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Online Resumes with "managed care "
Medical or Health Services Manager - 10 Years of Experience - Near 43229
Results-oriented Director of Healthcare Administration with 10 years of proven experience optimizing patient care, operational performance, and financial efficiency. Exceptional communicator well-versed in conducting interviews, staff training, and patient interactions Advanced understanding of Medicare, Medicaid, HMO, PPO, and Managed Care products Proficiency in management information systems, as well as knowledge of ICD....
Tags for this Online Resume: Medicaid, Healthcare , Compliance/Auditing, Strategic Planning, Crendentailing, Budget Management , Process Improvment, Data Management, Billing, Compliance
Managing Director - 12 Years of Experience - Near 76028
Professional Summary I have 20+ years' experience working in Managed Care. The last 17 years of my career have been focused on managing Clinical Quality Management and enhancing organizational performance. I have experience managing HEDIS, NCQA accreditations and URAC accreditations.
Tags for this Online Resume: management, Networking, Complaints, Quality, Quality Assurance, Quality of Service, Utilization Management, Negotiation Skills, Project Management, Quality Management
Billing/Coding Specialist - 7 Years of Experience - Near 27514
A proven professional with exceptional communication, skills seeking the opportunity to contribute to an organization that will utilize my skills and experiences. Also, please not my experience with the health care system, and working experience with EPIC computer information database, insurances companies, and the department of social services. I have demonstrated the ability of implementing a variety of services to people...
Tags for this Online Resume: greatof cmmunication, serviced diversed peopl every population, empathy for people needing help or asking questions., Appraisals, Deposits, Mortgage Loans, Referrals, Benefits, Data Entry, Managed Care, Pre-certifications, Filing
Case Management Manager - 10 Years of Experience - Near 32712
Professional Summary Highly organized, resourceful, and accomplished licensed professional with extensive experience in the managed care setting seeking a growth oriented position that will continue to build and compliment my current skillset and expertise.
Tags for this Online Resume: Management, Managed Care, Referrals, Computer Aided Software Engineering, Collection, Evaluate, Health Care Industry, LPN, Medical, nurse, healthcare, Consultant
Developer - 20 Years of Experience - Near 12065
QUALIFICATIONS SUMMARY Accomplished Medicaid Management Information System (MMIS) Project and Systems Manager with 20+ years Technical, Analytical, and Management Skills. * Proficient at delivering highly critical projects on time, under budget, and in scope as is evidenced by the Louisiana HIPAA project * Overall management for implementing all HIPAA-mandated initiatives for the Louisiana MMIS. Under his management, Louisi...
Tags for this Online Resume: CICS, Management, Management Information Systems, Cobol Programming Language, Cobol II, IBM DB2 Database, Structured Query Language, Acceptance Testing, IBM, IBM Mainframes, sql, software, it jobs
Registered Nurse - 20 Years of Experience - Near 89011
I am looking for a supervisory home health care position that my varied experience and knowledge can impact. I enjoy teaching younger teammates and impacting their careers in a positive manner.
Tags for this Online Resume: Patient Care, Assessments, Nursing, Quality Assurance, Test, Risk Manager, Compliance, Computer Aided Software Engineering, Managed Care, Monitoring, registered nurse
Admissions Registration Clerk - 20 Years of Experience - Near 20603
Summary: To obtain an intake coordinator position, help patients in accessing the required medical care and completing admission and insurance verifications. I am a professional with proven leadership skills and abilities resulting in increased revenue and productivity. Maintain high level of confidentiality, committed to professionalism and highly competent in Hospital Admissions, Administration, CME Coordinating and Manag...
Tags for this Online Resume: Insurance, Managed Care, Policies and Procedures, Database, Medicare, MediTech, Quality, Pharmaceutical, Assessments, Housekeeping, healthcare
Developer - 20 Years of Experience - Near 48836
Summary: * Skilled in developing block diagrams and/or flowcharts to represent operations and data flow for applications. * Proven history of developing application programs, documenting development process and testing and correcting programs. * Exceptional ability to break complex problems down into simpler forms and effectively contribute to their resolution / execution. * Quick-thinking problem solver with the ability to...
Tags for this Online Resume: HP, Managed Care, Data Conversion, Management, Oracle PL/SQL Programming language, Query, Reviews, Script, Services, Shell Script
Home Health Care Administrator at Medicare Certified Agencies with Managed Care xperience -20 years
SUMMARY Home health experience encompassing single and multi-site operations, clinical practice, quality improvement, compliance and education in multi-site and multi-state locations. Experience with profit and not-for-profit agencies, hospital/facility based and free standing agencies. Experience with business and clinical operations and development. Expertise in: Agency turnarounds, audit functions, accreditation surveys,...
Tags for this Online Resume: Medicare, Compliance, Quality, Quality Assurance, Surveys, Consulting, Management, Quality Management, rn, care, registered nurse, nurse, healthcare, operations, administrator, director, managed care
Financial Specialist - 20 Years of Experience - Near 08807
SUMMARY Experienced business leader with wide range of both traditional and entrepreneurial business situations. Sales forecaster and market researcher with MBA and extensive pharmaceutical expertise who provides key analysis to support critical business decisions through proven quantitative methods and critical thinking. Proven leader with expertise in modeling, who drives business decisions through ability to influence an...
Tags for this Online Resume: Management, Financial Industry, Market Research, Planning, Research, ROI, Strategic Initiatives, Managed Care, Marketing Management, Pricing, forecasting, Pharmaceutical
Radiologic Technologist - 8 Years of Experience - Near 08078
PROFESSIONAL SUMMARY Highly motivated and committed Radiology Technologist, BS, RT (R) with a proven history of superior performance at individual, team and organizational levels. Strong ability to multitask and prioritize workloads with little or no supervision. Detail oriented. Looking to bring a medical background and team building skills to a deadline-driven environment.
Tags for this Online Resume: Interventional, NeuroRadiology, CardiacCath, Radiology, Technologist, Inventory, IV Therapy, Managed Care, Patient Education, Quality
Admissions Director - 15 Years of Experience - Near 30031
PROFESSIONAL SUMMARY Experienced Registered Nurse in with strong clinical and people skills. A professional advanced practice nurse with experience ensuring high standards of culturally competent care for a wide variety of patients with diverse needs. Over 10 Years of basic screening, diagnostic treatment and rehabilitative and supportive services as a member of a primary health care team. Responsible Registered Nurse with ...
Tags for this Online Resume: Patient Care, Wound Care, Managed Care, Management, People Skills
