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Online Resumes with "Tenn Care"



Business Analyst - 7 Years of Experience - Near 37209

Professional Summary * Over 8+ years of diverse experience as a Business System Analyst in developing and implementing innovative business processes. * In-depth knowledge and experience in full SDLC with RUP, agile and waterfall methodologies. * Functional experience in health Care Industry with vast knowledge on Medicare and Medicaid. * Expertise in creating the companion guides on various EDI transactions. * Specialize in...

Tags for this Online Resume: Management, Structured Query Language, Business Requirements, Microsoft Visio, Oracle, Use Cases, VISIO, Business Analysis, Business Analyst, Health Insurance Portability And Accountability Act, agile, software, html, c++, sql, medicaid, CMS, HIPPA, Testing

Registered Nurse - 20 Years of Experience - Near 37040

SUMMARY OF QUALIFICATIONS Nurse with 40+ years' experience in training and coaching employees, peers, and superiors and quality assurance and medical record reviews experience resulting in outstanding results. * Active RN licensure in all compact and non-compact states * Experienced in medical record review, clinical data/chart review and quality improvement Experience with utilization review, review criteria development an...

Tags for this Online Resume: Reviews, Nursing, Managed Care, Phone Triage, Planning, Support, Long Term Care, LPN, Medicare, Ophthalmology

Managing Director

Tags for this Online Resume: Services, Training, Architect, Integrate, Logistics, Management, Microsoft, Outsourcing, Risk Management, Security

Lawyer

Tags for this Online Resume: Custody, Legal, Managed Care, Publishing, Publishing Experience