CV, Curriculum Vitae and Online Resumes Search

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Online Resumes with "medicaid medicare"

Business Analyst - 15 Years of Experience

Professional Summary * Talented Business Systems Analyst/System QA Analyst with over 10+ years of solid experience in J2EE web based applications and other web-based application frameworks using combination of Agile and Waterfall methodology using SDLC process. * Expert in business process engineering/sequence and process flow diagramming and software development life cycle (SDLC), including gathering Business Requirements,...

Tags for this Online Resume: BASIC Programming Language, Business Analysis, Business Analyst, C# Programming Language, Cms, Cognos, Control M (Scheduling Pkg), Data Management, Data Mining, Data Modeling

Medical & Health Services Manager - 18 Years of Experience - Near 89141

SKILLS SUMMARY * Provider Relations and Liaison * Trainer, Presenter, Speaker * Medicaid, Medicare Advantage, Dual Eligible * Network Management, Development, and Recruitment collaboration with Regional Teams * P4P, PPO, POS, Managed Care, Medicaid, and Medicare contracting * Ancillary, Physician/Medical Group, and Facility contract administration * Complex issue resolution * HIPAA, NCQA, and CMS Compliance and contracting ...

Tags for this Online Resume: AR, Accounts Receivable, Compliance, Corrective Actions, Field Work, Financial Services, Medicare, Managed Care, Healthcare Exchange, Medicare Advantage, Medicaid Managed Care, Project Management, Provider Contracting

Medical or Health Services Manager - 20 Years of Experience - Near 75093

To secure a challenging position that will require a highly motivated individual that is detail orientated in correct procedures, rules, and regulations and will utilize my education and experience with: Quality Assurance, Manage Care, Revenue Cycle Management, The Joint Commission, AAAHC, Business Management/Administration, Medicaid, Medicare, Manage Care, OSHA Guidelines, American Professional of Infection Control, HITECH...

Tags for this Online Resume: Managed Care, Management, Risk Management, Acquisitions, Cms, Due Diligence, Evaluate, Financials, Human Resources, Medical

Medical Office Manager - 18 Years of Experience - Near 48021

Range of Experience Over 20 years of experience in all aspects of running a medical practice. Range 0f experience includes: * Practice Assessment Reviewing daily operations within a medical facility to insure maximum efficiency, including full review of accounts receivables and accounts payables. Identifying problem areas pertaining to medical billing procedures and assisting in the implementation of advantageous policies a...

Tags for this Online Resume: Billing, Compliance, Financial, Financial Management, Human Resources, Management, Medical, healthcare, manager, Medical Office Administrator, Administrator

Quality Assurance Specialist

Professional Summary: Overall 4+ years of experience in the Information Technology Industry as a QA tester in manual and automation testing in multiple domains like Finance, Health Care, Insurance, Retail and Telecom. * Experience in Quality Assurance in Manual, Automated, Database, Web base application and Client/Server based applications Testing * Excellent working experience of Software Development Life Cycle (SDLC), Sof...

Tags for this Online Resume: Structured Query Language, Data General Eclipse, Eclipse, HP, Microsoft Windows, Regression Testing, SDLC, Services, Simple Object Access Protocol, Test, Selenium, UFT, GIT, WINDOWS, Appium

Project Manager - 20 Years of Experience - Near 78052

Summary * Oversite of entire company's revenue and expenses * Continual operational procedure and development of the multiple facets of the company * Project Management of the enterprise Management Information Systems for Education Management Services * Implement new policies and procedures that prevent losses and improve accountability * Improve and implement to processes to increase productivity and revenue * Utilized bot...

Tags for this Online Resume: Acceptance Testing, Agile, Agile Methodologies, Benefits, Billing, Budgeting, Certified Fraud Examiner, Certified Pension Consultant, CFO, CIO, Operations, Program Manager

Network Engineer - 19 Years of Experience - Near 20601

Duties, duties include but not limited to: * Expert understanding of the following Cisco Unified Communication Products: Cisco Contact Center (UCCE) technologies, including centralized ingress, CVP, VXML, ICMand UCCE/UC integration. * Experience with Call Manager Unity and Unity Connection, Cisco Emergency Responder. * Understand the Cisco Unified Contact Center product portfolio and platform architecture * Configure Cisco ...

Tags for this Online Resume: HP, Networking, Novell, Novell Netware, software, Citrix, VMWare, Design system, Xen-desktop, Xen-Apps, EIGRP, BGP, OSPF, RIP

Registered Nurse - 10 Years of Experience - Near 06471

Summary of qualifications The personal care provided to the clients stated above covered many areas of nursing at the level of a certified nurse's aide, a Registered Nurse licensed with the State of Connecticut in a Clinical Hospital environment, a Nursing Case Manager in a Home Health Care Agency, Admissions RN for the same Home Health Care Agency, as well as Clinical Supervisor in both a Medicaid and Medicare Home Care Ag...

Tags for this Online Resume: Medication Administration, Home Health, Home Care, Medicare, Novell Netware, Insurance, Long Term Care, Behavioral Health, Computer Aided Software Engineering, Documentation, registered nurse, nurse, healthcare

Billing/Coding Specialist - 16 Years of Experience - Near 98685 425

SUMMARY OF ACCOMPLISHMENTS, SKILLS and ABILITIES * One of the consistent top contributors in A/R Revenue, both Hospital and Clinics & Collection revenue. * Recognized for the ability to resolve customer issues, resolution of discrepancies, referring to the appropriate resources all while keeping a cheerful, professional conversation with the customer. * Experienced in the use of Epic applications, including pre-registration...

Tags for this Online Resume: Coding, Billing, Health Insurance Portability And Accountability Act, Medical, Medicare, Scheduling, Applications, Cancer, Urgent Care, Financial

Medical or Health Services Manager - 20 Years of Experience - Near 46062

Qualifications * Over 27 years of Health Care Administration experience * Developed and implemented budgets dealing with over $10 million in expense and $14 million in revenue * Marketed to Physicians, Hospitals, Hospice, Home Care and other health care providers where census increased by a minimum of 4% to 25% * Built profitability in the range of 5% to 20% * Trained, implemented, and oriented staff to new programs, polici...

Tags for this Online Resume: Budgeting, Nursing, Therapy, Medicare, Quality, Health Care Industry, Home Care, Hospice, Insurance, Managed Care, healthcare, Ececutive Director

Director

KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...

Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development