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Online Resumes with "managed care "
Social Worker - Care Manager - 20 Years of Experience - Near 02474
Results-oriented, highly skilled professional with more than 20 years of experience in managed care, social services, and psychotherapy with children, teens, and adults.
Tags for this Online Resume: Managed Care, Care Manager, Social Work, Psychotherapist, Care Coordination, Utlization Review, Case Manager, Social Services
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Physician executive strong CM/UM experience, demonstrated ability to avoid readmission and increase claims efficiance - near 60637/430
Experienced medical professional, expert in adult and geriatric medicine, care coordination that avoids unnecessary readmission,chronic disease management (including home visits,) Medicare, it's managed care partners and dual eligible,managed care administration, medical education, and clinical practice. Committed to empowering providers and utilization/care management nurses to fully partner with payors and health systems ...
Ideal Companies: BlueCross/BlueShield, Medicare, Anthem, Cigna, United Health Care, CMS, Presence, Valence
Tags for this Online Resume: Geriatrics, Chronic disease management, Utilization/Care Management, HIPAA/Clinical Medical Ethics, HealthCare Professional Education, clinical policy development, Physician, Director, Medical Director, Physician Executive, Adult Medicine, Geriatric Medicine, Care Coordination, Population Health, Dual Eligibility Systems, Risk Management, Medical Education, Multidisciplinary Education, Clinical Ethics Training, Medical Ethics, Oral Communication, Written Communication, Social Media, MS Office, MD, FACP, AGSF, Underwriting, Claims, Non Profit, Principle
Billing/Coding Specialist - 11 Years of Experience - Near 11229
SUMMARY: Motivated, organized, and responsible professional Excellent organizational, interpersonal and bilingual communication skills Energetic, optimistic and friendly personality. Extensive knowledge of CPT codes and ICD-9, Peachtree, MS Word, Windows 95/98, Internet, Freehand 3, VB, Medisoft, Medical Manager, Mr. Bill, Medical Master, IMA, IDX. Epic
Tags for this Online Resume: Billing, Managed Care, Medical, Medical Billing, Medicare, Radiology, Typing, Insurance, Billing, Managed Care, Medical, Medical Billing, Medicare, Radiology, Typing, Insurance
Registered Nurse
Tags for this Online Resume: Managed Care, Medical Customer Service, Hospital
Billing/Coding Specialist - 17 Years of Experience - Near 60
SUMMARY OF QUALIFICATIONS * Ability to learn quickly, great at anticipating problems, and able to resolve conflicts. * Exceptional interpersonal skills to build and maintain long term, constructive relationships with customers, vendors, employees, and leadership team. * Excellent verbal presentation & written communication skill to effectively convey information to audiences from diverse backgrounds & at all organizational ...
Tags for this Online Resume: Coding, Compensation, Managed Care, Workers Compensation, Insurance, Billing, Management, Medicare
Medical Sales Representative
SUMMARY Self-motivated and results driven Bilingual Healthcare Executive. Proven experience with both private and public payer sectors. Achiever with demonstrated relationship management skills, and the ability to work in a team environment. Teacher and trainer who motivates and mentors staff to attain goals and be promotable to the next level. Leader adept at developing strategically targeted account specific plans that ad...
Tags for this Online Resume: ADA, Ada Programming Language, Audit, Medicare, Health Care Industry, Inventory, Retail, Business Planning
Pharmaceutical Sales Representative - 17 Years of Experience - Near 55304
SUMMARY OF QUALIFICATIONS Highly competitive with an outgoing, positive nature who values teamwork Self-starter who is organized, flexible, a problem solver and has proven leadership qualities Successful pharmaceutical sales experience penetrating "hard access" Health Systems with on-going increased sales for over 17 years Outstanding Sales Growth / Ranking year over year: 2013 - Top 10% in the Nation (12/135) 2014 - Top 15...
Tags for this Online Resume: Leadership, Pulmonary, Business Acumen, Hospital Sales, Cardiovascular, Managed Care, Management, Networking
Pharmaceutical Sales Representative - 20 Years of Experience - Near 14280
Summary of Qualifications * Over 20 years' experience in pharmaceutical sales with a thorough understanding of all products represented, educating patients, physicians and other healthcare personnel, creating the critical nexus as expert liaison to ensure that products and/or pharmaceuticals are prescribed and used within only the specifications and limits designed for their use * Self-driven and consistently achieves or ex...
Tags for this Online Resume: Account Manager, COPD, Gateway, Managed Care, Sales, Support, Technical Support, Communications
Medical Sales Representative/Manager/Educator - 20 Years of Experience - Near 29223
I bring to the table a wide range of capabilities and strengths gleaned from varied work experiences and responsibilities. As my resume attests, I take my roles very seriously and have achieved much success in my business ventures. I am drawn to challenging expectations and do my best when presented opportunities to think outside the box and allow my creativity and passion to be engaged fully. This position seems to be o...
Ideal Companies: I am looking for a very innovative company that is also vested in its company culture with its employees and clients being a focus.
Tags for this Online Resume: trainer, sales manager, multi site management, communications expert, South Carolina, excel in leadership, results driven, liaison/educator, Home Care, Insurance, Managed Care, P&L, Business Development, Hospice, Bad Debt, Management, sales rep, respiratory, pharmaceuticals, allergies, hospitals, physician practices, nursing homes
Registered Nurse - 5 Years of Experience - Near 01880
RN Reviewer Clinician (Psychotropic Drug Intervention Program)- Beacon Health Options- (Dec 2015 -Current).
Tags for this Online Resume: behavioral , Nursing, managed care, psychiatric , Mental Healh, Pharmaceutical , corporate , health plan
Billing Specialist - 3 Years of Experience - Near 02053
Hands on manager with medical billing expertise, combining my understanding of medical office management and how it impacts the revenue cycle to submitting clean claims that get paid. MBA from Babson College. Seeking opportunity to problem solve for a great organization. From analysis to practical solutions, I am looking to get real and keep it real.
Ideal Companies: Medical Groups, Hospitals, Surgical Groups
Tags for this Online Resume: Medical Billing, Management, Analysis, EMR, Meditech, Medassets, Emdeon, Passport, Revenue Cycle, Research
