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Online Resumes with "managed care "



Legal and Operations Executive - over 20 years of proven results in Legal, HR, and Business Operations

Providing value and results by implementing my legal, interpersonal, operations and administrative skills to resolve complex business/legal challenges in multiple environments. Use my experience to reduce costs, mitigate exposure/loss and increase efficiency/productivity in manufacturing, e-commerce, call center, managed care, insurance, and service arenas.

Tags for this Online Resume: Ohio, Legal , Human Resources, Executive, Management, Operations, Regulations, Risk Management

Clinical Director (Pharmacist), Raleigh NC - 15+ year experience - managed care, health policy, clinical services, URAC, NCQA, regulatory - PBM, GPO, academic and exrce

I am a health care professional looking for challenging opportunities within a dynamic organization. I enjoy leading teams and initiatives and know how to achieve results. I am looking for an organization that will value my diverse background and foster opportunities for professional growth.

Tags for this Online Resume: Pharmacy, managed care, health policy, management, regulatory, clinical services, drug information, formulary, clinical communications, academic programs, PBM, clinical pharmacist

Pharmaceutical Sales Representative - 15 Years of Experience - Near 85255

I am interested in an Account Manager position in Pharmaceutical Sales or Biotech Sales. I was a Senior Account Manager in the Managed Care Division with Merck & Co. Inc. for 7 plus years and a Business Manager for 5 years. I currently reside in Scottsdale, Arizona and would like to relocate to San Diego, California.

Tags for this Online Resume: Scottsdale, San Diego, Account Manager, Business Manager, Pharmaceutical , Bio Tech Sales

Medical & Health Services Manager - 7 Years of Experience - Near 30091

Tags for this Online Resume: revenue cycle, government payers, credit balance, monthly reporting, denial management, electronic and hard copy billing, managed care payer, on/offshore vendor relations

Registered Nurse - 15 Years of Experience - Near 18966

My goal is to work with a pediatric population whereby I can participate in the management of their care.

Tags for this Online Resume: Pediatric Nurse Practitioner, Philadelphia, PA, Short Procedure Unit, Histories and Physical Assessments, Pediatric Primary Care, Research Nurse

Admissions Registration Clerk - 15 Years of Experience - Near 10456

Business Administration graduate with Bachelor degree and proven financial abilities and a demonstrated track record of achieving in a team environment. Through my experience over a period of 15 years, (combined with my experience in finance) I have developed skills to maintain focus on even the most challenging assignments, identify problems early on, and simultaneously manage multiple projects. Moreover, I realize what mo...

Tags for this Online Resume: New York City, Medicaid Specialist, Eligibility Specialist , Patient Account Specialist, Medical Billing, Managed Care Billing

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Experienced research scientist with unsurpassed analytic and writing skills

My ideal employer would leverage my wide experience as a Ph.D. psychologist who has conducted and managed research studies in a host of healthcare environments. Equally important would be for that company to provide opportunities for me to employ my skills as a direct service provider--someone who has worked directly with people suffering from mental and substance use disorders.

Ideal Companies: Medical University of South Carolina; The Mentor Network; Palmetto Summerville Behavioral Health

Tags for this Online Resume: Comunity Action, Health Outcomes, Program Evaluation, Statistical Analysis, quality of care, Substance abuse treatment, Logic Models

CPA, Accomplished Compliance & Audit Executive - Health Insurance/Managed Care

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Director of Human Resources - 20 Years of Experience - willing to relocate

Results driven senior business partner with 20+ years’ demonstrated innovation to serve the entire business. Desire to contribute in the role of chief human resource officer as the organizational strategist. Proven track record of collaborating with the chief executive officer and other business leaders to determine how to best use their talent base to create new products and services, as well as encourage new strategies. A...

Ideal Companies: CHS, HCA, LifePoint, Tenet, Adventist or a rural facility that recognizes HR as a business partner

Tags for this Online Resume: Performance Management, Project Management, Labor Relations, Engagement, Negotiations, Budget, Developemnt, Change Management

Quality Manager - 20 Years of Experience - Near 85028

I have experience in multiple aspects of the healthcare industry most recently with national level quality measures related projects for the federal government. Additional, I have eight years’ experience in managed care quality, nine years in managed care finance. My experience in quality includes HEDIS data collection and project administration, preparation of quality improvement project documentation for NCQA and CMS. I h...

Tags for this Online Resume: quality, HEDIS, Medicare, qulaity improvment, measures, managed care, quality reporting, accreditation

Managed Care Systems Support Specialist - 15 Years of Experience - Near 92804

Tags for this Online Resume: Managed Care, Help Desk, Networking, Microsoft Office, Microsoft Windows, Orange County, Network Administration, Trouibleshooting