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Online Resumes with "network developer"



Manager/Director Provider Relations

Experience Summary * 5 years of experience in Medicaid Medicare Marketing * 17 years of Provider Relations, Network Development/Management and Contracting * 10 years Managerial Experience in Provider Relations & Business Development * Full Knowledge of CMS & NCQA Regulatory Guidelines. Completed Six Sigma Seminar. * Performed QAR and STAR data analysis & CQI projects initiatives.

Tags for this Online Resume: Complaints, Services, Management, Network Management, Networking, Referrals, Business Development, PEDIATRIC, Quality Assurance, Test

Project Manager

SUMMARY Certified Project Management Professional (PMP) with 18 years of industry experience in Information Technology (IT), Construction Engineering, Federal Government Contracting, and Personnel/Matrix based Project Management. Proven ability to effectively control a portfolio of multi-million-dollar projects from medium to high complexity. A strong mechanical and technical electronics background. Excellent at communicati...

Ideal Companies: Google, Amazon, Mantech, AT&T, SIAC, Lockeed Martin, Micron, General Dynamics

Tags for this Online Resume: Management, Billing, Revenue Reporting, Project Management, Senior Project Manager, Program Manager, Government, Project Manager, Security, Support

Director - 20 Years of Experience - Near 06906

& Notable Contributions Can We Talk Newsletter ADP AMISYS Provider Solutions CIGNA Health Plan of Connecticut Oxford Health Plans and EMPIRE Blue Cross Blue Shield (1984 - 2006).

Tags for this Online Resume: managed care, government programs, re-engineering, call center, events, enrollment, customer service, operations management, Behavioral Health, Management, management, Customer experience

Medical or Health Services Manager - 10 Years of Experience - Near 78665

Professional Summary Extensive experience in Network Development and Provider Contracting with Medicare, Medicaid, Commercial and Worker Compensation. Experience includes Senior Leadership roles managing a team between 5-25 people. Considerable success with building providers network in several states by designing, developing and implementing standard contracts to meet industry standards. Key skills include: Provider Relati...

Tags for this Online Resume: Networking, Medicare, Behavioral Health, Billing, Business Development, Business Strategies, Business Strategy, Coaching, Compensation, Contract Negotiations

Sales Manager - 0 Years of Experience

AREAS OF EXPERTISE Strategic Vision & Leadership * New Business Development * Resource Allocation * Market Analysis Brand Development * Marketing/Sales Management * Domestic/Global Markets * Product Development Market Development/Expansion * Organizational Road Maps * Ziglar Certified * Staff Development Business Negotiations * Product Development/Promotion * Revenue Generation* Consumer Insights

Tags for this Online Resume: Management, Advertising, Sales, Equity, Business Development, Market Research, Research, Customer Service, Customer Service Center, Documentation

Creative Writer

Tags for this Online Resume: Advertising, Communications, Bloomberg, Networking, Social Media, Sports, Video, Web, Web Development, Web Technologies

Featured Profile

Senior Vice President Payment Transformation, Vice President Managed Care, Network Development, Contracting and Provider Relations - 20+ years Experience, Kansas

I am searching for a progressive organization that is moving from pay for volume to paying for value. I have built a prospective bundled payment program for the ambulatory setting. I've also partnered with Oracle to co-develop a technology platform to automate the payment of prospective and retrospective bundles. I have negotiated bundled payments, shared savings arrangements, bundled payments, FFS, case rates and PCMH ...

Ideal Companies: UHG, Humana, Blue Cross Blue Shield, Lumeris, Adventist Health System

Tags for this Online Resume: contract negotiations, network development, value based contracting, managed care, ACO, clinical integration, Compensation, Prospective Bundles Program, Commercial, MA and Medicaid

Sales Manager

Ideal Companies: Isagenix, Amazon, United Health, Inesgex, AVNet, Intel, AVI/SPL

Tags for this Online Resume: Acquisitions, Customer Relationship Management, Management, Project Management, Sales, Sales Increase, Senior Project Manager, Automation, Product Launch, Training

Materials Manager - 0 Years of Experience

PROFESSIONAL SUMMARY: Over twenty years successful experience with hospital supply chain management, contracting, procurement and strategic sourcing, hospital operations, network development, cost savings initiatives and performance improvement. Responsible for leading and coaching teams across multiple departments and facilities nationwide. Successfully managed and led operations team responsible for over $1.2B in annual p...

Tags for this Online Resume: Behavioral Health, Home Health, Networking, Nursing, Management, Capital Equipment, Distribution, Inventory, Logistics, P&L

Pharmacy Technician

Tags for this Online Resume: Desktop Computer, Fraud, Audit, Data Entry, Management, Benefits, Documentation, Policies and Procedures, Process Improvements, Cms

Business Analyst

Tags for this Online Resume: Technical Lead, Business Analysis, Business Analyst, Database, Lotus Notes/Domino, Security, Structured Query Language, Test, User Acceptance Testing, Web

Executive Assistant

Tags for this Online Resume: Documentation, Logistics, Administrative Assistant, Acquisitions, Microsoft Outlook, Scheduling, Management, Audit, Risk Management, Advertising