical skills. * Good relationship with clients, customer services, users and...
Tags for this Online Resume: VISIO, Business Analysis, Business Requirements, Configure, Management, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, PDF, Business Analyst, Quailty Assurance, Risk Adjustment, Intervention, Healthcare, Claims/Encounters, Billing, HEDIS
Director
KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...
Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development
Billing/Coding Specialist
Summary: -Results oriented representative with successful pharma, biologics sales and consulting experience -Twelve President's Council Awards Multiple National, Regional and District awards -Reimbursement experience: AAPC Medical Billing and Coding course Eleven years of Buy &Bill Sales experience -Experience with Medtronic medical devices and biologics -Experience with multiple physician specialties and institutions like ...
Tags for this Online Resume: Managed Care, Sales, Medical, Medical Devices, Hub, Marketing Management, Medical Billing, Medicare, Billing, Coding
Marketing manager
KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...
Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development
Software Engineer
Summary * Full Stack .Net and SQL Server Developer who had 5-year experience in ASP.Net MVC, Web API, Web Service (SOAP and REST), WCF, LINQ, TFS, 12-year experience in C#/VB.Net/ASP.Net programming, 13-year experience in SQL Server developing (T-SQL), 7-year experience in BI Stacks (SSIS, SSAS, SSRS), more than 18-year experience in VBA programming, and more than 10-year experience in Data Analysis * Expert Software Develo...
Tags for this Online Resume: Accounting, Microsoft SQL Server, Structured Query Language, T-SQL, Forecast, Information Technology, Inventory, Logistics, MIS, Packaging
Analyst
was to select high quality MLPs that could generate superior total risk-adjusted returns through economic cycles. o Analyzed companies and formulated appropriate investment recommendations based on original fundamental research/analysis of macro and industry trends, and company-specific developments. o Created and maintained detail industry, operational and financial models to determine investment valuations. o Developed an...
Tags for this Online Resume: Management, LBO, Portfolio Management, Securities, Financials, Equity, Banking Industry, Equities, Financial, Financial Models
Financial Analyst - 20 Years of Experience - Near 53024
SUMMARY A highly accomplished financial service professional with deep portfolio management and sector/stock specific research and analysis. expertise Leverages and extensive asset management small and large cap growth stocks investment management active risk management financial analysis financial forecasting marketing and product management. financial Well-versed growth sectors particularly the technology financial and co...
Tags for this Online Resume: Financials, Research, Equity, Asset Management, technology, portfolio manager, research analyst, Telecommunications, Health Care Industry, Financial
Coding Educator - 10 Years of Experience
Tags for this Online Resume: Billing, Audit, Integrate, Coding, Cms, Management, Medicare, Policies and Procedures, healthcare
Risk Adjustment Medical Coder/HEDIS Abstractor- 4 Years of Experience
Desire a position medical coding with possibility of advancement. Offering exceptional expertise in communication skills, coding, overseeing staff, and ensuring smooth operational stability.
Tags for this Online Resume: Microsoft Access, Patient Access, Coding, Medical, Billing, Front Office, Insurance, Management, administrative, data entry, clerical, typing, customer service
Billing/Coding Specialist - 5 Years of Experience
PROFESSIONAL SUMMARY Manager of physician revenue services, medical billing, coding, collection, and financial reporting outputs with 10 years experience in fast-paced multi-speciality Medical Practice. Good Clinical Experience as a Bachelor of Nursing. In last 10 years of tenure expertize in medical billing and coding as well as training in following areas. * Oncology with Chemotherapy Billing * Primary Care * Nephrology w...
Tags for this Online Resume: Billing, Medical, Audit, Chemotherapy, Coding, Compensation, Compliance, Financial, Health Care Industry, Health Insurance Portability And Accountability Act, healthcare
Billing/Coding Specialist
Tags for this Online Resume: Documentation, Medicare, Coding, Email, Encoder, Microsoft Outlook, Nursing, ICD 10, ICD-9, Intranet
Compliance Manager - 0 Years of Experience
An accomplished Senior Healthcare Analyst with diverse clinical nursing, analytic, and managerial experience. Strong knowledge of Medicare Advantage Part C and Part D compliance, Health and Human Services Risk Adjustment Validation (HHS-RADV), medical terminology, anatomy and medical coding (ICD-10, HCPCS, CPT). Attained leadership roles as a United States Air Force veteran and civilian within the logistics field. Motivate...
Tags for this Online Resume: Patient Care, Management, Services, Citrix, Cms, Compliance, Documentation, Medicare, Microsoft, Microsoft Excel
