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Online Resumes with "optum"



Data Mining Specialist

SUMMARY OF QUALIFICATIONS * Data Extraction and manipulation of complex data sets using SQL and SAS * Perform statistical analysis using R and Excel Data visualization using Tableau * Experience of using EHR & claims data of OPTUM, TRUVEN and CMS Medicare for a wide variety of projects Understanding of Insurance billing & coding CMS payment models

Tags for this Online Resume: CT, Research, Spring, Billing, Cardiology, Clinical Research, Cms, Coding, Data Dictionary, Data Extraction

Managed Markets Access - Director of National Accounts

Responsible for per assigned territory Led and developed Mission Pharmacal's Managed Markets strategy/tactics for both Commercial and MedD opportunities nationally. Responsible for 13 products across 5 therapeutic sales teams (Dermatology, Pediatrics, Primary Care, Women's Health and Urology.) Selected accomplishments: * Achieved optimal profitable contracting and pull-through with targeted customers within my responsibilit...

Tags for this Online Resume: General Practice, OB/GYN, Psychiatry, Sales, Managed Care, Account Manager, Pharmaceutical Industry, Gastroenterology, Management, Account Management, Urology, Cardilogy, Neurology, Pediatric Care, Women's Health, Dermatology, Men's Health, Internal Medicine, Mental Health

Featured Profile

Sales executive who knows how to build, manage and successfully drive business development and sales organizations - 15 Years of Experience - Near 97229

Business development expert seeking an opportunity to build out new and existing markets with companies that bring unique value to the market. Ideally it is an opportunity that will allow me to leverage my extensive experience in creating successful go-to-market strategies focused on building sales channels that include B2B, B2C and VARS. The organizational desire to build a strong, positive and dynamic culture focused on d...

Ideal Companies: Cambia, United Health Care, Optum, Nike, CBRE, Amazon, Lockton, HUB, BambooHR, LimeAde, Socrates, HealthWise, Agrium, WebMD, Propeller, REI, Orvis,

Tags for this Online Resume: National account sales, Employee benefits and insurance, New business development, Profitability Improvement, Acquisitions, Go-to-market strategy, Sales support, Healthcare, Performance optimization, Joint venture and alliances, Consensus building & teaming, Multi-site operations, Crisis management, Budgeting & finance, Decision-making, Forecasting, Go to market strategy, National accounts, Product marketing, Joint ventures and alliances, Negotiation and diplomacy, Marketing, Consensus building and team building, Leadership, Sales coaching, Sales, Process, Analytical ability, Initiative, Client engagement, Compensation planning

Programmer Analyst - 15 Years of Experience - Near 27519

Career Summary: * Software professional with 15 years of experience in Information Technology. Specialized in development of applications in IBM Mainframe, COBOL/II/370, CICS, VSAM, JCL, Natural, Adabas, MQ Series, XML, Easytrieve, DB2, IMS DB/DC and IBM utilities. Possesses excellent communication and technical skills and strong sense of personal ownership, accountability and commitment. Highmark - NC Jul '08 - Till date O...

Tags for this Online Resume: VSAM, Xpeditor, Cobol II, Cobol Programming Language, Job Control Language, IBM DB2 Database, TSO/ISPF, CICS, IBM IMS

Business Analyst - 2 Years of Experience - Near 30024

Experienced and motivated information technology professional with over fifteen years of consulting in the insurance/medical industry and in development and technical support roles in insurance, medical, finance, utilities and accounting industries. Demonstrated ability to research, develop and implement diverse software and hardware solutions to streamline business operations and facilitate business development initiatives...

Tags for this Online Resume: Project Management, Business Analysis, Medical, Insurance, Telecommunications, Accounts Payable, Database, Data Conversion, Development Methodology, Documentation, S

Manager - 20 Years of Experience - Near 90275

Tags for this Online Resume: Management, Framework, SCM, Software Configuration Management, Financials, PeopleSoft, Peoplesoft Financials, ROI, SEC, Securities and Exchange Commission (SEC), Vulnerability management, cyber security, ERP, Global deployments, PeopleSoft, Oracle

Featured Profile

Health Technologist - 16 Years of Experience - Near 20191

My objective is to find an organization where I can apply my skill sets, and passions, for delivering effective IT solutions to business stakeholders and end users. This includes full investment lifecycle, regardless of development/deployment methodology, from the point of business case development through post implementation value measurement. I have deep expertise in the healthcare industry, both clinical and hospital fin...

Ideal Companies: Cerner, CoverMyMeds, Evolent, CareCloud, Enli Health, GE Health, Visiquate, Optum, Medstar

Tags for this Online Resume: Cms, Content Management, Financial, Financial Management, Management, Program Management, Benefits, Business Case Development, Computer Aided Software Engineering, EHR, Health IT, Revenue Cycle Management, Digital Health, Risk Management, Quality Management, Performance Improvement, Business Process Management, Enterprise Content Management, Health Information Exchange, Population Health Management

Quality Assurance Specialist - 9 Years of Experience - Near 80907

Professional Summary: Total IT Experience : 9.5 Years Company : Optum (United Health Group) Designation : Senior IT Quality Analyst * Senior IT Quality Analyst, a Dedicated, Assertive and Qualified professional offering diversified technical expertise in the field of Data warehouse BI Testing (ETL Testing)/ Manual Testing. * An experienced, motivated, goal oriented and hard working with a quest and zeal to learn new technol...

Tags for this Online Resume: Information Technology, Management, Utilities, Test, Test Cases, Unix, Asset Liability Management, Data Processing, Microsoft Windows, Microsoft Windows 98

Health Care Managing Director - 15 Years of Experience - Near 80516

SUMMARY * Accomplished leader with over 15 years of operations and business development experience. Currently working on initiatives to promote service excellence while providing timely and affordable care to patients, and innovative delivery of health care services.

Ideal Companies: Optum, Amazon, Centura

Tags for this Online Resume: Boulder, Operations, Longmont, Broomfield, Healthcare, Director, analytics, telecommute, Surgery, Inventory, management, Consultant

Records Manager

Seeking out new career opportunity and ability to utilize skills to fullest potential.

Tags for this Online Resume: Oracle SQL, MYSQL, Pivot Tables, Microsoft Office, HTML

Registered Nurse - 20 Years of Experience - Near 56345

Telephonic Optum Health-Secure Horizons (UHG) out-reach to members that may have Coronary Artery Disease Diabetes or Heart Failure to empower them to take an active role in their healthcare management through education and support. Assess elderly patients in the community assuring that they are safe both physically and mentally to remain living independently. Authorize and set up services as necessary for them to remain in ...

Tags for this Online Resume: Health Care Industry, Compensation, Emergency Room, ER, Managed Care, Management, Time Management, Training, registered nurse, RN

Quality Assurance Specialist - 7 Years of Experience - Near 43230

career as Associate Trainee in Cognizant technology Solutions. * Developed Keyword driven framework for mainframes in a team of 2. * Have worked on various frameworks like DataDriven Modular and Hybrid Driven frameworks. Experience in Test Requirements gathering requirements analysis and test strategy/plan preparation. Developed numerous tools with Excel macro to interact with QC/ALM. * A self-motivated person with strong c...

Tags for this Online Resume: Automation, Test, Test Cases, Regression Testing, Functional Testing, HP QuickTest Professional, sql, agile, selenium webdriver, TESTNG, UFT, framework