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Online Resumes with "adjudicate"



Chief Operations Officer - 20 Years of Experience - Near 19130

time product customization with VISUAL configurator (Database and UI/UX to be the foundational system-of-record for all client data in the future state) * Scope: Database structures: Architecture * Onboard a client into an automated adjudication system define client configuration * Properly support querying downstream applications (Consolidated Billing System) * Software Development: UI/UX for data entry and extraction * Cl...

Tags for this Online Resume: Health Insurance Portability And Accountability Act, ICD-9, ISO, Manufacturing, Product Development, Product manager, manage SDLC, Bridge customer wants to technical development, Project Management, Medical Device product developer

Litigator, Milwaukee

Partner in a Law Firm that allows me to litigate complex real estate, construction, securities law, fraud and commercial cases, both international and local.

Tags for this Online Resume: litigation, real estate, securities, corporate, construction, insurance, Financial, Financial Services, Management, Services, Annuity, Estate planning

Administrative Assistant - 20 Years of Experience - Near 21229

A project manager combining over twenty years' experience with a passionate commitment to developing businesses and teams to meet changing technical and structural needs of the field. An experience of a variety of roles throughout the sector has allowed for the building and advancing of knowledge and skills including team management leadership project management knowledge of federal funds finance management and a variety of...

Tags for this Online Resume: Computer Aided Software Engineering, Imaging, LMS, Medical, Referrals, Vista, Quality, Quality Assurance, Quality Control, Support

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Claims Examiner - 17 Years of Experience - Near 68016

QUALIFICATIONS *Twenty-six years' experience in Managed Care and Cost Containment Services - sales and marketing *Seventeen additional years in the insurance/claims industry adjudicating claims

Tags for this Online Resume: Account Manager, Appraisals, Management, Marketing Management, Sales, Services, Managed Care

Manager - 20 Years of Experience - Near 11743

Areas of Expertise * Lean Six Sigma BPM business analysis for technical and business solutions evaluate/implement business process through Six Sigma methodology by identifying and mapping technology with business needs. * My corporate Vision includes driving efficiency of operations, increasing quality of service by partnering with business units and achieve strong bottom-line performance applying Lean Six Sigma methodology...

Tags for this Online Resume: Support, Technical Support, Customer Relationship Management, Disaster Recovery, Fixed Assets, Inventory, Network Support, network, vm, azure, was, client services, vendor management, data center

Quality Assurance Specialist - 7 Years of Experience - Near 43230

career as Associate Trainee in Cognizant technology Solutions. * Developed Keyword driven framework for mainframes in a team of 2. * Have worked on various frameworks like DataDriven Modular and Hybrid Driven frameworks. Experience in Test Requirements gathering requirements analysis and test strategy/plan preparation. Developed numerous tools with Excel macro to interact with QC/ALM. * A self-motivated person with strong c...

Tags for this Online Resume: Automation, Test, Test Cases, Regression Testing, Functional Testing, HP QuickTest Professional, sql, agile, selenium webdriver, TESTNG, UFT, framework

Quality Assurance Specialist - 5 Years of Experience - Near 80126

PROFESSIONAL SUMMARY I have 12+ years of experience in Quality Assurance, Systems Integration, Lab Design and Operation, Java Application Development, Distributed Application Development, Object Oriented Programming, Internet/Intranet-based database applications development, testing and implementation using Java/J2EE (Servlets, JSP, EJB). My roles have included all phases of the software development life cycle (SDLC), but e...

Tags for this Online Resume: Test, Management, Applications, Services, Billing, Linux, Agile, Automation, Call Center, Configure

Clinical Pharmacovigilance/Drug Safety - 10 Years of Experience - Near 19440

Summary Clinical Scientist/Clinical Data Analyst/Clinical Data Management/Project Coordinator/GLP auditor/Research Biologist with over 15 years experience in the pharmaceutical industry. Authored/QC review of protocols, protocol amendments, protocol clarification letters, informed consent forms, risk language, periodic safety reports (PSUR, DSUR, QSR), investigator brochures, medical monitoring plans, clinical SAE narrative...

Tags for this Online Resume: Protocol, Oncology, Audit, Monitoring, Critical Care - Neurology, ICH, Neurology, Quality Assurance, Test, Data Quality

Business Analyst - 5 Years of Experience - Near 60466

Familiarity with source control concepts (checking in code, branching, checking out) * Experience writing scripts for automation processes. * Experience with mainframe applications * Experience with IBM technology suites * Experience with SQL, JAVA, Phython and C# programming languages. * Successfully implemented and deployed (systems upgrades, code changes, claim adjudication, application changes) releases across all 5 (IL...

Tags for this Online Resume: Management, Support, Quality, Services, Training, Analytical Skills, Customer Service, Research, PeopleSoft, Computer Aided Software Engineering

System Engineer - 8 Years of Experience - Near 29461

SUMMARY OF QUALIFICATIONS A detail oriented and organized professional with over ten years' experience in Information Technology and customer service. Working knowledge of Local Area Network (LAN) procedures and security implementations, Microsoft Server 2008/2012 using Active Directory to include Domain Controllers, Microsoft Exchange Servers 2007/2013, Microsoft Lync 2013, Dell 620/720/820 Servers, DNS, DHCP, Group Policy...

Tags for this Online Resume: Servers, Active Directory, Microsoft Active Directory, VMWare, Domain Name System, Microsoft, Local Area Network, Remedy, BMC Software

Adjudicator - 20 Years of Experience - Near 38002

Eagerly seeking a new challenging career in Management. Prove to be an impact asset in assisting the public through professionalism and leadership.

Tags for this Online Resume: Management, Bank Deposits, Inventory Control, Retail Sales, Sales, Scheduling, Property Management, Leasing Management. Legal Assistant, Banking, New Career, Retail Sales Management