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Online Resumes with "optum"
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
Customer Service Manager - 20 Years of Experience - Near 28278
Tags for this Online Resume: Benefits, Health Care Industry, Key performance indicator, Quality, Quality Assurance, Quality Control, Sales, Underwriting, Insurance, Management
Quality Assurance Director
Tags for this Online Resume: Certified Pension Consultant, Medicare, Networking, Program Manager, Billing, Cms, Coding, Cyclic Redundancy Code (CRC), Documentation, Health Insurance Portability And Accountability Act
Quality Assurance Specialist
Ideal Companies: JP Morgan chase bank, JP Morgan chase bank, JP Morgan chase bank
Tags for this Online Resume: SCRUM, Scrum Agile Methodology, Software Quality Assurance, Software Testing, Test, Test Cases, Agile, Agile methodology, Applications, Integrate
Pharmacist - 9 Years of Experience - Near 85392
With 12+ years of experience as a pharmacist * Bilingual in English, Hindi and Spanish * Licensed Pharmacist in AZ (License #S016889) * Skilled in pharmacology, Drug Utilization Review, Compounding, Prior-Authorization, Medication Management, Customer Service, Data Entry, Inventory Management, Staff Supervision and Store Management * Proficient in MS Office Applications, and other client-based software
Tags for this Online Resume: Management, Therapy, Budgeting, Patient Education, TIP, Billing, Clinical Programs, Insurance, Managed Care, Packaging
Coding Educator
Tags for this Online Resume: Billing, Medical, Medical Billing, Physical Therapy, Radiology, Therapy, Insurance, Rehabilitation, Health Insurance, Medical Records
Medical or Health Services Manager
Ideal Companies: Amazon, Google, Optum
Tags for this Online Resume: Planning, Market Research, Research, Immunology, Cancer, English Language, Financial, Health Care Industry, Hematology, Management
Customer Service Representative
Ideal Companies: Apple Computers
Tags for this Online Resume: Customer Service, Team Lead, Bad Debt, Medical, Process Improvement, Billing, Data Entry, Insurance, Managed Care, Medicare
Business Analyst
Tags for this Online Resume: Audit, Benefits, Business Analysis, Business Analyst, Business Requirements, Email, Health Insurance Portability And Accountability Act, System design, Test, Test Scripts
Information Technology Manager
Tags for this Online Resume: Documentation, SCRUM, Scrum Agile Methodology, VISIO, Microsoft Visio, Business Requirements, Integrate, Process Improvement, Agile, Agile methodology
Human Resource Consultant
Tags for this Online Resume: HR, Human Resources, Recruiting, Payroll, Benefits, Foundry, Logistics, Management, Compensation, Planning
Case Management Manager
Tags for this Online Resume: Management, Acute Rehabilitation, Cord Injury, Orthopedic, Orthopedics, Coding, Documentation, Transitions, Wound Care, Business Development
