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Online Resumes with "pbm"
Pharmacist - 13 Years of Experience - Near 33785
SUMMARY: * Active Florida Pharmacist License #53616 * Highly knowledgeable with experience in prior authorization, hospital, retail and long-term care pharmacy. * Adept at all aspects of daily management and inventory * Strong decision-making ability * Efficient and accurate * Skilled in clinical interventions * Strong clinical background * Drug utilization review * Inventory management * Expert understanding of Medicare an...
Tags for this Online Resume: Management, Triage, Nephrology, Cardiovascular, Data Management, Research, Sales, Sales Training, Training, Clinical Research
Sales Manager - 15 Years of Experience - Near 32250
Summary Extensive experience educating clients, members and plan participants on need based products and services provided in the PBM environment. Marketing Strategy and Business Acumen Creating unique business strategies that resulted in revenue generating opportunities. Exemplary Accomplishment Responsible for the execution and market expansion resulting in departmental growth from 1 FTE to 8 FTE's in 24 months that resul...
Tags for this Online Resume: Business Development, Sales/Marketing, Sales/Account Management, Business Acumen, Business Strategies, Product Development, Insurance, Marketing Management, Marketing Strategy, Program Implementation, Key Relationship Building, Solution Selling/Consulting, Revenue Generation, Team Building/Leadership, Project Management, Public Relations, Client Needs Assessment
Mechanical Drafter - 14 Years of Experience
QUALIFICATIONS * Experience managing staff up to 15 employees * Experience managing projects with budgets over $ 5 million. * Experience in tracking projects budgets, and meeting on time delivery * Experience leading cross functional teams in fast-cycle new product development * Experience in customers interface and 3rd party Quality Inspections * Expertise in GD&T and ASME 14.9 (Dimensioning and Tolerancing). * Strong Know...
Tags for this Online Resume: Engineering, API, Application Program Interface, Quality, Management, Modems, Project Management, Routers, Telecommunications, Autocad
Compliance Manager
Insurance * Managed Corporate and Regulatory Compliance (led to 82% reduction in consumer complaints, reduced appeals 34%, and UM cases were reduced 12%) * Implemented privacy program to minimize risk and ensure confidentially of Protected Health Information (PHI). In two years reduced privacy complaints 66% * Assist in the negotiation of vendor contracts with Operations and Legal (led to 24% reduction of fees) * Implemente...
Tags for this Online Resume: Complaints, ERISA, Multi-line Insurance, Fraud, Waste & Abuse, Policies and Procedures, Cross Functional Management, Enterprise Risk Management, Risk Management, Consulting, Compliance, Privacy, HIPAA, GLBA,, Ethics and Code of Conduct, Chair Compliance Committee, Self Funded Insurance, Appeals and UM Review, profit and loss analysis, metrics and analytics, Leadership
Claims Examiner - 12 Years of Experience - Near 06249
SUMMARY Diverse, Deeply Experienced Professional and PhD Candidate, MBA, MSM, Certified Six Sigma Green Belt, and Certified Lean Six Sigma with broad technical savvy seeks a role commensurate with my work experience and education that maximizes my finance, project management, strategic, and analytical expertise to deliver value-added results and competitive advantage to a growing firm. BUSINESS ACUMEN * Management: Staff Ma...
Tags for this Online Resume: Audit, Financial, Quality, Quality Assurance, Quality Control, Underwriting, Account Management, Account Reconciliation, ACH, Banking Industry
Quality Assurance Director - 10 Years of Experience - Near 43318
To obtain a leadership position that will utilize my years of experience in the PBM and LTC Industry supplemented by my experience in the health care field.
Tags for this Online Resume: AR, Cognos, Distribution, File Transfer Protocol, Financial, Firepond Answer, IBM AS/400, Impromptu (App Dev Tool), Medical, Medical Records
Pharmacist - 20 Years of Experience - Near 21042
and A Fortune 18 ranking firm with $98B in sales for 2010 with 215k employees in 44 states offering fully integrated pharmacy healthcare services and products. (PBM operations) Virginia
Tags for this Online Resume: Consumer Products, Sales, Management, Account Management, Consulting, Drug Information, Drug Utilization, Therapy, Utilization Management, Long Term Care, pharmacist
Prior Authorization Review Clinical Pharmacist
I would like to continue my career working on prior authorization requests based on clinical pharmacist review.
Ideal Companies: CRSA, Aetna, Blur Cross Blue Shield
Tags for this Online Resume: prior authorization review pharmacist, clinical pharmacist, PBM pharmacist
Pharmacy Manager - 4 Years Experience - West Hartford, CT - Open to Relocation
• Gain employment as a pharmacist with a pharmacy benefit manager (PBM), managed care company, pharmaceutical company, community health organization, or other non-traditional role that offers opportunities for professional growth and career advancement. • Become a valuable contributor to the team or department to which I am assigned and utilize my expertise in pharmacotherapy and community pharmacy practice to either impro...
Tags for this Online Resume: Inventory, Insurance, Management, Clinical Programs, Pharmacist, Pharmacy, Managed Care Organization, Pharmacy Benefit Management, Pharmaceutical, Prior Authorization, Drug Utilization Review, Medication Therapy Management
Pharmaceutical Sales Representative - 4 Years of Experience - Near 06078
Qualifications Summary Top-performing Pharmaceutical Industry Leader and contributor with experience in Business Development, Trade Distribution, Managed Markets PBM National Accounts, Sales Management and Operations, Pharmacy Disease Awareness Program Development, adding over $100M in incremental revenue and a consistent track record of surpassing established goals and revenue targets. Over 25 years of sales and supply cha...
Tags for this Online Resume: Sales, Business Development, Management, Pharmaceutical, Pharmaceutical Industry, Sales Management, Distribution, Inventory, Inventory management, HIV
Medical or Health Services Manager - 16 Years of Experience - Near 95628
Areas Of Expertise * Call Center Metrics * HR Procedures, Recruiting * Business Process & Analytics * Revenue Cycle Management * Business Process Design * Workforce Management * Curriculum Design * API & EDI Integration * ePremis, CE2000, ClaimForce, CRM, Great Plains * ACA/DMHC Regulations * PBM Operations
Tags for this Online Resume: Call Center, Insurance, Outsourcing, Protocol, Billing, Documentation, Scheduling, Triage, Audit, Coding
Medical or Health Services Manager
Professional Summary Account Management ~ Growth Minded ~ Results Oriented I am a motivated, highly skilled Account Management Professional with over 15 years of experience in the Healthcare industry and 25 years in Accounting/Financial analysis proficiency. Knowledge expands across the pharmacy reimbursement landscape with expertise in Medicare, Medicaid and Managed Care. Well-versed in managing strategic relationships wit...
Tags for this Online Resume: Sales, Account Manager, Retention, Billing, Insurance, Managed Care, Management, healthcare, PBM, reimbursement, collections, reconciliation, accounting, general ledger, journal entries, generally accepted accounting principles, pharmacy, consultant
