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Online Resumes with "managed care "
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
Quality Assurance Director
SUMMARY Proven Managed Care Operations Executive adept at blending fiscal principles with clinical management while improving quality of patient care. Outstanding record of involving physicians and support staff in finding new cost-effective/quality oriented pathways that meet the market challenges. Expertise in compliance and in dealing with healthcare and managed care plans. Reputation for innovative cost cutting through ...
Tags for this Online Resume: Billing, Coding, Management, Audit, Quality, Documentation, Policies and Procedures, Medicare, Cms, Health Insurance Portability And Accountability Act
Registered Nurse
Professional Summary Versatile Manager focused on team building and talent development. Driven to surpass goals while thriving in deadline-driven environments. Self-directed with astute judgment skills. High level of personal accountability.
Tags for this Online Resume: Managed Care, Nursing, Audit, Consulting, Long Term Care, LPN, Patient Care, Scheduling
Computer Programmer
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
Billing/Coding Specialist
Summary: -Results oriented representative with successful pharma, biologics sales and consulting experience -Twelve President's Council Awards Multiple National, Regional and District awards -Reimbursement experience: AAPC Medical Billing and Coding course Eleven years of Buy &Bill Sales experience -Experience with Medtronic medical devices and biologics -Experience with multiple physician specialties and institutions like ...
Tags for this Online Resume: Managed Care, Sales, Medical, Medical Devices, Hub, Marketing Management, Medical Billing, Medicare, Billing, Coding
Medical & Clinical Laboratory Technologist
Tags for this Online Resume: ASCP, Cancer, Managed Care, Policies and Procedures, Publications, Special Procedures, Quality Assurance, Test, Acquisitions, Pricing
Registered Nurse
Highly skilled career professional with clinical and management experience in hospital, clinic and managed care settings seeking a management or clinical position in an ambulatory clinical setting or managed care organization.
Tags for this Online Resume: Gastroenterology, Labor & Delivery, Medical, PEDIATRIC
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
Admissions Director
Tags for this Online Resume: Business Plan, Financial, Financial Analysis, Home Health, Long Term Care, Managed Care, Budgeting, Management, Accounting, Accounts Payable
Medical or Health Services Manager
Qualifications for Executive Management Possesses more than 15 years of progressively responsible experience in the healthcare industry. Excels in designing and implementing marketing, business development, and operations strategies in support of ambitious goals for quality and profitability. Highly knowledgeable regarding hospital, skilled nursing facility, and rehabilitation settings, including physical, occupational, and...
Ideal Companies: Hospitals, Physical Therapy, Industry
Tags for this Online Resume: Outpatient Rehabilitation, Rehabilitation, Patient Care, Referrals, Recruiting, Customer Service, Home Health, Managed Care, Support, Budgeting
Administrative Assistant
Tags for this Online Resume: Sales, Benefits, Billing, Filing, Health Care Industry, Health Insurance, Insurance, Managed Care, Management, Microsoft
Medical or Health Services Manager
Qualifications Profile Highly successful and dedicated Vice President of Operations with solid experience utilizing multi-tasking skills and versatility focusing on maximizing business objectives with positive strategic appreciation and vision. Expertise in all areas of operations, marketing, business development, contract negotiations, customer services and strategic alliances. * Provide effective and efficient methods and...
Tags for this Online Resume: Services, Scheduling, Support, Medical, Business Development, Communication Skills, Compensation, Contract Negotiations, Human Resources, Managed Care, physical therapist, rn, Physician group development, Day to day operational responsibility, Fiscal responsibility, Provider contracting, Physician recruitment
