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Online Resumes with "prior authorization "
Urban Planning Engineer
ACCOMPLISHMENTS Real Estate Development o Development of two projects totaling $52 million. o Designed and setup computerized, project budget analysis formats, project schedules (Microsoft Projects) and other forms of project management tools. o Produced in excess of a two-year supply of multi-family inventory, fully approved and ready for development o Consulted to senior management on a number of in-house, project related...
Tags for this Online Resume: Construction, Management, Project Management, Financial, Financial Analysis, Planning, Due Diligence, Project Manager, A SERIES, Applications
Medical or Health Services Manager - 15 Years of Experience - Near 96003
CPT ICD9& ICD10 coding. Deploy customer service, interpersonal leadership skills to make a difference in a patient's life by supporting a team that resolves patient inquiries, identifying problems and coordinating appropriate corrective actions. * Act as a subject matter expect, utilizing project management techniques in certain areas to assist with training, coaching and providing feedback, scheduling and organizing work a...
Tags for this Online Resume: Management, Corrective Actions, Customer Service, Managed Healthcare, Benefits Verification Specialist, Project Management, Scheduling, Medical Terminology, Monitoring, Coordinator, Medical Authorizations, home infusion coordinator, patient admissions representative, Patient Care Representative, Prior Authorization Rep, Staff Services Analyst, Quality Analyst
Software Engineer - 35 Years of Experience - Near 98682
COVER LETTER: Dear OHSU, I am applying for a position in Information Technology, which will enable me to offer to you the best solution for your needs and which will enable me to continue my professional and technical development. I have extensive experience in software development, in systems and data analysis and in quality assurance. I have worked in a variety of fields, from medical and financial, to automotive and tran...
Tags for this Online Resume: HyperText Markup Language, Cobol Programming Language, EDI, Electronic Data Interchange, Extensible Markup Language (XML), Managed Care, Microsoft Visual Studio, Oracle, Software, Software Development
Program Manager
Tags for this Online Resume: Outpatient Care, PEDIATRIC, ADA, Ada Programming Language, Assessments, Audit, Cms, Emerging Markets, Health Insurance, Insurance
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
Licensed Nurse - 10 Years of Experience - Near 06010-0601
Looking for HEDIS contact and or primary care or internal medicine office
Ideal Companies: Hedis, medical office
Tags for this Online Resume: Health Care Industry, Medical, Medical Records, Medicare, Nursing, Quality Assurance, Test, Vitals, ALLSCRIPTS, Amazon Elastic MapReduce
Medical Records Assistant
Tags for this Online Resume: Customer Service, Billing, Medicare, Benefits, Insurance, Referrals, Cardiopulmonary resuscitation (CPR), Estimations, Pc, Personal Computer
Customer Service Manager
Tags for this Online Resume: Assessments, Clinical Accounts, Health Insurance, Insurance, Management, Ventilators, Billing, Documentation, Database, Cms
Customer Service Representative - 0 Years of Experience
Seeking to represent a credible organization to utilize my abilities in a management setting with experience in customer service and sales service with team building in telesales and direct marketing and premium billing experience. Having a positive and professional attitude and goal oriented. Executing projects given and demonstrating workforce project accomplishments. * Provided quick efficient service For UMR/ United Hea...
Tags for this Online Resume: Bilingual, Inventory, Inventory Control, Medical, Medical Records, Patient Care, PEDIATRIC, Pediatric Patients, Management, Insurance
Dedicated healthcare professional
Dedicated healthcare professional with 14 years of clinical, administrative and management experience, including 6 years as a Clinical Research Coordinator and 14 years as a Medical Assistant. Combined clinical skills and business acumen. Excellent communication and interpersonal skills. Master of Science in Clinical Research Administration degree.
Ideal Companies: Clinical Research
Tags for this Online Resume: Recruiting, Microsoft office, Liaison, Employee Development, Clinical Research Coordinator, Medical Records, Healthcare Administration, Management, Data Collection, Analysis, Medical Terminology
Medical Sales Representative - 20 Years of Experience - Near 02360
Healthcare Director of Operations Healthcare Leader and Executive eager to contribute 20+ years of successful delivery and management of Healthcare focused solutions. Highly valued reputation for healthcare operations, project management, due diligence, and overall business development. Thrives in Healthcare environments, utilizing strong analytical, communication, and organizational skills. Excels with cost reductions, ...
Ideal Companies: CVS Health, Hospital Systems, Assisted Living Communities
Tags for this Online Resume: Sales, Business Development, Inventory, Management, Quality, Quality Assurance, Revenue Growth, Talent Development
Program Manager - 6 Years of Experience - Near 19050
Tags for this Online Resume: Accounting, Banking Industry, Cardiology, Medicare, Program Manager, Radiology, Audit, Computer Aided Software Engineering, Equities, Marketing Management
