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Online Resumes with "managed care "
Vice President
PROFILE Professional who has demonstrated continuous growth, achievements, and impressive leadership in the management of complex activities within the healthcare industry. Solid business insight with the ability to ascertain and analyze needs, forecast goals, streamline operations, and envision new program concepts. Excellent communication and interpersonal skills serve as the foundation to effectively network, collaborate...
Tags for this Online Resume: Business Development, Management, HR, Human Resources, Internal Controls, Managed Care, Networking, New Business Development, Nursing, Research
Mental Health Therapist
Areas of Expertise * Outpatient, Inpatient and Pre and Post-Discharge Care and Case management * Interdisciplinary teamwork * Mental Health Services in Primary Care Settings * Outstanding documentation Risk Management Grant Deliverables * Cross-Disciplinary Training Programs and Staff Development * Outstanding engagement skills Clinical and Administrative Supervision
Tags for this Online Resume: Training, Protocol, DSM, Management, Risk Management, ICU, PEDIATRIC, Assessments, Computer Aided Software Engineering, Managed Care
Government Service Executive
A multi-talented professional possessing experience in case management, policy administration, legal case management, financial management, strong written and language skills coupled with exceptional leadership and relationship-building abilities, strong interpersonal skills and strong presentation skills with public speaking and strong training skills.
Tags for this Online Resume: Policies and Procedures, Documentation, Management, Computer Aided Software Engineering, Hospital Administration, Security, Data Mining, Health Care Industry, Managed Care, Mining
Sales Representative
Tags for this Online Resume: Sales, Pharmaceutical, Business Plan, Managed Care, Vista, Business Development, Business Development Manager, Cardiology, Ophthalmology, Product Strategies
Case Manager
SUMMARY Over 20 years of experience in healthcare. A strong background in worker's compensation case management, overseeing appropriate treatment and return-to-work of the injured. Excel at communication with workers, employers and medical providers. Additional strengths include: - Assessment capabilities - Evidence Based Best Practices - Utilization review - Marketing skills - Official Disability Guidelines - Accounting ba...
Tags for this Online Resume: Best Practices, Documentation, Medical, Assessments, Managed Care, Rehabilitation, Computer Aided Software Engineering, Management, Accounting, Acute Rehabilitation
Registered Nurse
With over 35 years of progressive experience in nursing, I have earned the respect and confidence of my peers and medical staff. I am efficient, thorough, competent, self- motivated, and responsible. I especially enjoy mentoring and consider myself a lifelong learner.
Tags for this Online Resume: Benefits, Managed Care, Management, Medicare, Services, Transitions, Urgent Care, Quality Assurance, Test, Emergency Room
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 Billing Specialist - 19 Years of Experience - Near 12602
SUMMARY OF QUALIFICATIONS * Versed in medical staffing by-laws, rules and regulations, and JCAHO, processing appointment applications, performing primary source verifications, and keeping applicants apprised of statuses. * Fit to process all medical staff and allied health privilege requests monitored expiring appointments and ensured licensure and credentials remain current. * Used CPT, ICD-9-CM, ICD-10-CM, CMS-1500, and U...
Tags for this Online Resume: Billing, Documentation, Insurance, Insurance Claims, Medical, Medical Billing, Medical Terminology, Radiology, Managed Care, Medicare
Billing/Coding Specialist - 8 Years of Experience - Near 60473
SUMMARY Skilled professional with 10+ years of managerial experience in the healthcare sector, managing claims processing systems, data analysis, auditing, financial reporting and contracts. Experienced in managing government programs including Illinois Medicaid and Managed Care Organizations (MCOs) processes. Executed and managed in-network contracts with various MCOs expanding consumer base to increase billing opportuniti...
Tags for this Online Resume: Benefits, Billing, Financial, Government, Managed Care, Project Management, Project Manager, Payroll, Management, Audit
Sales Manager - 10 Years of Experience - Near 33325
SUMMARY Miami Native who is dedicated fast-learning team player with excellent sales, management, leadership and interpersonal skills. 30 Years of global surgical experience gained through healthcare leader Johnson & Johnson, start up, and ownership of Distribution Company. Winner of various awards including ""Rep of the Year", President's Club and more.
Tags for this Online Resume: Surgical, Distribution, Gynecology, Oncology, Sales, Compensation, Forecast, Gastrointestinal, Link Access Procedure (LAP), Managed Care
Claims Adjuster - 20 Years of Experience
Tags for this Online Resume: Account Manager, Banking Industry, Managed Care, Management, Sales, Distribution, Negotiation Skills, Settlements, Marketing Management, Book of business, insurance, sales, investigator, marketing
Manager - 15 Years of Experience - Near 03062
SUMMARY: High energy sales professional with eighteen years of medical device front line sales experience. Proven execution and sales goals achievement. Recognized with numerous national awards for superior performance. Excellent communication, extending to senior leadership. Unsurpassed customer dedication. Accustomed to fielding new accounts. Analytical mindset. Customers include Endocrinologists, Certified Diabetes Educa...
Tags for this Online Resume: Inside Sales, Insurance, Leadership, Medical, Medical Devices, Product Launch, Sales, Sales Support, Support, Managed Care
