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Online Resumes with "hmo"



Director

KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...

Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development

Insurance Underwriter - 20 Years of Experience - Near 40165

Summary of Qualifications An employee benefit professional with demonstrated expertise in the sale, underwriting and service of employee benefits plans covering Group Life, AD&D, DI, Dental, Vision, Pharmacy, HMO, PPO, POS and Indemnity Medical and Stop Loss product lines. Experienced working with internal and external partners/vendors providing comprehensive product knowledge to ensure correct product placement and account...

Tags for this Online Resume: Underwriting, Consulting, Process Improvement, Request for Proposal, Sales, Underwriter, Audit, Benefits, Actuarial, Request for Proposals

Marketing manager

KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...

Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development

Executive Assistant

I am a professional assistant with 26 years of administrative experience managing business relations and special projects at a senior management level. I have proven analytic, problem solving and organizational abilities. My skills include mentoring the administrative staff of the division, and other established general administrative requirements of the organization, while maintaining a high level of confidentiality. My go...

Tags for this Online Resume: Administrative Assistant, Benefits, Call Center, Cellular, Copy Machine, Data Entry, Disaster Recovery, Employee Relations, HP, Hub

Featured Profile

CEO

My current Career objective is to help outpatient Health system grow, increased access, increased revenue, increased Market Share and increased target market and community knowledge of companies Brand.

Tags for this Online Resume: Insurance, Management, Health Insurance, Trend Analysis, Medicare, Managed Care, SAN (Storage Area Network), Behavioral Health, Community Development, Emergency Room

Featured Profile

Excellent insurance sales experience with the constant balance of underwriting (company) and service (client).

My career objective is to obtain financial position within either the Insurance or the Banking industries offering a full-time, direct employee position. I welcome responsibly and have experience managing each market to operate at full staff capacity; a proven record of achieve or exceed business goals.

Ideal Companies: USAA, Amica Insurance, Allstate Insurance, Wells Fargo, UnitedHealth Group, BB&T, Bank o America, & ect...

Tags for this Online Resume: analyze risk, profitability, retention, counseling borrowers, advanced verbal and written communication skills, relationship-building skills, marketing, integrity, manager experience, proven sales experence

Billing/Coding Specialist - 20 Years of Experience - Near 48075

To leverage my experience, processing member data and medical claims in the managed care industry. Expertise in performing timely reviews of new and current procedures and policies for accuracy. Proficient at developing policies and procedures for clerical and financial claims processing areas.

Tags for this Online Resume: Audit, Benefits, Claim Processing, Cms, Configure, Customer Service, Medicare A &B, Medicare C&D, Managed care, Quality Assurance, Trainer, Claims resolution, HMO, PPO, Medical Terminology, Team Building

Medical or Health Services Manager - 20 Years of Experience

QUALIFICATIONS AND EXPERIENCES * Proven excellence in Contracting, Credentialing, Health Insurance knowledge, Education, Sales, Employee Benefits, Claims, Provider Relations, Customer Service and Management. Group presentations and seminars have been a major part of my career responsibilities. * Contracting, Provider Relations, Network Development for Government Programs such as Project Hero (Veterans) and Tricare (Military...

Ideal Companies: ASBS

Tags for this Online Resume: Customer Service, Government, Networking, Management, Email, Benefits, Complaints, Computer Literate, Forth Programing Language, Health Insurance

Billing/Coding Specialist

Customer service oriented professional with strong understanding of the importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows polices guidelines and procedures to assure consistent quality. KEY QUALIFICATIONS Medical Billing * Medical Coding * ICD-9-CM * ICD-10-CM * HCPCS * CPT * Medical Terminology * Electronic Health Records ...

Tags for this Online Resume: Amazon Elastic MapReduce, Billing, Certified Pension Consultant, Claim Processing, Cms, Coding, Compensation, Compliance, EHR, EMR

Billing/Coding Specialist - 20 Years of Experience - Near 10465

Summary of Qualifications -AAPC Member Certified Professional Coder since 2006. -Certified with ICD-10 Medical Coder Certification 2015 -20+ years of experience as a Medical Biller/Medical Coder -Certificate in Medical Terminology, Medical Claim Coding and knowledgeable of the anatomy -Responsible for overseeing troubleshooting problems while reviewing weekly billing. -Able to handle and prioritize multi-task functions simu...

Tags for this Online Resume: Medical, Benefits, Billing, Coding, Documentation, General Surgery, IDX, Insurance, Management, Medical Records, healthcare

Senior Sales Professional - over 25 years experience and skill sets in Biologics, Device, and Pharmaceutical Sales

Summary Experienced, proven performance sales professional with disease management execution in Biologics, Device, & Pharma industry. My primary focus includes a clinical understanding of Chronic Disease in Cardiovascular, Metabolic, and Pulmonary systems with expertise in medical education deployment. Demonstrated capacity for superior cross functional matrix team collaboration, follow up and leadership with internal and e...

Tags for this Online Resume: sales, pharmaceuticals, device,, Allergy, Disease Management, Geriatrics, Management, Portfolio Management, Sales, Support, Therapy, CT, outside sales, business development, sales representative, account executive, account management

Public Relations Specialist - 20 Years of Experience - Near 18302

Tags for this Online Resume: Medicare, Desktop Computer, Desktop Publishing, Publishing, Managed Care, Banking Industry, Voice, Management, Platinum, Risk Management