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Online Resumes with "managed care "



Field chart Nurse Reviewer-1 year, Nurse Case Manager (Entry level)-2 years, Senior In-Patient Medical Coder (ICD-9 with nowledge of DRG assignment 20 + years

At present I was employed for the past year as a Chart review RN in the field. Due to family crisis stopped working : Husband divorced me after 25 years and the past two months prooved to be too overwhelming. I still need to update my resume with the aforementioned position. Prior to that , my employment included positions as a telephonic Nurse Case Manager and prior to that position I worked as an on-site...

Director Health Economics-Midwest

To facilitate value-based discussions with key payer personnel affiliated with assigned managed care accounts. Expertise in aligning our data sources with the customer patient type.

Tags for this Online Resume: Chicago, Health Economist, Outcomes Research, Midwest, Pharmacoeconomics, Health Outcomes

Healthcare Leader - Project Manager - CHC Certification

Healthcare compliance leader. Detail driven. Thirteen years of managed care experience. • Certified in Healthcare Compliance (CHC)/member Health Care Compliance Association (HCCA) • Expertise in healthcare regulations affecting managed care and corporate compliance programs • Project and program leader; sought-after subject matter expert • Adept at developing strategic partnerships to optimize the execution of busines...

Tags for this Online Resume: Raleigh, Healthcare, Manager, Compliance, Process Improvement, Durham, Cary, Managed Care, Project Manage

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Experienced Account Executive Medical Devices, CNE, Nurse, Physician Assistant

A position in a company which will utilize my medical training to drive clinical education on their product or sale of their product

Ideal Companies: Smith &Nephew Medtronic's KCI Abbott

Tags for this Online Resume: Medical Device Sales, CNE, RN, PA-C

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Senior Account Executive - 18 Years Experience - Seattle, WA

I am a Senior Account Executive with 18 years of experience in managing clients programs and a critical part of the sales process. I maintain an account plan for my clients to manage expectations and deliverables. I am strong in building creative programs based on the client needs. I would like to build my experience with a company that looks to these talents as a good fit for their ongoing objectives.

Ideal Companies: All Companies looking for a very experienced Account Executive.

Tags for this Online Resume: Leadership, Innovation, Integrity, Strong Talent at Relationship Building, Creative, Dedicated, Driven, Internal Relationship Builder, Ability to Learn, Adaptable to Change, Goal/Objective Driven, Account Planning, Easily Likeable

Claims Specialist

Experienced Customer Service Representative - call center, Claims Processor, Claims Auditor, Benefits Eligibility Specialist. Extremely analytical individual with excellent written and verbal communication skills. Possesses a thorough knowledge of CPT-4, ICD-9 and HCPC coding. Has an extensive knowledge of insurance products including PPO, POS, HMO, HSA, HRA, Managed Care, Indemnity, and Medicare. Known for identifying er...

Tags for this Online Resume: Claims, Insurance, Claims adjustments, customer service , benefits, Claims processor, Claims specialist, Claims Auditor

Director, Healthcare

Provide consultation to healthcare systems and health plans to help them achieve their community mission; to help them manage population health; to help them assess their quality and utilization management programs

Tags for this Online Resume: healthcare managed care, community health, community mission, population health

Collections Agent

Tags for this Online Resume: Revenue Cycle, EDI , Claims Manaagement, Collections, Managed Care, Analyst

Senior Consultant, Rockville, MD; Consulting; Marketing; Operations; RN & MBA; Managed Care

To meet current and emerging healthcare challenges by working in management to achieve healthcare objectives.

Tags for this Online Resume: Operations, Consulting, Physician Mangement, Managed Care, Marketing, Strategic Planning

Managed Care Specialist

To utilize my experience in Managed Care/Pharma Sales and nursing to obtain a position that will utilize both these experiences.

Medical Office Management Specialist,Cardiology-10 yrs exp.,Medical Biller Office/Hospital,Contracting

Office Management, ability to work under highly stressed situations. Directly assisting Doctors,administrative needs and clinical needs. Medical Billing and Contracting experience,knowledgeable of Medicare, HMO,PPO's, Managed Care claims, Hospital Billing and coding. Medicaid knowledgeable. EMT.Physician licensing and permits renewal experience.

Tags for this Online Resume: Medical Office Manager, Medical Biller, Hospital Billing, Bilingual strong collections, Cardiac clinical experience, EHR office knowledge and support

Featured Profile

Experienced, Versatile Board Certified Physician

From my earliest encounters all aspects of Medicine have been fascinating to me and you can tell from my versatile background that I have always been open to change and a challenge. From saving lives in Emergency Medicine, focusing on health maintenance and disease prevention in primary care to helping the terminally ill comfortably transition in their last days, I have found meaning and fulfillment in all aspects of my me...

Ideal Companies: University of New Mexico Medical Center, Presbyterian Hospital, Centers for Medicare/Medicaid, Hospices

Tags for this Online Resume: Physician, Board Certified Emergency Medicine, Board Certified Hospice and Palliative Medicine, Board Certified Hospice Medical Director, Medical Director, QAPI, EPERC, AAHPM, University of Nevada Reno School of Medicine Associate Clinical Professor, Nurse Practitioner Preceptor, Palliative Care Consults, Pharmacological Formulary development, Policies and Procedures, Allscripts, HCHB, Interdisciplinary Team Involvement, Inpatient rounds, Homecare visits, HCP-Davita, managed care training and experience