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Online Resumes with "medicare management"
Director of Provider Relations, Physiscian credentialing, contract negotiations
Senior Healthcare Administrator with over 15 years experience working with physicians, hospitals and HMOs. Excellent communications skills and familiar with PCMH, NCQA,HIPPA, and Medicaid/Medicare managed care.
Tags for this Online Resume: Contract Negotiations, Provider Relations , Medicaid/Medicare, Provider Network Development, Medicaid Fraud Investigation , Grant Writer
Licensed Nursing Home Administrator-20 years Experience-Houston, Texas
To lead a heath care team to be as focused and united as possible while delivering the highest quality of care to the residents.
Ideal Companies: Fundamental, Manor Care, Sava, Diversicare, Regency Health Care, Kindred Health Care, Texas Resources, Senior Care Centers, Daybreak, Department of Veteran Affairs, Houston Methodist, Seton Health Systems, Preferred Care Partners Management Group, Devore Recruiting, Talent Achievement Group, Harris Health System, Brookdale, Elmcroft Senior Living, Life Care Centers of America, Briarwood Nursing Home, Charleston Health Care, Master Consulting Group, Highland Park Care Center, Nacadoches skilled nursing facility, Keystone Health Care, Creative Solutions in Healthcare, Frontier Management, Williamsburg Village Health Care Campus, Regency Post Acute Healthcare System, Davita, Fresenius, 360 Healthcare, Atria Senior Living, HMG services, Stonegate Senior Living, Christus Continuing Care, Christian Care Centers, Gentiva Health Services, Correctional Health Care Companies, Correct Care Solutions, Life Care Centers of America, Baylor Scott and White Health, Sunrise Senior Living, Cedar Bayou, De Vore Recruiting, , The Medical Consulting Group, Sava Senior Care, Master Consulting Group, Rodger Scott, Wengler and Associates, Genesis Health Care, Senior Care Centers, Memorial Herman,
Tags for this Online Resume: Marketing, Budgeting, Cost Control, Regulatory Compliance, Quality Improvement, Systems analysis and development, Houston, Texas, Texas Licensed Nursing Home Administrator, Business Development, Medicare, Managed Care, Employee Relations, Micosoft Office, Outlook, AHT, DSSI
Manager - 20 Years of Experience - Near 03103
I have 25+ years of experience in the medical billing/office management field. I have run and maintained all aspects of the billing office for the 110 bed LTC nursing facility in which was recently employed. I am extremely proficient in billing NH Medicaid on the MMIS Portal as well as Medicare, Managed Care, Insurance and Patient billing. I would like the chance to utilize the skills I have developed while continuing t...
Tags for this Online Resume: Management, MedicalBilling, Medicaid, Patient Billing, Customer Service
Innovative and Responsive Program Manager
I want to secure a position as a Program Manager bringing six years of experience in managing strategic and cost-effective projects in alignment with company initiatives and objectives. Demonstrates strong expertise in needs assessment, development, implementation, and routine evaluation processes, as well as budgeting, staffing, and training. Leverages a nine-year business development and marketing background to transform ...
Ideal Companies: Anthem, Telecare, CIGNA, Mattel, Nestle, Nabisco, UnitedHealth, Planned Parenthood, CDK, ADP, Provident, Smart and Final, Vons.
Tags for this Online Resume: Budgeting, negotiating, community outreach, process improvement, Training, Reporting, Supervising, quality assurance, compliance, succession, documentation, conducting surveys, external and internal audits, grievance, administrative, Team Building
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
Quality Coordinator - 14 Years of Experience
An accomplished multi-lingual medical program administrator/manager/trainer and auditor whose specialty in quality control, management analysis, risk and fiscal review of health care services/programs and departments, coupled with effective communication and case management expertise, thorough knowledge of QA practices, awareness of local, State and Federal government trends for quality controls and public safety of infecti...
Tags for this Online Resume: Management, Medicare, Coding, Fraud, Home Health, Risk Management, Services, Audit
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
Case Manager/ Utilization Coordinator - 20 Years of Experience - Near 08872
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Insurance, Medicare, Microsoft SMS, nurse, healthcare, care, rn
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
Claims Adjuster - 20 Years of Experience - Near 08520
Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...
Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross
Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster
Case Manager - 30 Years of Experience - Near 77277 lankershim blvd
PROFESSIONAL SUMMARY, Registered Nurse Profesional with a BSN with an extensive background to include: medical/ surgical, labor and delivery, oncology, emergency room, hospice, home care, utilizat -ion review, emergency room access, and inpatient case management. I am a strong creative patient advocate. I have excellent assessment skills. I am a strong communicator which enables me to work collaboratively with the interdis...
Tags for this Online Resume: Computer Aided Software Engineering, Management, Mammography, Referrals, Travel, Medical, Surgical, Acute Care, C Programming Language, Centricity, pt, nurse, healthcare, rn, physical therapy, outpatient physical therapy, care, physical therapist, outpatient rehabilitation, RN Case Manager, RN Case manager, registered nurse
Registered Nurse - 0 Years of Experience
COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...
Tags for this Online Resume: Test, Management, Quality Assurance, Quality Assurance Management, Transcribing, Dialysis, Insurance, Diagnostics, Medicare, Transcription, registered nurse, rn, care, nurse
