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Online Resumes with "Third Party Administrator"



Chief Executive Officer

Profile: * An accomplished and recognized healthcare/benefits executive with a broad knowledge of current industry trends/landscape. * Skilled presenter with ability to gain rapport quickly with various audiences and develop positive relationships. * Founder and creator of VBS, LLC, in 2005, a leader in voluntary benefits and employee benefit education. Approached/acquired in 2011 by Hub International and became the practic...

Tags for this Online Resume: Investment Services, Management, Marketing Management, Networking, New Business Development, Planning, Publications, Sales, Sales Training, Services

Human Resources Administrator - 4 Years of Experience - Near 60193

Background HR affairs including payroll processing compensation analysis audits Department of Labor compliance and records management Third Party Administrator search Workers' Compensation and FMLA administration compensation analysis recruitment benefits and compensation policies development and legal compliance.

Tags for this Online Resume: ADP Payroll, Payroll, Accounting, General Ledger, Journal Entries, SAP, Human Resources, Benefits, Audit, Compensation

Featured Profile

Registered Nurse

Summary of Experience Health Care Executive Healthcare Management Project/Program Management Nursing Hands on Administrator with strategic vision and empowering leadership style. Thirty five years nursing experience and thirty year of management. Passionate about improving the state of today's healthcare environment. Adaptable with the ability to adjust to high pressure and rapid change with energy, dedication, and commitme...

Tags for this Online Resume: Nursing, Imaging, Inventory, Radiology, Surgical, CT, Leadership, Magnetic Resonance Imaging (MRI), MRI, Nuclear Medicine

Featured Profile

Innovative Thought Leader | Human Resources & Risk Management Consultant | Trusted Business Partner & Compliance Advisor

SUMMARY: Professional Executive delivering superior results for organizations served. Offering: Exceptional Human Capital Management, Leadership Development, Diversity & Inclusion, Client Relationship Partnerships, Employment Practices Compliance, Risk Management, and Insurance Programs and Claims Management qualifications. Unique Subject Matter Expert in Diversity, Human Resource Management, Employee Relations, Federal a...

Ideal Companies: Amgen, City of Thousand Oaks, Conejo Valley Unified School District, Dole Food Company, HCA Los Robles Regional Medical Center, Silver Star Auto Group, Verizon/Frontier, WellPoint Blue Cross, Blue Shield of California,

Tags for this Online Resume: Compensation, Support, Training, Management, Actuarial, Assessments, Benefits, CFO, Human Resources Information System, Leadership, Westlake Village, Human Resources Risk Management Consultant

Featured Profile

Health Technologist - 16 Years of Experience - Near 20191

My objective is to find an organization where I can apply my skill sets, and passions, for delivering effective IT solutions to business stakeholders and end users. This includes full investment lifecycle, regardless of development/deployment methodology, from the point of business case development through post implementation value measurement. I have deep expertise in the healthcare industry, both clinical and hospital fin...

Ideal Companies: Cerner, CoverMyMeds, Evolent, CareCloud, Enli Health, GE Health, Visiquate, Optum, Medstar

Tags for this Online Resume: Cms, Content Management, Financial, Financial Management, Management, Program Management, Benefits, Business Case Development, Computer Aided Software Engineering, EHR, Health IT, Revenue Cycle Management, Digital Health, Risk Management, Quality Management, Performance Improvement, Business Process Management, Enterprise Content Management, Health Information Exchange, Population Health Management

Administrative Services Manager

SUMMARY OF QUALIFICATIONS A highly skilled Medical Operational and Pharmacy Benefit Manager with expertise in oversight of Third Party Administrator processes and performance. A proven expert in auditing and recovery of overpayment claims which include Eligibility, Coordination of Benefits, Anesthesia, Assistant Surgeon, Co-Surgeon, Multiple Surgeries, and Contractual Agreement Discrepancies. Areas of expertise: Managing, A...

Tags for this Online Resume: ACD, Automatic Call Distribution, Complaints, Benefit Plans, Benefits, Accounting, Call Center, Cobra, Customer Service, Email

Information Technology Manager - 19 Years of Experience - Near 97207

Summary of Experience: * Recently, as a Director in the IT Strategy Practice at an international management consulting firm (ISG), managed engagements that focused on digital transformation and business intelligence. * As a Management Consultant at Kaiser Permanente, managed the renegotiation of a $53 million, offshore IT managed services contract with Accenture for application development and infrastructure services that r...

Tags for this Online Resume: Infrastructure, Cisco, Customer Relationship Management, Data Warehouse, Enterprise Data Warehouse, Enterprise Software, Licensing, Management, Messaging, Microsoft

Human Resources Administrator - 14 Years of Experience - Near 30032

Areas of Expertise Workers' Compensation Administration * Investigations * Loss Control * Case Management * Return to Work Processes * Audit Assistance * Training/Education * Third Party Administration * Medical Providers Liaison * Communication of Program Goals

Tags for this Online Resume: Airlines, Compensation, Fraud, Litigation, Management, Payroll, Workers Compensation, Audit, Computer Aided Software Engineering, Documentation, workers compensation

Claims Investigator - 15 Years of Experience - Near 06457

Accomplished Professional with proven ability to administer comprehensive business plans in the insurance and nonprofit arenas. Creative influencer who approaches management solutions and related problem solving with innovative and quantifiable value-added vision coupled with exacting ethical standards and logistical prowess. Core competencies includes a commitment to teamwork necessary networking and customer relationships...

Tags for this Online Resume: Audit, Arbitration, Litigation, Reinsurance, Management, Novell Netware, Risk Management, Compensation, Workers Compensation, Budgeting

Registered Nurse Transplant Case Manager

To obtain a full-time position as a Registered Nurse Transplant Case manager with a medical insurance company, third party administrator, transplant network, health management organization

Chief Financial Officer - Near 21028

CAREER HIGHLIGHTS * Built Third Party Administrator from inception covering 2 International Church groups, 20 Multiple Employer Welfare Associations and Trusts, 700 Self-funded Employer Group Plans, and large Self-funded Employer Welfare Plan encompassing 100 employees and providing health care to 26K employees generating $100M with related fee revenue of $14M. * Performed detailed forensic auditing of multi-year reinsuranc...

Tags for this Online Resume: Reinsurance, Insurance, Management, Benefit Plans, Accounting, Cash Management, Financial, Financial Reporting, Forecasting, Internal Controls