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Online Resumes with "hmo"
Senior Director, New York- 30 years HMO, medical group experience
To use my many years of experience to enhance an organization.
Tags for this Online Resume: preventive health, quality performance, initiatives creator
Risk Management Patient Safety professional
To utilize my risk management patient safety experience in an environment of growth and excellence, help me achieve personal goals as well as organizational goals.
Ideal Companies: Healthcare
Tags for this Online Resume: MIDAS, EPIC, Electronic Medical Record, Direct the Risk Management Patient Safety program
Admissions Director
To utilize skills which have been gained in educational pursuit, and professional experiences to acquire a position that is both challenging and rewarding.
Tags for this Online Resume: Exceptional, Manager, Managed Care Experience, HMO, Leadership, Dependable
Maketing Managed Care- 6 years Experience
I am a hard working professional with 6 years work experience, with HMO/Managed Care industry. Great customer service and consumer relation skills. Thrives under pressure and creative out of the box thinker.
Tags for this Online Resume: Managed Care, Account Executive , Marketing, HMO, Medicare sales, Sales
Corporate Counsel 2 years with Arcadian Health acquired by Humana
• Analyzed all powers of attorney from Medicare Advantage members to determine validity and scope of representative’s power; trained other departments in the effects and ramifications of powers of attorney • Managed all HMO reporting and licensing filings mandated by government agencies and drafted company-wide policies on how to successfully meet these obligations • Reviewed, summarized, revised, approved, and monitored al...
Tags for this Online Resume: Compliance, start-up, litigation, Contract review, merger & acquisition, member of the California bar
Executive Nurse Leader
The opportunity to lead a nursing division in an acute care setting to be able to deliver the highest quality of care to patients in concert with physicians and other allied healthcare providers. To help nurses understand learning is life long, to be able to develop, support and empower nurses.
Ideal Companies: Texas hospitals with Magnet certification
Tags for this Online Resume: Magnet certification, Budget, Leadership
Accounts Receivable/Billing
I am a financial professionsal with over 20 years experinece in non-profit receivables and accounting management. With s strong knowledge of OPWDD, SED, Clinci revenue (Article 28 and 16 regualtions), and FQHC regualtions; as well as HMO and managed care contract negotiations.
Life experience yields more.
Eager and excited to learn, I almost put forth my best.
Ideal Companies: Blue Cross & Blue Shield, Fidelity, FEDEX, Mayo Clinic
Tags for this Online Resume: patient access, customer service, financial counselor
Senior Director Healthcare Quality and Safety- 20+ years experience-Providence, RI
Senior healthcare leader with proven experience in oversight and leading performance improvement in clinical quality, preventive health, service and patient safety processes towards top decile performance. Experienced in healthcare regulatory standards compliance and interpretation and ability to engage staff in reliable process adherence towards safe and optimal patient outcomes. I am interested in the north east (RI. MA. ...
Ideal Companies: CVS CAREMARK, Hospitals, HCA, CareNew England, UnitedHealth Care
Tags for this Online Resume: Performance Improvement, Patient Safety, Patient Experience, Data analysis, Facilitate project teams, Healthcare regulation expertice, Medical staff peer review, Physician engagement, System integration, Accreditation expert(DNV, TJC, CMS, NCQA), Root Cause Analysis, Taproot facilitator, Patient Engagement, Health and Wellness, Community Outreach
Director of Nursing/Case Manager 7 years experience -- Folsom, CA
I'm a Registered Nurse who has worked in a Director of Nursing position for the past 5 years, with experience in Case Management as a travel nurse. Completed Admission and concurrent reviews for authorization for payment through the InterQual guidelines. Worked with HMO’s, Medicare and Medicaid, and hospital based Medicaid systems (developed to meet the affordable care act criteria) Hospice’s the Clinical team as well as Wo...
Manaaged care executive, Mid west
seeking a senior level opportunity in insurance claims, customer service, provider networks or account management
Tags for this Online Resume: Insurance operations, Provider network s, Claims processing, HMO, Gov. claims
Sales or Sales Management in the Midwest
to help employers manage health insurance cost through innovative plan design and technology solutions.
Tags for this Online Resume: sales, management, managed care, data analytics, employee benefits, health insurance, PPO, HMO, POS, HSA, HRA, biometric screening, disease management, wellness, health risk assessment
