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Online Resumes with "bundled payments"



Medical Director

Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through building a culture wher...

Tags for this Online Resume: Healthcare, ICD-10 certified AHIMA Instructor, Medical Director, Contracting, Compliance, medical software

Healthcare Compliance - Certification in CHC, CIA, CFE, CMRA

Energetic, results-oriented and dedicated executive with extensive healthcare care compliance, internal audit, and big-4 leadership experience. Highly ethical manager with proven ability to establish, implement, and/or redesign corporate Compliance and Internal Audit functions. Expertise includes:  Managed care federal compliance implementation and monitoring (CMS)  Policy and Procedure development and implementation ...

Tags for this Online Resume: CHC, CIA, CFE, CFSA, CCSA, CRMA, CBM

Featured Profile

Scientist, Director, Entrepreneurial, PhD, MBA, R&D strategy, Startups, Strategic & Technical Planning, Healthcare, Biomedical, Business Development, Commercialization, Product Development, Grant & Funding, Operations, Management, Manager

To undertake a suitable position in a healthcare, biomedical, Clinical Research, bio-pharmaceutical or biotechnology organization that capitalizes on my extensive scientific, drug development, business and early stage start-up managerial experience. I have many years of practical, hands on experience on both sides of the value equation in life science - as both an academic researcher and also as a NC Biotechnology Center-in...

Ideal Companies: Medical Centers, Academic Medical Centers, Small-Mid Size Companies (Biotech, Pharma, Diagnostics and Medical Devices), Consulting firms, Clinical Research, Clinical Trials, Clinical Data Management, Research based institutions...

Tags for this Online Resume: proteomics, biological research, molecular biology, drug metaboilsm, cell culture, assay development, Early Stage, Startup, Start-up, Business Development, Pharma, neuroscience, management, healthcare, healthcare management, clinical trial, clinical research, Translational, animal model, Research and Development strategy

Respiratory Therapist - 20 Years of Experience - Near 11758

I am a Registered Respiratory Therapist in NY, NJ and CT. As a Healthcare Executive I have obtained extensive experience in quality assurance, operational and clinical management services including broad-based experience in daily operational and administrative functions. I am a creative strategic thinker with excellent problem solving and decision making abilities. I have significant experience across the continuum of ca...

Tags for this Online Resume: New York , Long Island, Management, Critical Care, medical sales, Strategic Thinker, Energetic, disease management

Medical Sales Representative - 20 Years of Experience - Near 70435

Tags for this Online Resume: Sales/Marketing, Management, Benefits, Consulting, Capital Equipment, Distribution, medical devices, valued based healthcare, bundled payments, episode of care

Physician - 20 Years of Experience - Near 85086

Utilize my experience and knowledge of medical practice and insurance industry ( health insurance, managed Medicaid/Medicare, workers compensation, disability). Develop cost containment programs to promote medically efficient health care with quality.

Tags for this Online Resume: medical director, Office only orthopedic practice, alternate payment, Bundled Payment, Risk arrangement contracting, Fraud and Abuse, claims review, Medical Management, Health Insurance, Managed Medicaid and Medicare, Occupational Medicine, Workers compensation, outpatient rehabilitation, disability

Sales Manager - 14 Years of Experience - Near 44107

Qualifications Summary: * Articulate persuasive communicator with excellent listening and negotiation skills able to build trust, confidence and cooperative spirit with people of diverse interest and authority levels to achieve goals. * Innovative and resourceful with business development a team player with the ability to project a positive image. * Well organized profit conscious sales professional who enjoys challenges an...

Tags for this Online Resume: Business Development, Managed Care, Nursing, Sales, Sales Calls, Advertising, Development Activities, Health Care Industry, Home Care, Integrate, Vice President of Business Development, Chief Marketing Officer, Marketing, Admissions

Physician - 20 Years of Experience - Near 07410

Tags for this Online Resume: Management, Bilingual, Consulting, Health Care Industry, Corporate Accounts, Process Improvement, Purchasing, Watson Health, Population Health, Readmission Avoidance, Transition of Care, Bundled Payment, EMR optimization, Best Practice

Admissions Director - 13 Years of Experience - Near 28093

Accomplishments Medtronic Advanced Energy Retained following acquisition and held position created around particular specialties and desire for remote work with travel * Expanded existing events program 1000%, from 15 to 150+ events per year, and dramatically improved perception of Medtronic medical education programs * Captured 15 - 75 specialty physicians, surgeons, administrators per event - 3000+ attendees annually * De...

Tags for this Online Resume: Health Care Industry, Management, Medical, Network Management, Networking, Program Manager, Clinical Research, Physical Therapy, Protocol, Research

Featured Profile

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