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Online Resumes with "managed care "



Hospital Chief Executive Officer

Hospital CEO with for-profit and non-profit experience. Highly successful track record. Heavy financial and turn around experience, as well as stable long term tenure in community hospital setting.

Tags for this Online Resume: Will Relocate, Health Care, Hospital, For Profit, Non Profit, Relationships, Managed Care, Acquisitions, Bankruptcy, CFO

Registered Nurse - 20 Years of Experience - Near 40515

Summary 10 years experience with a Health Insurance Plan in Utilization Management and current role as Clinical Financial Analyst and Appeals Nurse Specialist for a Medicare Advantage Plan.

Tags for this Online Resume: Managed Care, Cms, Medicare, Patient Care, Reinsurance, Utilization Management, registered nurse, utilization review nurs, Claims Review Nurse

Registered Nurse - 20 Years of Experience - Near 54935

To be a creative and intuitive nurse using the proficiencies and skills I have acquired through my nursing career. To be a leader and enhance the environment I am in. To be an excellent team player and assist other staff to excel in our care.

Tags for this Online Resume: Computer Aided Software Engineering, Guardian (Comm Net Sw), Managed Care, Management, NOC, Assessments, Guardian

Business Analyst - 17 Years of Experience - Near 21117

Summary A seasoned professional with years (since 1994) experience in the management and administration of day-to-day operation for the insurance industry and a local non-profit organization. Significant experience in Medicare Part A and B Claims analysis, Recovery Audit Contractor Data Warehouse (RACDW), HIPAA assessments and implementations including impact assessments, gap analysis, requirements documentation, transactio...

Tags for this Online Resume: Health Insurance Portability And Accountability Act, Management, Project Management, Medicare, SDLC, Project Manager, Sybase, ANSI, Ansi (Am Natl Stds Inst), Collection

Application Support

Tags for this Online Resume: Purchasing, Sequent, Support, Technical Support, Transmission Control Protocol/Internet Protocol (TCP/IP), Data Processing, Management, Accounts Receivable, Computer Operations, software, MS4, Microsoft Word, Microsoft Excel, Microsoft Project, Microsoft Office, Hospitals, EHR, Revenue Cycle, Healthcare Information Technology, HIPAA, Medical Billing, Cerner, HL7, EMR, Healthcare Management, CPOE, Healthcare Industry, HealthcaManaged Care (4)re Management, Clinical Research, Customer Service, Vendor Management, Data Analysis, Data Conversion, Project Management, Data Migration, MS4 Admitting, MS4 Medical Records, MS4 AR, Billiang, Medicaid, Medicare, Managed Care

Chief Executive Officer - 19 Years of Experience - Near 72007

SUMMARY OF QUALIFICATIONS Dedicated professional with extensive experience in executive-level management of long-term care facilities Results-oriented with proven success in developing strong employer/employee relations and consistent low turnover rates Demonstrated ability to accomplish net profitability goals through careful cost containment, new market penetration, and cooperation between clientele, employees, medical pr...

Tags for this Online Resume: Management, Medicare, IV Therapy, Therapy, Employee Relations, Human Resources, Managed Care, Nursing, Purchasing, Rehabilitation, Vice President, Regional Director

Director, Business Development - 12 Years of Experience - Near 44118

Profile A dedicated and compassionate marketing professional with the ability to analyze market conditions, and develop marketing strategies to complement corporate goals. Recognized by supervisors and colleagues as a team player. Demonstrates emotional intelligence with external and internal customers. Excellent Verbal / Written skills Critical Thinking Skills Strong Market Analytical Skills Experienced Public Speaker Self...

Tags for this Online Resume: Customer Service, Diversity, Insurance, Long Term Care, Managed Care, Marketing Management, Marketing Strategy, Medicare, Microsoft Windows CE, sales, Business Development Healthcare

Case Manager - 1 Years of Experience - Near 08010

Tags for this Online Resume: Computer Aided Software Engineering, Therapy, Insurance, Managed Care, Scheduling

Medical Sales Representative - 20 Years of Experience - Near 66227

Tags for this Online Resume: Management, Account Manager, Business Development, Home Care, Insurance, Managed Care, Patient Care, CCU, Critical Care, Critical Care - Respiratory

Director of Quality for Medicare Advantage and and Accountable Care Organization - 4+ years; Acute Care experience - 30+ years

Would like to find a position in Quality, measuring effectiveness of care and working to improve outcomes.

Tags for this Online Resume: Medical, Cardiopulmonary resuscitation (CPR), Critical Care, Cms, Management, Medicare, registered nurse, Managed Care, HEDIS, Stars Improvement, Risk Adjustment

Chief Financial Officer - 20 Years of Experience - Near 77954

Tags for this Online Resume: Human Resources, Management, Satellite, Managed Care, Account Reconciliation, Accounts Payable, Cash Flow, Cash Flow Management, Financial, Financial Management, Practice Administrator