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Online Resumes with "Value Based Payment"
Director of Provider Relations - 7 Years of Experience - Near 11581
Dedicated and motivated professional with over 7 years experience working in various healthcare settings. Excellent verbal, written, interpersonal communication and presenting skills. High performing leader with the ability to motivate others. Demonstrated success in various health care organizations as indicated by fast-track promotions to leadership positions.
Tags for this Online Resume: ACO, PCMH, Leadership, Management, Policies and Procedures, DSRIP, Value Based Payment, Data Entry
Compliance Manager - 20 Years of Experience - Near 21236
QUALIFICATIONS: * Strong knowledge of healthcare policies, value based payments, and larger healthcare quality strategy to reform how healthcare is delivered/paid for to provide better care and lower cost * Experience performing audit and compliance services * Developed and conducted detailed training regarding ethics, integrity, regulations and processes. * Recognized leader in mitigation risk assessments of complex laws a...
Tags for this Online Resume: Verbal and Written Communications Skills, Written Communication Skills, Written Communications Skills, Management, Assessments, Monitoring, Statutory, Clarify, Cost Accounting, Inventory, management, manager, Compliance, Investigations, ethics officer, Government, FAR, CFR's, Internal Auditing, ISO 9001 Certified Auditor
Medical or Health Services Manager - 20 Years of Experience - Near 10583
SUMMARY Skilled healthcare administration professional with a solid understanding of the interrelationships between systems and systems' impact on revenue operations and workflow. Strong analytical and problem solving skills including the ability to analyze operations for cost effectiveness and identify ways to optimize billing and increase reimbursement. Thorough, and highly organized able to perform with a high level of a...
Tags for this Online Resume: Scheduling, Billing, Documentation, Professional Services, Services, Ambulatory Services, Ad Hoc Reports, Assessments, Behavioral Health, Budgeting
Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas
I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting. I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...
Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System
Tags for this Online Resume: contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid
