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Online Resumes with "medicare compliance"
Director, Business Development - 20 Years of Experience - Near 84105
Multi-position player, high-impact contributor, seeks opportunity with an early-stage and/or high growth company. Board member and C-suite experience as President, CFO, COO, CPO/CCPO in media and healthcare centric companies. Owner/partner in regional full service ad agencies. VP in digital and traditional ad agencies, and jewelry industry. Expertise in development of vision, brand, product, market and organizational str...
Tags for this Online Resume: Business Development, Lead Generation, Online Advertising, Compliance, Management, Strategy, Medicare, Healthcare
Admissions Registration Clerk - 20 Years of Experience - Near 32246
Experienced frontline staff trainer with 28 years in a hospital setting. Known for my passion and enthusiasm in a classroom setting training patient registration and scheduling responsibilities. Looking for a position as a registration representative providing highly accurate registrations while making caring connections with patients.
Tags for this Online Resume: Jacksonville, Patient Registration, Medicare compliance, Cerner EMR, Trainer Educator , PASSIONATE, Insurance verification, Revenue Cycle, Call Center, Microsoft SMS, Patient Access, Problem Solving, Services, Sms, Surgical, Wound Care
Human Resources Manager - 5 Years of Experience - Near 91307
SUMMARY Talent Management Systems Professional with over 16 years' of experience managing multiple systems. Extensive background in training and development methodology and technology. Experience rooted in technological and human capital management combined with ability to apply tech systems that aid in hiring and training processes for new employees. Experiences in multiple corporate initiatives including but not limited t...
Ideal Companies: Anthem, Farmers Insurance, Blue Shield
Tags for this Online Resume: Business Requirements, Call Center, Integrate, Learning Management, LMS, Management, Accounting, Accounting Functions, HRIS, ATS, Talent Management, Human Capital Management, Configuration, CMS, Project Management
Insurance Sales Manager
AREAS OF EXPERTISE AND EXPERINCE Insurance contracts KS/MO Dept. of Insurance Compliance KS/MO Federal Health Ins. Marketplace Medicare Compliance Marketing and Sales Verbal and written Communication
Tags for this Online Resume: Communications, Compliance, Financial, Insurance, Marketing Management, Medicare, Microsoft, Microsoft Excel, Microsoft Office, Microsoft PowerPoint
Sales Representative - 15 Years of Experience - Near 94080
Accomplishments and skills * CA Life Agent License * Positioned Book of Business to grow for the past 14 years * Secured expansion of Book of Business to regions outside of CA * Training: Consultative Selling Skills, Medicare Compliance, Interacting with People with Disabilities, * Proficient in Microsoft family (Word, Excel, PowerPoint) and Salesforce application * Proficient in employee benefit insurance terminology and o...
Tags for this Online Resume: Account Manager, Book of business, Training, Benefits, Management, SalesForce, Bilingual, Certificate Authority, Compliance, Insurance, Life Agents License
Occupational Therapist - 17 Years of Experience - Near 84095
To obtain employment with an organization that rewards hard work, dedication, commitment. Qualification: Occupational Therapist for eleven years with a background in hand therapy. Skilled in splint fabrication for form, fit and function. Supervised multiple COAT'S, AIDES, OT'S levels 1 and 2 students. Directed treatment plans in multiple facilities concurrently while actively involved in the marketing, building and growth o...
Tags for this Online Resume: Billing, Evaluate, Management, Rehabilitation, Support, Training
Administrative Services Manager
SUMMARY OF QUALIFICATIONS A highly skilled Medical Operational and Pharmacy Benefit Manager with expertise in oversight of Third Party Administrator processes and performance. A proven expert in auditing and recovery of overpayment claims which include Eligibility, Coordination of Benefits, Anesthesia, Assistant Surgeon, Co-Surgeon, Multiple Surgeries, and Contractual Agreement Discrepancies. Areas of expertise: Managing, A...
Tags for this Online Resume: ACD, Automatic Call Distribution, Complaints, Benefit Plans, Benefits, Accounting, Call Center, Cobra, Customer Service, Email
Quality Assurance Director - 10 Years of Experience - Near 19138
Areas of Expertise Strategic Planning & Operations Performance & Process Improvement Lean Six Sigma Methodologies Business Development Change Management Vendor Management Contract Negotiations Financial Budgeting & Analysis Workflow Optimization Systems Implementation Quality Assurance Team Building Revenue Cycle Management Practice Management Call Center Operations Medicare Compliance
Tags for this Online Resume: Strategic Initiatives, Accounts Receivable, Workflow Optimization, Practice Management, Insurance, Operations, Budgeting & Analysis, Planning, Lean Six Sigma Black Belt, Process Improvement, Change Management, Systems Implementation, Revenue Cycle Management, Contract Negotiations, healthcare, Training, Patient Experience
Senior Financial Analyst
QUALIFICATIONS PROFILE * Dynamic, analytical, and innovative professional, with hands-on experience in financial and data analysis, and process improvements. * Armed with exceptional time management, organizational, written and verbal communication skills able to work efficiently with diverse individuals. * Highly capable of accomplishing tasks accordingly resolving conflicts with minimal supervision and completing tasks in...
