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Online Resumes with "Tricare"



Featured Profile

Decorated Leader | Award Earning Manager | Strategic Operations Manager | Change & Performance Improvement Leader | Exceptional Communicator | Subject Matter Expert

Experienced, highly-decorated leader and award-earning manager with over 20 years of U.S. Army experience in coaching, teaching, and mentoring personnel. Directed and trained supervisors, coordinated operations, implemented programs analyzing data, and resulted in significant program cost-savings. Improved patient/customer safety, addressed internal/external concerns, reduced wait-times, and increased overall satisfaction. ...

Ideal Companies: Shire Pharmaceutical, Sage Pharmaceutical, Novocure Pharmaceutical, Alexion Pharmaceutical, Sanofi Pharmaceutical, Pfizer, Boston Medical Center, and Beth Israel Deaconess Medical Center.

Tags for this Online Resume: Operations, Program Management, Quality Assurance, Scope, Budget, Leadership, Time Management, Human Resources, Physical Security, Security

Medical Sales Representative - 20 Years of Experience - Near 33062

QUALIFICATIONS: * successful in increasing census by 30% and maintained occupancy in snf @ 95- 100%. familiar with medicare, hmo's, ppo's, va, tricare, medicaid. * extensive experience in sales/marketing in healthcare (hospitals, snf/rehab, home health, alf, Physician offices) * Eighteen years of managing and coordinating patient care/cases. * LPn in hospital and home health setting for 15 years. provided Patient care in pr...

Tags for this Online Resume: Home Health, Business Development, Referrals, Patient Care, Account Manager, Insurance, Patient Education, Medical, Nursing, Surgical

Bookkeeper - 10 Years of Experience - Near 92126

COVER LETTER: To Whom It May Concern: I would like to be considered for a Management or comparable position in either the medical or accounting field. I have worked with Quickbooks for well over 10 years. I have done medical billing as well as AR/AP for 8 plus years. My knowledge in customer service, as well as my organizational skills as an Administrative Assistant has enabled me to handle a wide variety of situations a...

Tags for this Online Resume: Medicare/edicaid PP, HMO, Tri-Care, ICD-9. CPT Codes, Quickbooks, AR/AP. payroll, Payroll/quarterly taxes, Medical billing specialist, Hiring , Hippa compliance, Administrative Assistant, Microsoft Outlook, Microsoft Outlook Express, QuickBooks

Medical Records Assistant - 2 Years of Experience - Near 71640

Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies guidelines and procedures to assure consistent quality. Experienced with Microsoft Word, PowerPoint, Excel, and Outlook Types 36 WPM. Willing to learn new skills and take on new challenges. KEY ...

Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Customer Service, EHR, EMR

Medical or Health Services Manager - 20 Years of Experience - Near 33534

SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...

Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer

Project Manager - 7 Years of Experience - Near 30339

data Domain - Insurance (MetLife Inc., TRICARE) Team Size - 20 * Responsibilities * Preparation of Test Approach and Test Estimation. * Business Requirement (functional and non-functional) Analysis, Test Strategizing and Planning. * Development of Test Conditions, Scripts/cases. * Interacting with the functional team and reporting defects. * Automation & Functional Test execution and result reporting. * Onsite /Offshore coo...

Tags for this Online Resume: Insurance, Management, Automation, Batch Processing, CICS, Compuware File-Aid, English Language, Hindi Language

Director - 20 Years of Experience - Near 27526

Areas of Expertise * Resource & Business Planning * Strategy Process Creation * Impact Assessment * Project Implementation * Training & Development Programs * Corporate Compliance * Mentoring & Coaching * Drafting & Negotiating Contracts * Contracts Law Key Accomplishments * Improved payment timelines over 25% in first quarter while overseeing rebate payments of $14M/quarter by working with IT to create reports to validate ...

Tags for this Online Resume: Pricing, Management, Compliance, Full life cycle, Planning, Audit, Billing, Business Planning, cross functional training, department training, GTN, Pricing Strategy and Analysis

Customer Service Representative - 10 Years of Experience - Near 71129

Customer service oriented professional who provides timely and accurate data to ensure reimbursement for patient services. Follows policies procedures and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality. Experience with Microsoft Word and Power Point - Type 50 WPM. Well-organized manages time and priorities in multi-task environments. * Work as part of a team and maintain a...

Tags for this Online Resume: Customer Service, Policies and Procedures, Amazon Elastic MapReduce, Billing, Claim Processing, Cms, Coding, Compensation, EHR, EMR

Registered Nurse - 20 Years of Experience - Near 81212

I would like to expand my career into the utilization management for the US military, Tri-care entitlement program.

Tags for this Online Resume: Patient Care, Documentation, PEDIATRIC, Long Term Care, Assessments, ICU, Management, Medication Administration, registered nurse, utilization review specialist

Senior Regional Manager - 15+ years experience - Washington, DC / Maryland

Areas of Expertise: * Strategic Planning and Implementation - Cost Reduction and Avoidance - Territory/Regional Management - Revenue Generation & Growth - Product Portfolio Management - Budget Administration / Management - Team Training & Development - Process Improvements - Specialty Product Launches - Communication Skills Directed the sales efforts and outcomes of 10 specialty sales representatives - specializing in neuro...

Tags for this Online Resume: Sales, Medical, Critical Care - Neurology, Neurology, Oncology, Cardiology, Management, Messaging, Pain Management, account manager, account executive, sales representative

Business-to-Business Marketer

Summary Mr. Dastvar has over 29+ years of Excellence in Business Development, Client Execution, and Account Management in the technology, capital markets, Financial, healthcare, insurance, commercial and government sectors. He has developed pipeline, capture plan and strategic partnerships to drive the revenue at a corporate PAT level. He has lead targeting, growing, and developing existing and prospective client relationsh...

Ideal Companies: CSRA, Leidos

Tags for this Online Resume: Infrastructure, Management, Banking Industry, Business Development, Capital markets, SEC, Securities and Exchange Commission (SEC), Program Manager, Proposal Development, Recruiting

Medical or Health Services Manager - 20 Years of Experience

QUALIFICATIONS AND EXPERIENCES * Proven excellence in Contracting, Credentialing, Health Insurance knowledge, Education, Sales, Employee Benefits, Claims, Provider Relations, Customer Service and Management. Group presentations and seminars have been a major part of my career responsibilities. * Contracting, Provider Relations, Network Development for Government Programs such as Project Hero (Veterans) and Tricare (Military...

Ideal Companies: ASBS

Tags for this Online Resume: Customer Service, Government, Networking, Management, Email, Benefits, Complaints, Computer Literate, Forth Programing Language, Health Insurance