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Online Resumes with "managed care "



Director - 20 Years of Experience - Near 02116

My career has been focused on helping the Managed Care Industry use information to make decisions, set strategic directions and modify business processes. I am looking to utilize my easily transferable knowledge to other business verticals.

Tags for this Online Resume: Boston Budget Optimization, Program Management, Vendor Relationships, Quality Assurance, Strategic Planning, Regulatory Compliance, Operations Management, Training Development

Registered Nurse - 16 Years of Experience - Near 89138

Dedicated registered nurse (RN) with specialty experience geriatric, orthopedic med-surg., and neonatal nursing. Developed strong treatment-planning skills. Knowledge of medication administration, management and care. Reliable, ethical healthcare provider with ability to stay calm and intervene during crises, and to collaborate on multidisciplinary teams. Proven ability to build positive relationships with patients, fam...

Tags for this Online Resume: nursing, registered nurse, rn, LTC RN, charge nurse, rn supervisor, las vegas, nv, medical office rn

Featured Profile

Pharmacist w/ Management, Prior authorization, Formulary Management and Managed Care experience

A Registered Pharmacist in OH, KY, CT, NY and MA with strong analytical and problem solving skills. Proven ability to multi-task, work autonomously, manage projects and a diverse set of responsibilities, 10+ years of management experience. Team player who works well with cross functional groups and adapts well to changing environments. Skilled in building excellent relationships with a wide audience from support and pharmac...

Ideal Companies: United Healthcare, Anthem, Express Scripts, Humana, Mercy Healthcare,

Tags for this Online Resume: prior authorization, medicare, pharmacist, managed care, project management, six sigma, Cincinnati, long term care

Featured Profile

Program Manager - 15 Years of Experience - Near 60035

A resourceful and highly motivated Leader in the Healthcare sector, offering more than 10 years of experience in strategy, planning, and performance success accrued across a broad range of industries, offering excellent problem solving and analytical skills. Proven record of leadership and implementation of client services for Medicaid, Medicare, and Commercial Health management programs, all within time limitations. Specia...

Ideal Companies: BCBSIL, HCSC, Cigna, EverThrive Illinois, Northshore Health System, Valence Health, The Muse, Lake County Department of Health

Tags for this Online Resume: Affordable Care Act, Managed Care, Project Management, Health Policy, Organized, Diplomatic, cross-functional partnerships, communication skills, Management, Program Management

Vice President - 20 Years of Experience - Near 60422

As a senior general management, operations and IT leader, I have an outstanding record driving improvements across all key performance metrics for firms in healthcare, managed care, pharmaceuticals and financial services. Versatile, highly adaptable and capable of wearing multiple hats while juggling concurrent assignments, I have a demonstrated history of success as a change management leader. At organizations such as the ...

Featured Profile

Accomplished in consultative sales and sales management across Pharmaceutical and Technology segments. Excellent at mentoring and developing strong teams by leveraging her relationship building skills, high integrity standards, superior business planning

To obtain a career placement as a Regional Sales Manager. Eager to manage a sales team and leverage established network of rapport among prospective product prescribers, consultative sales skills, and an exceptional ability to generate sales momentum for a pharmaceutical sales organization that welcomes fresh ideas, initiative, and an unyielding determination to succeed.

Ideal Companies: Abbott, Abbvie, AstraZeneca, Teva, Pfizer, Norvartis, Roche, Merk & Co. Any company that sells dermatology products.

Tags for this Online Resume: iRep, Sales Force, Managed Healthcare, CoPay Cards, PI's, Regional Pharmaceutical Sales Manager, District Manager, Dallas Texas, Frisco Texas, Plano Texas, Bachelor's Degree Business, Masters Degree, SMU, Prestium Pharma, Renaissance Pharma, AstraZeneca, American Heart Association, Hewlett-Packard, Abbott, Voluteer Salvation Army, MicroSoft Word, Excel, Project Team Lead, Physicians, Dermatology Sales Rep, Primar Care Physicians, MicroSoft Office, Star Performer Award, Web eLearning, Production Supervisor, Quality Assurance Supervisor, Sales, Best Practice Procedure, Publicis Touchpoint Solutions, inVentiv Health, Sales Manager

Registered Nurse - 17 Years of Experience - Near 33172

Ana B. Francisco RN BSN LNC LHRM 510 NW 109th Avenue, #5, Miami, Florida 33172 (786) 286-7160 W O R K E X P E R I E N C E: 2007-2009: DIRECTOR OF NURSING / ALTERNATE ADMINISTRATOR: Advantis Home Care, Inc., 2921 SW 8th St Miami, Florida 33135 Supervision of clinical and non-clinical staff operation; update of agency Policies and Procedures books, case management, utilization review, initiated the Quality Assurance ...

Ideal Companies: health care

Tags for this Online Resume: RISK MANAGER LICENSED, DIRECTOR OF NURSING, QUALITY ASSURANCE NURSE, UTILIZATION REVIEW

Registered Nurse - 20 Years of Experience - Near 33301

I am currently residing in Greensboro, NC; however, I am planning to relocate to Ft. Lauderdale, FL in the very near future. I am actively seeking to secure employment there before I move. I have a current North Carolina and Florida nursing license. I wish to express my interest in a Case Management position. Based on my skills listed in my resume, I am confident that I would be a great addition to a Case Management company...

Tags for this Online Resume: Fort Lauderdale, RN, Case Management, Home Health

Medical or Health Services Manager - 20 Years of Experience - Near 23238

To work with/train a team of highly skilled individuals delivering Managed Care Access solutions to the diverse venues of which healthcare is provided, both payer and provider.

Tags for this Online Resume: Central Virginia, Product Launch, Managed Care Accesss, ICD-10_CM, Training, Meaningful Use , Leadership

Medical or Health Services Manager - 20 Years of Experience - Near 07645

To find an executive position in health services administration that requires substantive leaership, operations experience and skill sets in hospital administration, health insurance management, medical group management, managed care, quality assurance, and human resources management.

Tags for this Online Resume: New York City, Houston, Executive, Healthcare, Managed Care, Physician Group Management, CEO, Executive Director, Vice President, Health Insurance , HMO, Health Care Network, Hospital, Health Care System, Regional Network, San Antonio, Dallas, New Jersey, Florida, Maryland, National Director, Regional Director, Network Development, Clinic Network, Atlanta, Washington DC, TRICARE

Case Manager - 20 Years of Experience - Near 04444

Tags for this Online Resume: Managed Care, Insursnce Review, Case Management, Home health, Utilization Review, Sales, Nursing, Trainer

Quality Assurance Director - 19 Years of Experience - Near 29072

SUMMARY OF QUALIFICATIONS Innovative strategist with demonstrated ability to identify and promote managed care in emerging and established markets. Executive management, operational capabilities with the expertise to develop, refines contractual terminologies increase revenue through standard or alternative methodologies and policies and procedures. Significant skills include: Project Management Certificate Reimbursement Me...

Tags for this Online Resume: Management, Actuarial, Architect, Cms, Medicare, Project Management, Project Manager, Accounting