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Online Resumes with "healthcare insurance"
Medical or Health Services Manager - 17 Years of Experience - Near 92648
SUMMARY * Experience Healthcare quality improvement and process improvement. * Data processing professional, application development and project management experience. * Extensive knowledge in Systems Development Life Cycle (SDLC) and methodologies. * Excellent work ethics and communication and interpersonal skills. * Outstanding technical and analytical skills. * Good relationship with clients, customer services, users and...
Tags for this Online Resume: VISIO, Business Analysis, Business Requirements, Configure, Management, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, PDF, Business Analyst, Quailty Assurance, Risk Adjustment, Intervention, Healthcare, Claims/Encounters, Billing, HEDIS
Licensed Nurse - 19 Years of Experience - Near 91356
Qualifications Licensed Vocational Nurse * IV and Phlebotomy Certificate Committed to Professionalism highly organized, worked under strict deadline schedules with attention to detail have excellent written and verbal communication skills. Proficient in P/C Mac, Microsoft Office, Adobe Photoshop, Microsoft Excel, and Internet Explorer. Available Upon Request.
Tags for this Online Resume: Documentation, Basic Care, BASIC Programming Language, First Aid, Insurance, Medical, Medical Records, Occupational Therapy, Team Player, Therapy, Utilization management, Facility Site Review, Advanced Imaging, HEDIS, Case Management, Patient Advocates, Medi-Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation, nurse, healthcare, outpatient physical therapy, physical therapy, physical therapist
Sr QA Analyst
Professional Summary: 12 years of experience as a Quality Assurance Lead in Federal, Financial, Healthcare and Insurance sectors. Diverse experience in Quality control and assurance processed supporting the complete software development life cycle under Agile, SCRUM, Iterative and Waterfall models. Expertise in the test strategy, test planning, Test data preparation and execution using manual and automated processes. Vast E...
Tags for this Online Resume: Toad, Integrate, Microsoft, Microsoft Office, Oracle, SharePoint, Sharepoint Technologies, Quality, Quality Assurance, Quality Center
Compliance Officer
QUALIFICATIONS SUMMARY Highly motivated healthcare insurance professional with 30+ years of management experience in the healthcare payer arena. Extensive background in healthcare operations, specifically claims, appeals, precertification, healthy lifestyles, case management and call centers. Candidate with proven record of exceeding management goals, implementing performance objectives and process improvements beyond expec...
Tags for this Online Resume: Home Health, Customer Service, Inventory, Managed Care, Management, Computer Aided Software Engineering, Inventory management, PEDIATRIC, Medicare, Pre-certifications
Business Analyst
SUMMARY: Strong Senior Business Analyst, with 10 years' experience in banking, healthcare, and insurance. Daily Agile activities including Scrum Ceremony, extensive User Story Creation and Acceptance Criteria Facilitated Design Sessions, Technical Liaison among Business, Architect and Development Extensive Background in Requirements Gathering, Grooming and Estimation Sessions Weekly Implementation Activities including Go/No...
Tags for this Online Resume: Insurance, Test, Agile, Aml (Macro Lang), Business Analysis, Business Analyst, Credit Card, Documentation, FileNet, Fraud
Business-to-Business Marketer
Summary Mr. Dastvar has over 29+ years of Excellence in Business Development, Client Execution, and Account Management in the technology, capital markets, Financial, healthcare, insurance, commercial and government sectors. He has developed pipeline, capture plan and strategic partnerships to drive the revenue at a corporate PAT level. He has lead targeting, growing, and developing existing and prospective client relationsh...
Tags for this Online Resume: Infrastructure, Management, Banking Industry, Business Development, Capital markets, SEC, Securities and Exchange Commission (SEC), Program Manager, Proposal Development, Recruiting
Database and Analysis Generalist
PROFESSIONAL SUMMARY: IT professional with over 25 years of experience designing relational databases (SQL Server, Access, PROGRESS and DB2), solving problems and helping management maximize knowledge of business operations, evaluating database and query performance incorporating forecasted future needs and activities. My experience is centered on system analyses, developing database/reporting systems, using functions, view...
Ideal Companies: Any company needing help organizing business data
Tags for this Online Resume: Documentation, Document Manager, Business Inteligence, Analysis, Techical Writer, Programmer, SQL, VBA, Progress, SQL Server database
Manager - 20 Years of Experience - Near 23322-6987
SUMMARY Accomplished senior manager/consultant distinguished by extensive track record of achievement leading projects for Fortune 500 and other clients. Repeatedly saved or generated more than $2 million in annual revenues. PROFILE Strong management experience includes strategic planning, solutions development, project management, training, implementation, and business continuity in banking, computers, consulting, educatio...
Tags for this Online Resume: Software, Microsoft, Microsoft Office, Applications, Documentation, Information Technology, Microsoft PowerPoint, Program Manager, Support, Training, Strategic Planning, Technology Planning, Solutions Architect, Network Design, Staff Training, ISO Auditing, Technical Training, Implementation Management, Technology Migration
Chief Financial Officer - 20 Years of Experience - Near 85254
Accounting & Finance executive with significant experience in financial reporting, audit compliance and implementing operational efficiencies in the healthcare, insurance and financial services industries. Expertise in building financial forecasting and budgeting models for corporate strategy implementation and measurement.
Tags for this Online Resume: Compliance, Forecasting, Internal Controls, Audit, Audit Compliance, Financial, Financial Statements, Payroll, GAAP, Generally accepted accounting principles
Registered Nurse - 20 Years of Experience - Near 42301
I am seeking a position in the healthcare, insurance or legal field to apply my knowledge and skills as a Clinical operator, Clinical Consultant, Risk Manager or Professional Legal Nurse Consultant. I am currently reviewing cases as expert as needed for a legal firm seeking full time employment. I enjoy a challenge and I am a very driven person with a diverse background in the healthcare, Regulatory and education field. I...
Tags for this Online Resume: Legal Nurse Consultant (PLNC), BSN/RN, Prof. Rescue CPR cert., CDP, SMQT certification, word/excell/power point/PCC/Point Right/EMR, Management, Medical, Medical/Surgical, Risk Management, Surgical, Insulin, Patient Education, Statistics, Management, Medical, Medical/Surgical, Risk Management, Surgical, Insulin, Patient Education, Statistics, Management, Medical, Medical/Surgical, Risk Management, Surgical, Diabetes Mellitus, First Aid, Insulin
Program Manager - 4 Years of Experience - Near 60031
Over twenty years of experience improving processes and performance in the healthcare and insurance industry. Extensive background has resulted in ability to establish lasting and influential relationships with internal and external stakeholders possess strong interpersonal skills to communicate with executive teams. History of success due to strategic planning, ability to research and apply the latest information and techn...
Tags for this Online Resume: Consulting, Management, Project Management, Project Management Office, Acquisitions, Benefits, Change Management, Mergers, Mergers and Acquisitions, Microsoft Change Management
Manager - 20 Years of Experience - Near 33647
An accomplished operations and account manager in the healthcare and insurance industries. * A diverse background that includes client and vendor services implementation and project management employee training claims and call center operations system migration and testing compliance and regulatory affairs and government managed care programs (Medicaid Medicare ACA)
Tags for this Online Resume: Insurance, Billing, Benefits, Program Manager, Root Cause Analysis, Cms, Medicare, Account Manager, Audit, Call Center
