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Online Resumes with "UM"
Registered Nurse - 20 Years of Experience - Near 15005
Looking for telecommuting UM services. I am the nurse for a position of this type. I am experienced in front line nursing as well as UM/CM/appeals processes. Resume with clinical experience enclosed. Applying for evening UM review RN (Remote) I have been an RN for 30+ years. I am experienced in front line nursing as well as UM/CM/appeals processes. Resume with clinical experience enclosed. I am focused, dedicated, dis...
I am a knowledgable insurance professional wanting to make your company stronger.
I am looking for a position where I can use the skills I have learned in the last 28 years while still being able to learn new things. I like to deal with people in all aspects of claims including customers, claimants, plaintiff and defense attorneys as well as agents. I enjoy litigation from beginning to end. I look at my relationship with a defense attorney as a collaboration rather than depending on them to do my work...
Ideal Companies: n/a
Tags for this Online Resume: dynamic, knowledgeable, dedicated
Customer Service Representative
COVER LETTER: Dear whom it may concern , I am writing this letter in response to the entry level position in your company. At the first glance, I knew that this was the job I have been looking for and that I was the most competent candidate for the position. I have just recently earned my Bachelor's degree at the University of California, Berkeley on Asian Studies and I feel that my expertise in that field will benefit your...
Tags for this Online Resume: Business Planning, Financial, Microsoft, Microsoft Excel, Planning, language
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Engineering Manager - 15 Years of Experience - Near 94536
SUMMARY: Results oriented professional with extensive education/industry background, skills, and proven expertise including: * Ph.D. in Physics * More than 15 years in semiconductor industry research, development, manufacturing management, engineering, and international accounts * Conducted and analyzed research on IC processing techniques * Designed and supervised the manufacturing process of silicon wafers * Performed sil...
Tags for this Online Resume: Reliability, Management, Project Management, Foundry, Applications, BASIC Programming Language, Business Intelligence, C Programming Language
Computer Hardware Engineer - 2 Years of Experience - Near 13210
and Compared testability to ATPG. Gate sizing to optimize area and overall maximum delay using C++ November 2015 * Implemented Lagrange relaxation for circuit to optimize overall area subjected to delay less than maximum delay. * Developed C++ source code using classes to implement both algorithm and successfully achieve excellent result.* Designed 8 --bit Microprocessor ASIC with AMI 0.6um
Tags for this Online Resume: Altera, C Programming Language, C/C++ Programming Languages, Cadence, Electronic Design Automation (EDA), Electronics, Engineering, Matlab
Supply Chain Manager - 20 Years of Experience - Near 54556
To reach Director position in 4 years contributing towards achievement of company goals and objectives through dedicated service and maintaining high degree of ethics and um-questionable integrity.
Tags for this Online Resume: Any, Procurement, Sourcing, Inventory, Inventory Control, Management, sheets, Valves, Welding, Negotiations, procurement/warehouse manager, expeditor, Assistant Regional Commercial Manager, Cost Control, JIT
Electronics Engineer - 1 Years of Experience - Near 94587
Master's graduate of Southern Methodist University's Electrical engineering program seeking a position as a Circuit Design Engineer. Offering technical expertise in Analog, Digital and Mixed signal circuit design, layout and verification.
Tags for this Online Resume: Altera, bash, C Programming Language, C++ Programming Language, Cadence, Hardware/Systems, IBM, Integrated Circuit Design, Java Programming Language, Matlab
Production Inspector
SUMMARY OF EXPERIENCE * Ability to design coating & process from DUV - Far IR Range ( 193nm-20.0um ) using EB, IAD, Plasma, Sputter, and thermal source methods with crystals or optical monitoring. * Experience with both coating infrared materials such as CaF2, BaF2, Sap, ZnS, ZnSe, Ge and Si as well as UV/Visible/NIR glasses. * Extensive Knowledge of design conventional and custom coating including dielectric (AR, BBAR, HR,...
Tags for this Online Resume: Manufacturing, Product Development, Inventory, Microsoft Office, Schematics, sheets, Software, Corrective Actions, SPC, Training
Tester - 14 Years of Experience - Near 92121
Experience Summary Overall 15 years of Total Experience in the IT Industry, and 5 year of Experience in Syntel * Very strong Domain knowledge in Health Care * Hands on knowledge in FACETS Application (Member, Plan/Product, Provider, Eligibility & UM) * Working experience on Agile testing methodology. Acting as Scrum Master. Organize Sprint planning meeting, Daily Scrum Meeting, Creating Sprint report, Create task to the tea...
Tags for this Online Resume: Consulting, Quality Assurance, Structured Query Language, Test, Cognos, Health Care Industry, IBM, Script, System Testing, Test Cases
Engineer - 16 Years of Experience - Near 92057
Responsible position with a company established enough to 760-586-3652 have stable operating processes, yet flexible enough to recognize, encourage, and reward individual effort and innovation. 5404 Rocking Horse Lane Oceanside, CA 92057 HireJohnNoriega@earthlink.net Strongpoint: The flexibility and adaptability to handle shifting priorities and disparate roles within the organization: from research, to engineering, to manu...
Tags for this Online Resume: Management, Manufacturing, Sales, manufacturing Support, Problem Solving, Analytical, sales support, customer support
Compliance Manager
Insurance * Managed Corporate and Regulatory Compliance (led to 82% reduction in consumer complaints, reduced appeals 34%, and UM cases were reduced 12%) * Implemented privacy program to minimize risk and ensure confidentially of Protected Health Information (PHI). In two years reduced privacy complaints 66% * Assist in the negotiation of vendor contracts with Operations and Legal (led to 24% reduction of fees) * Implemente...
Tags for this Online Resume: Complaints, ERISA, Multi-line Insurance, Fraud, Waste & Abuse, Policies and Procedures, Cross Functional Management, Enterprise Risk Management, Risk Management, Consulting, Compliance, Privacy, HIPAA, GLBA,, Ethics and Code of Conduct, Chair Compliance Committee, Self Funded Insurance, Appeals and UM Review, profit and loss analysis, metrics and analytics, Leadership
