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Online Resumes with "health plan"

Technical Writer

SUMMARY: Mr. Bobb has extensive knowledge of proposal development experience with a track record of successfully writing and managing proposal efforts from inception to completion for large federal government bids. He has experience writing various proposal sections and effectively develops win themes, discriminators, features and benefits. Proven experience in creating efficient and effective proposal process for several s...

Tags for this Online Resume: Budgetary, Business Development, Government, Graphic Design, Integrate, Logistics, Proposal Development, Quality Assurance, Security, Test

Manager - 20 Years of Experience - Near 92694

SUMMARY * Commissioned for the acquisition of new business written within assigned territories, representing the large and small group, fully insured, medical and ancillary products. * Fully responsible for managing the renewal process of accounts including plan design modifications to off-set cost resulting from adverse utilization experience. * Establish, cultivate and maintain positive business relationships within the i...

Tags for this Online Resume: Sales, Underwriting, Management, Medicare, Recruiting, Sales Executive, Benefits, Cancer, Insurance, Life Insurance

Risk Adjustment Medical Coder/HEDIS Abstractor- 4 Years of Experience

Desire a position medical coding with possibility of advancement. Offering exceptional expertise in communication skills, coding, overseeing staff, and ensuring smooth operational stability.

Tags for this Online Resume: Microsoft Access, Patient Access, Coding, Medical, Billing, Front Office, Insurance, Management, administrative, data entry, clerical, typing, customer service

Director

Tags for this Online Resume: Management, Audit, Corporate Training, Facilitator, Payroll, Quality, Quality Assurance, Scheduling, Training, Account Manager

Registered Nurse - 20 Years of Experience - Near 37040

SUMMARY OF QUALIFICATIONS Nurse with 40+ years' experience in training and coaching employees, peers, and superiors and quality assurance and medical record reviews experience resulting in outstanding results. * Active RN licensure in all compact and non-compact states * Experienced in medical record review, clinical data/chart review and quality improvement Experience with utilization review, review criteria development an...

Tags for this Online Resume: Reviews, Nursing, Managed Care, Phone Triage, Planning, Support, Long Term Care, LPN, Medicare, Ophthalmology

Quality Assurance Specialist - 18 Years of Experience - Near 19131

SUMMARY A highly accomplished and forward-thinking senior project manager, with extensive experience in a variety of industries, banking, property & casualty and cable technology, driving performance engineering and automation engagements. Proficient understanding of financial /managerial accounting. Managed a budgeting process to align with several product/service-platform structures. Engaging with multiple product owners ...

Tags for this Online Resume: Management, Structured Query Language, Test, Debugging, Diagnostics, Engineering, Microsoft .Net, Middleware, Monitoring, Performance Engineering

Administrative Services Manager - 9 Years of Experience - Near 91746

Summary Bringing 11 years of Medicare Enrollment/Reconciliation Management versed in research and analysis. Seeking a position to develop and implement new and innovative health care improvement processes and admission procedures. High-energy Manager successful in building and motivating dynamic teams. Cultivates a company culture in which staff members feel comfortable voicing questions and concerns, as well as contributin...

Tags for this Online Resume: Management, Policies and Procedures, Cms, Compliance, Medicare, Process Improvements, Training, Cost Control, Data Processing, Documentation

Medical & Health Services Manager - 15 Years of Experience - Near 07111

ACCOMPLISHMENTS Healthfirst NJ * Assisted with the design and implementation of a developing Medicaid Product * Assisted with the design and implementation of a developing Medicare Product * Assisted with the Development and implementation of operational policies * Design and implement operational initiatives

Tags for this Online Resume: Policies and Procedures, Management, Network Management, Networking, Cms, Process Improvement, Information Technology, Pricing, Transportation, Data Management

Sales Manager

Tags for this Online Resume: Account Manager, Health Insurance, Insurance, Management, Medicare, Sales, Benefit Plans, Benefits, Book of business, Evaluate

Medical or Health Services Manager

Ideal Companies: Insurance Companies, n/a

Tags for this Online Resume: Computer Aided Software Engineering, Compensation, Medical, Planning, Desktop Computer, Insurance, Leadership, Metrics, Video, Corrective Actions

Medical Sales Representative

Tags for this Online Resume: Audiology, Business Development, Business Development Manager, CFO, Referrals, Pharmaceutical, Benefits, Medical, Sales, Distribution