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Online Resumes with "health care reform"



Billing/Coding Specialist - 15 Years of Experience - Near 11201

ACCOMPLISHMENTS Managed communications planning for medical providers at EmblemHealth, Inc. Collaborated with every level of the enterprise. Projects included multiple New York State - mandated incentive payment plans, new healthcare initiatives such as one of the country's first patient-centered care models, creating promotional and training materials for several disease care and wellness programs. Worked with the Product ...

Tags for this Online Resume: Evaluate, Health Care Industry, HIV, Information Technology, Insurance, Management, Medical, Microsoft

Featured Profile

Sales executive who knows how to build, manage and successfully drive business development and sales organizations - 15 Years of Experience - Near 97229

Business development expert seeking an opportunity to build out new and existing markets with companies that bring unique value to the market. Ideally it is an opportunity that will allow me to leverage my extensive experience in creating successful go-to-market strategies focused on building sales channels that include B2B, B2C and VARS. The organizational desire to build a strong, positive and dynamic culture focused on d...

Ideal Companies: Cambia, United Health Care, Optum, Nike, CBRE, Amazon, Lockton, HUB, BambooHR, LimeAde, Socrates, HealthWise, Agrium, WebMD, Propeller, REI, Orvis,

Tags for this Online Resume: National account sales, Employee benefits and insurance, New business development, Profitability Improvement, Acquisitions, Go-to-market strategy, Sales support, Healthcare, Performance optimization, Joint venture and alliances, Consensus building & teaming, Multi-site operations, Crisis management, Budgeting & finance, Decision-making, Forecasting, Go to market strategy, National accounts, Product marketing, Joint ventures and alliances, Negotiation and diplomacy, Marketing, Consensus building and team building, Leadership, Sales coaching, Sales, Process, Analytical ability, Initiative, Client engagement, Compensation planning

Director - 20 Years of Experience - Near 60563

SUMMARY OF QUALIFICATIONS * Keenly analytic and results oriented revenue cycle professional with 19 years of experience in Healthcare Systems, Patient Accounts, Early-out Collections and Analyzing Accounts Receivables * Core knowledge and expertise with federal/state and HIPPA privacy and security regulations of payer contracts * Health information technology and changes related to health care reform, and Medicaid expansion...

Tags for this Online Resume: Insurance, Management, Software, Cms, Financial Services, Managed Care, Medicare, Month-end Close, Planning, Project Management, management

Business Analyst - 19 Years of Experience - Near 37209

Summary____________________________________________________________________________ Computer Science Degreed, Software Engineer and Registered Nurse with MBA and over 15 years of experience in Software Development, Project Management, PM, Quality Assurance, QA, Testing, Business Analyst, BA and Requirements Analysis working with multiple teams of developers, quality engineers, developers and customer support professionals. ...

Tags for this Online Resume: SharePoint, Automation, Software, Structured Query Language, Health Care Industry, HR, Human Resources, Information Technology, Unix, Benefits, sql, java, linux, javascript, it jobs, c++, agile, html, software, c#

Business Analyst

SUMMARY * 10+ years of experience as a Business Analyst/Business System Analyst in industry domains including Banking, Health e, Financial, Insurance, and Retail. * Skilled Business Analyst in PMO environment who leads projects to successful completion and acts as liaison between business users and technical development teams to bridge gaps. * Strong understanding of financial valuation concepts and various capital market i...

Tags for this Online Resume: Microsoft Visio, VISIO, Integrate, Legacy, Management, Planning, Business Analysis, Business Analyst, Business Requirements, Data Mapping

Business Analyst

SUMMARY * 10+ years of experience as a Business Analyst/Business System Analyst in industry domains including Banking, Health e, Financial, Insurance, and Retail. * Skilled Business Analyst in PMO environment who leads projects to successful completion and acts as liaison between business users and technical development teams to bridge gaps. * Strong understanding of financial valuation concepts and various capital market i...

Tags for this Online Resume: VISIO, Microsoft Visio, Business Analysis, Business Analyst, Business Requirements, Integrate, Legacy, Management, Planning, Structured Query Language

Featured Profile

Executive Director - 28 Years of Experience - Near 15237

Senior-Level Organizational Change Consultant Project Management | Leadership | Organizational Change Executive leader with expertise navigating business integrations, program and project management and organizational change in health care, marketing, logistics, supply chain and non-profit industries. Skilled at collaborating with all levels of the organization to successfully implement change management strategies.

