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Online Resumes with "appeals management"
Manager/Director Disability Appeals and Claims - 18 Years of Experience - Near 04106
Additional work as a Senior Team Lead of Fraud Detection currently for WEX, a major fuel card distributor.
Tags for this Online Resume: Account Management, Litigation, Management, Settlements, Drafting, Fraud, Fraud Detection, Predict, Predict (Data Dictionary), Quality Assurance, insurance, customer service, group benefits associate, investigator, employee benefits
Registered Nurse
Tags for this Online Resume: ENT, Transcription, Budgetary, Cms, Management, Patient Care, Cardiovascular, CHF, COPD, Emergency Room
Quality Assurance Director
Tags for this Online Resume: ENT, Transcription, Budgetary, Cms, Management, Patient Care, Cardiovascular, CHF, COPD, Emergency Room
Chief Operations Officer - 20 Years of Experience - Near 50309
Tags for this Online Resume: Inventory, Microsoft Visual Basic for Applications, Management, Training, Process Improvements, Project Management, Project Management Office, Project Manager, Compensation, Planning
Medical or Health Services Manager - 0 Years of Experience
10 plus years of leadership experience in healthcare and nonprofit institutions. * 10 years of experience in grievances and appeals, patient/member services * 10 years of experience in community outreach and engagement * 3 years of experience in provider relations and credentialing * Leading teams of 30 staff members to cohesively reach organization goals * Worked closely with CEO and CMO to develop and execute business so...
Tags for this Online Resume: Leadership, Medical, Transportation, Cms, Complaints, Documentation, Policies and Procedures, Quality, Quality Assurance, Test
