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Online Resumes with "medicaid"
Compliance Manager - 3 Years of Experience - Near 15132
PROFESSIONAL SUMMARY Subject matter expert with 16 years' experience in Medicaid Managed Care Operations experienced at providing software development solutions for health plan optimization and process efficiency solutions. Holds a certificate in Business Value in Agile Projects, an M.B.A. in Strategic Management, a B.A. in Communication and a certified Lean Six Sigma Green Belt. CORE QUALIFICATIONS * Medicaid Managed Care ...
Tags for this Online Resume: Pittsburgh, healthcare, analysis, process analysis, Medicare, Managed Care, Consulting, Health Care Industry, Software Development, Root Cause Analysis, Lean six sigma
Director
Areas of expertise: Cross Functional Team Leadership, Process Improvement, Business Analysis, Strategy and Vendor Management DST Systems/Argus Health Systems, Kansas City, Missouri * Oct 2014 - present Director, Government Program Operations (April 2016 - present) Leader of newly formed Operations team accountable for Medicare, Medicaid and Health Insurance Marketplace (HIM) program service, quality and cost by overseeing a...
Tags for this Online Resume: Management, Project Management, Medicare, Pdp, Reliability, Leadership, Business Process Modeling, Business Requirements, Capital Planning, CIO, Operatons, Quality
Medical or Health Services Manager - 15 Years of Experience - Near 92602
Tags for this Online Resume: Remote, Medicaid/Medicare, Clinical Model, Account Management, Manager, Irvine
Administrator - 13 Years of Experience - Near 36695
and surrounding areas throughout south Alabama. * Identify new entities to support charitable efforts and assist with outreach activities. * Works with Executive Director to produce grant proposals for clinical research. * Oversee redesign of new website and management. Lead Navigator Affordable Care Act Initiative Ascension Health/Providence Hospital Mobile AL (2013-2014) * Oversaw navigator team operations funded by Cente...
Tags for this Online Resume: Management, External Reporting, Information Technology, Contracts & Grants, Health Policy, Statistics, Healthcare Compliance, Medicaid, Affordable Care Act, Research, Writing, Policies & Procedures, non-profit, mental health, social services, Managed Care, Healthcare Quality Improvement
Registered Nurse - 16 Years of Experience - Near 28627
Tags for this Online Resume: Rehab, Med-Surg, ICU, Communications, Planning, Supervisor, Assessments, IV Therapy, Medicaid Assessor, Education, North Carolina/Compact State
Chief Executive Officer - 20 Years of Experience - Near 32533
Tags for this Online Resume: Behavioral Health, Consulting, Health Care Industry, Networking, PEDIATRIC, Commercial Insurance, Management, Network Management, Provider Reclations, Medicare, Medicaid, Provider / Payer Contracting, Business Development, EAP Networks, Business Consulting
Controller - 20 Years of Experience - Near 80016
Tags for this Online Resume: CPA, Pivot Tables, Audit, Consulting, Financial, Financial Statements, Payroll, Medicaid, Excel, Medicare, Controller, Financial Analyst, Accounts Receivable, Accounts Payable, General Ledger, Reconciliations, Policy and Procedure, Accounting, MS Office, SAP
Sales Representative - 15 Years of Experience - Near 85012
Summary: Successful key account and senior business development manager. Creative and energetic professional with a gift for building strong, productive business relationships. Identifies and implements solutions benefiting key accounts and profiting the organization. Key Successes: Implemented Medicare managed care programs for Medicaid health plans in four new UnitedHealthcare markets including hands on development of the...
Tags for this Online Resume: Business Development, Employee Relations, Financial, Patient Care, Management, Product Development, Cms, Medicare, Business Development Manager, English Language
Administrator - 10+ Years of Experience - Near 33912
I engage in team collaboration and team building to improve overall efficiencies for the organization. My ability to compile data, analyze findings, and diagnose potential problems has facilitated in the recovery of $1.9 million in qualified CMS reimbursement. I enjoy talking to people and my interpersonal skills aid in contract negotiations and allow me to develop sustaining professional relationships. I have develope...
Tags for this Online Resume: Advertising, Billing, Management, Account Management, LEAN, Financial, Financial Analysis, ROI, Services, Ecommerce, Marketing, Business Process Improvemet, Healthcare Management, Statical Analysis, Projections, Forecasting, Staff Development, Cost Analysis, Strategic Development, Project Management
Registered Nurse - 15 Years of Experience - Near 01803
Professional Summary: Able to identify and address patterns of care within varying departments - Assist in implementation of safer methods of practice. Improve patient care and/or decrease costs by developing and implementing Quality Improvement projects. Interpret statistical analyses and reformat data for the clear understanding of the intended audience. Comfortable teaching, leading or coaching groups, and individuals Ab...
Tags for this Online Resume: Medicare, Surgery, Coding, Management, Operating Room, Purchasing, Quality, Quality Assurance, Quality Management, CHF, Leader of QI Teams, Patient Safety, Boston Area, EHR, General Medical/Surgical
Medical Sales Representative - 20 Years of Experience - Near 33062
QUALIFICATIONS: * successful in increasing census by 30% and maintained occupancy in snf @ 95- 100%. familiar with medicare, hmo's, ppo's, va, tricare, medicaid. * extensive experience in sales/marketing in healthcare (hospitals, snf/rehab, home health, alf, Physician offices) * Eighteen years of managing and coordinating patient care/cases. * LPn in hospital and home health setting for 15 years. provided Patient care in pr...
Tags for this Online Resume: Home Health, Business Development, Referrals, Patient Care, Account Manager, Insurance, Patient Education, Medical, Nursing, Surgical
Case Manager - 19 Years of Experience - Near 08850
Position where my skills & abilities would be applicable to the applying position.
Tags for this Online Resume: Pre-certifications/Updating and obtaining new Authorizations, Insurance/Benefits, Management, Medicare//Medicaid Specialist, Utilization Management, Assessments, Medical Adult Day Care Center, Referrals, Community Resources, Customer Service, Project Management, Microsoft Word, Excel, Power Point