Ideal Companies: Google, Amazon, UPMC, PPG,

Tags for this Online Resume: Integrate, Business Case Development, Change Management, Communications, Consulting, Logistics, Pharmaceutical, non-profit management, Program Management

Featured Profile

Health Technologist - 18 Years of Experience - Near 07079

Experienced results-driven professional with strong leadership and relationship-building skills. Accomplished program manager and application architect with extensive experience in front office and back office operations due to extended exposure to SDLC program delivery in the Fortune 100 business sector.

Ideal Companies: CVS Caremark, Aetna, OptumRx, United Health Group, Humana Pharmacy Solutions, Envolve, Centene, Envision Rx, Anthem, Ingenio, WellCare, Tufts Health Plan, Harvard Pilgrim Healthcare, Healthfirst, McKesson, Amerisource Bergen

Tags for this Online Resume: Acquisitions, Annuity, Architect, Back Office, Compaq, Data Conversion, Data Warehouse, e-Commerce, Financial, Financial Services, PBM, Government Programs, HIPPA Compliant, Operations, Business Process Management, Business Systems Analysis, Shared Services, Lean Six Sigma, Scrum Master, MS Project, MS SharePoint, MS PowerPoint, MS Excel, MS Visio, Relational Database Management, Business Process Modeling Notation, MEGA, Agile Project Management, Waterfall Project Management, Medicare, Health Care Reform, Process Improvement, Formulary, Claims Adjudication, Utilization Management, Business Requirements, Strategy, Salesforce, CRM, EPMO, CMMI, Veeva, Data Science, Data Lake, Business Cases, Procurement, Oracle, Data Governance, Managed Markets, Supply Chain, ROI, Compliance, Vendor Management, Metrics, Reporting, Dashboarding, SDLC, KPI, COE, Trend Analysis, Executive Reporting, Trainer, Remediation, Business Owner, Consulting Services, Affordable Care Act (ACA), Agile Methodology, Applications Architecture, Applications Delivery, Benefits Strategy, Big Data, Budgeting, Business Process Change Management, Business Process Design, Business Processes Improvements, Business Process Flows, Business Process Management Bpm Software, Business Process Mapping, Business Process Modeling Notation (BPMN), Business Process Strategy, Business Process Transformations, Business Systems Consulting, Business Systems Design, Business Systems Implementation, business use case, Capability and Maturity Integration (CMMI) Requirement Management and Requirement Development Training Certification, Capability Maturity Model Integration (CMMI) Assessments, Center of Excellence, Claims Processing, Client Presentations, Client-Server, Collaborative Innovation, Continuous Process Improvement Initiatives, Cross Trainers, Customer Experiences, Customer Relationship Management (CRM), Data Definition Language (DDL), Data Warehousing Systems, DB2, Drug Information, Drug Utilization Reviews, Enterprise Solutions Architecture, Executive Presentations, Gaps Analysis, Government Affairs, HIPAA Compliance, HIPAA Guidelines, HIPPA Regulations, Information Systems Analysis, Internal Consulting, IT Systems Analysis, Key Performance Indicators (KPIs), Leadership, Leadership Mentoring, Mainframes, Management Consulting, Management Dashboards, Matrix Management, Medicare Claims, Medicare Part D, Medicare Prescription Drug Plans, Medication Therapy Management, Mentoring Programs, Microsoft Access, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft SharePoint, Microsoft SQL Server, Microsoft Visio, Microsoft Word, multi-tiered communication, Needs Assessment, New Product Introduction (NPI), Object-Relational Database, Object-Relational Databases (ORD), People Leadership, Performance Management Reporting, Performance Metrics, Pharmacy Benefits Management (PBM), Pivot Tables, Portfolio Management, Predictive Analytics, Prescriber, Prescription Drugs, Process Improvement Management, Process Reengineering, Procurement Operations, Project Management Life Cycle, Relational Database Management System (RDBMS), Requirements Traceability Matrix (RTM), Return on Investment (ROI), Scrum Methodology, Solution Architecture, SQL Relational Databases, Strategy Creation, Structured Query Language (SQL), Sybase, Systems Development Life Cycle (SDLC), Technical Project Management, Therapeutics Committee, Training the Trainer, Unified Modeling Language (UML), Use Cases, Waterfall Model, Web Based Services, Writing User Stories