CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "bcbs"

Project Manager - 6 Years of Experience

SUMMARY OF QUALIFICATIONS: Over 25 years in Information Services in Management, Principal Consultant and Project Management. Responsibilities include budgeting, scheduling, and managing engagements from 500k to over 12M. Managed up to fifty project team members including off-shore. Provided direction and guidance for methods and procedures, including QA initiatives as well as metric measurement. Accountable for supporting t...

Tags for this Online Resume: Accounting, Actuarial, Automotive, Banking Industry, Budgeting, Business Planning, Change Management, Cms, Data Warehouse, Health Insurance

Programmer Analyst - 15 Years of Experience - Near 27519

Career Summary: * Software professional with 15 years of experience in Information Technology. Specialized in development of applications in IBM Mainframe, COBOL/II/370, CICS, VSAM, JCL, Natural, Adabas, MQ Series, XML, Easytrieve, DB2, IMS DB/DC and IBM utilities. Possesses excellent communication and technical skills and strong sense of personal ownership, accountability and commitment. Highmark - NC Jul '08 - Till date O...

Tags for this Online Resume: VSAM, Xpeditor, Cobol II, Cobol Programming Language, Job Control Language, IBM DB2 Database, TSO/ISPF, CICS, IBM IMS

Insurance Underwriter - 15 Years of Experience - Near 75043

ACCOMPLISHMENTS * Received Employee of the Month Award for outstanding results and commitment to Old American strategic vision. * Spot bonus Award - BCBS Texas - for mentoring new supervisors within the department.

Tags for this Online Resume: Richardson Texas, Process Improvements, Motivator, Underwriting, CusC, Budgeting, Management, Microsoft, Microsoft Office, Process Improvement

Project Manager - 18 Years of Experience - Near 07095

Experience Summary: PM Experience: * 6 years of Portfolio/Program management experience in IT with expertise in handling multiple programs/Projects concurrently in dynamic environments and overall 10 plus years of experience in Project Management (PMO, and BMO). * 4 plus years of experience in Risk, Audit, and Security compliances include Basel II & III, BCBS 239, Dodd-Frank, CCAR-9C, 14A, 14Q, 14M Duck-Creek and SOX. * Int...

Tags for this Online Resume: Management, Planning, Project Management Office, Vendor Management, Agile, Documentation, JIRA, Program Manager, SAP, Security, Portfolio Management, Scrum Master

Project Manager

PROFILE * PMP-certified manager for successful deliveries within finance, risk, regulatory compliance and trading. * Proactively assessed regulatory risk drafted delivery roadmap and business case and coordinated for budget, funding and approvals * Analytical and detail-oriented PM with business and IT expertise to condense large information for audience-specific summary. * Skilled in interpreting complex rules to distil in...

Tags for this Online Resume: Compliance, Quality, Quality Assurance, Data Analysis, Data Quality, Management, Security, Support, Best Practices, Data Warehouse

Manager - 20 Years of Experience - NYC and Triangle area

To obtain a challenging clinical or Management role with a governmental, educational or community based social service organization, with which I may share my extensive professional clinical management experience to mutual benefit, as we service our community through empowering service delivery and empathic professionalism. Easter Seals/NC Start Durham, NC Resource Center Counselor Coordinate schedule, Individual/Group coun...

Ideal Companies: NC DHHS, BCBS, Durham County

Tags for this Online Resume: Manager, Counselor, Coordinator, Instructor, Leader

VP Quality and Clinical Performance 15 years

PROFESSIONAL SUMMARY Visionary, Adaptive & Talented Senior Healthcare Executive Record of Transforming Healthcare Organizations: Maximizing reimbursement in Massachusetts 1115 MassHealth Waiver and multiple risk contracts. Proven executive with a discerning knowledge of Integrated Healthcare Delivery systems.Passion for meeting needs of complex patients with goal of improving access and health outcomes. More than 15 years d...

Tags for this Online Resume: Quality & Safety, Coding, Documentation, Management, Patient Care, Quality Assurance, Risk Management, Managed Care, registered nurse, Physician Alignment, Contract Performance

Benefits Specialist - 20 Years of Experience - Near 60120

PROFESSIONAL SUMMARY Highly professional Human Resources and Benefits Specialist, seeking full-time employment and growth opportunity within the Human Resources field. I bring with me over 20 years of knowledge in business practices, protocol, and procedure. I am strong, both in my written and verbal communication. As well, I pride myself on my outstanding level of client and customer care. My specialized skills and trainin...

Tags for this Online Resume: HR, Human Resources, Human Resources Information System, Accruals, Audit, Benefits, Billing, Insurance, Life Insurance, Management

Business Analyst - 15 Years of Experience

Professional Summary * Talented Business Systems Analyst/System QA Analyst with over 10+ years of solid experience in J2EE web based applications and other web-based application frameworks using combination of Agile and Waterfall methodology using SDLC process. * Expert in business process engineering/sequence and process flow diagramming and software development life cycle (SDLC), including gathering Business Requirements,...

Tags for this Online Resume: BASIC Programming Language, Business Analysis, Business Analyst, C# Programming Language, Cms, Cognos, Control M (Scheduling Pkg), Data Management, Data Mining, Data Modeling

Business Analyst - 17 Years of Experience - Near 30346

Summary of Qualifications: * Successful history of data monetization taking it from raw data, to action and insight * Successful history of applying Design Thinking methodology to setup Data Governance COE, and Data Analytics COE * Successful history of leading enterprise data management 100-Day plan, and multi-generational plan * Successful history of leading development of Analytics paradigm, framework, and capabilities *...

Tags for this Online Resume: Security, Data Warehouse, Framework, Information Security, Data Management, Integrate, Management, SOA, API, Application Program Interface

Claims Examiner - 20 Years of Experience - Near 48235

PROFESSIONAL SUMMARY * Skilled dedicated 26 year healthcare professional with a versatile administrative skill-set developed as an office manager, claims processing supervisor, administrative assistant and quality assurance tester. * Extensive experience in resolving employer challenges with innovative solutions, systems and quality improvements proven to increase efficiency, customer service and provider satisfaction withi...

Tags for this Online Resume: Medical, Medical Records, Audit, Therapy, Training, Customer Service, Web, Coding, ICD-9, Claim Processing