Tags for this Online Resume: Product Development, Staffing, Swing, Audit, Behavioral Health, Billing, Documentation, Financial, finance
Health Technologist - 18 Years of Experience - Near 07079
Experienced results-driven professional with strong leadership and relationship-building skills. Accomplished program manager and application architect with extensive experience in front office and back office operations due to extended exposure to SDLC program delivery in the Fortune 100 business sector.
Ideal Companies: CVS Caremark, Aetna, OptumRx, United Health Group, Humana Pharmacy Solutions, Envolve, Centene, Envision Rx, Anthem, Ingenio, WellCare, Tufts Health Plan, Harvard Pilgrim Healthcare, Healthfirst, McKesson, Amerisource Bergen
Tags for this Online Resume: Acquisitions, Annuity, Architect, Back Office, Compaq, Data Conversion, Data Warehouse, e-Commerce, Financial, Financial Services, PBM, Government Programs, HIPPA Compliant, Operations, Business Process Management, Business Systems Analysis, Shared Services, Lean Six Sigma, Scrum Master, MS Project, MS SharePoint, MS PowerPoint, MS Excel, MS Visio, Relational Database Management, Business Process Modeling Notation, MEGA, Agile Project Management, Waterfall Project Management, Medicare, Health Care Reform, Process Improvement, Formulary, Claims Adjudication, Utilization Management, Business Requirements, Strategy, Salesforce, CRM, EPMO, CMMI, Veeva, Data Science, Data Lake, Business Cases, Procurement, Oracle, Data Governance, Managed Markets, Supply Chain, ROI, Compliance, Vendor Management, Metrics, Reporting, Dashboarding, SDLC, KPI, COE, Trend Analysis, Executive Reporting, Trainer, Remediation, Business Owner, Consulting Services, Affordable Care Act (ACA), Agile Methodology, Applications Architecture, Applications Delivery, Benefits Strategy, Big Data, Budgeting, Business Process Change Management, Business Process Design, Business Processes Improvements, Business Process Flows, Business Process Management Bpm Software, Business Process Mapping, Business Process Modeling Notation (BPMN), Business Process Strategy, Business Process Transformations, Business Systems Consulting, Business Systems Design, Business Systems Implementation, business use case, Capability and Maturity Integration (CMMI) Requirement Management and Requirement Development Training Certification, Capability Maturity Model Integration (CMMI) Assessments, Center of Excellence, Claims Processing, Client Presentations, Client-Server, Collaborative Innovation, Continuous Process Improvement Initiatives, Cross Trainers, Customer Experiences, Customer Relationship Management (CRM), Data Definition Language (DDL), Data Warehousing Systems, DB2, Drug Information, Drug Utilization Reviews, Enterprise Solutions Architecture, Executive Presentations, Gaps Analysis, Government Affairs, HIPAA Compliance, HIPAA Guidelines, HIPPA Regulations, Information Systems Analysis, Internal Consulting, IT Systems Analysis, Key Performance Indicators (KPIs), Leadership, Leadership Mentoring, Mainframes, Management Consulting, Management Dashboards, Matrix Management, Medicare Claims, Medicare Part D, Medicare Prescription Drug Plans, Medication Therapy Management, Mentoring Programs, Microsoft Access, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft SharePoint, Microsoft SQL Server, Microsoft Visio, Microsoft Word, multi-tiered communication, Needs Assessment, New Product Introduction (NPI), Object-Relational Database, Object-Relational Databases (ORD), People Leadership, Performance Management Reporting, Performance Metrics, Pharmacy Benefits Management (PBM), Pivot Tables, Portfolio Management, Predictive Analytics, Prescriber, Prescription Drugs, Process Improvement Management, Process Reengineering, Procurement Operations, Project Management Life Cycle, Relational Database Management System (RDBMS), Requirements Traceability Matrix (RTM), Return on Investment (ROI), Scrum Methodology, Solution Architecture, SQL Relational Databases, Strategy Creation, Structured Query Language (SQL), Sybase, Systems Development Life Cycle (SDLC), Technical Project Management, Therapeutics Committee, Training the Trainer, Unified Modeling Language (UML), Use Cases, Waterfall Model, Web Based Services, Writing User Stories
Not Listed
Tags for this Online Resume: Audit, Internal audit, Policies and Procedures, Management, Call Center, Risk Assessment, Compliance, Fraud, Insurance, Project Management
Administrative Services Manager - 14 Years of Experience
Tags for this Online Resume: Accounts Receivable, Actuarial, Billing, Deposits, Financial, Financial Analysis, Insurance, Process Improvements, Management, Prime
