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Online Resumes with "provider contracting"
Medical or Health Services Manager
Qualifications Profile Highly successful and dedicated Vice President of Operations with solid experience utilizing multi-tasking skills and versatility focusing on maximizing business objectives with positive strategic appreciation and vision. Expertise in all areas of operations, marketing, business development, contract negotiations, customer services and strategic alliances. * Provide effective and efficient methods and...
Tags for this Online Resume: Services, Scheduling, Support, Medical, Business Development, Communication Skills, Compensation, Contract Negotiations, Human Resources, Managed Care, physical therapist, rn, Physician group development, Day to day operational responsibility, Fiscal responsibility, Provider contracting, Physician recruitment
Marketing manager
KEY QUALIFICATIONS - OVER 21 YEARS EXPERIENCE IN MEDICARE, MEDICAID, AND MEDICARE-MEDICAID PLANS (MMP) Profit & Loss Accountability * Product Implementation / Mgt * Marketing & Communication Strategy * Product Strategy & Development * Business Development * Collateral / Campaign Development SUMMARY OF PROFESSIONAL EXPERIENCE CAPTIAL BLUECROSS HARRISBURG, PA 17050 SEPTEMBER 2015 - PRESENT DIRECTOR OF MEDICARE PRODUCT DEVELOP...
Tags for this Online Resume: Cms, Management, Market Research, Networking, Research, Pricing, Benefits, Marketing Management, Policies and Procedures, Product Development
Claims Adjuster - 20 Years of Experience - Near 08520
Key Qualifications - * Proven track record of assessing benefit claims and healthcare options, including extensive knowledge of Medicare and government regulations. * Adept at developing and maintaining detailed administrative and procedural processes that significantly reduce expenses, improve accuracy and efficiency, and achieve organizational objectives. * Highly focused and results-oriented in supporting complex, deadli...
Ideal Companies: Blue Cross Blue Shield of New Jersey, Aetna Insurance Company, Horizon Blue Cross
Tags for this Online Resume: Benefits, Billing, Compensation, Complaints, Fraud, Health Insurance, Insurance, Managed Care, Anesthesia, Behavioral Health, insurance, sales, group benefits associate, marketing, health benefits broker, Health insurance adjuster
Business Analyst
PROFILE________________________________________________________________________________________ * Master's in Business Management with successful track record of problem solving ability. * Expertise in creating Business Requirement Documents to elicit the business requirements with excellent analytical skills, modelling tools like MS Visio and Use Cases. * Confident in doing walkthroughs with the stakeholders to obtain the ...
Tags for this Online Resume: Management, Business Development, Configure, Customer Relationship Management, Documentation, Monitoring, Planning, Project Management, Project Manager, SDLC
Engineering Manager - 20 Years of Experience - Near 75067
QUALIFICATIONS AREAS OF EXPERTISE Project Management * Manage daily operational aspects of projects and scope. Create and execute project work plans and revise as appropriate to meet changing needs and requirements. * Handle complete projects from quotation stage to finalization and payment collection stage. * Create project plans-discuss with management for approvals. Identify-collate information on project milestone- time...
Tags for this Online Resume: project manager, Accounting, Accounting Functions, Applications, Arabic Language, Budgetary, Budgeting, Collection, Compliance, Construction
Information Technology Manager
ACCOMPLISHMENTS * Directed engineering and technical support for international professional services firm while reducing network communication costs by 43%, Time To Repair 73%, Severity Level 1 problems (severe problem where business risk is HIGH) 86%, while improving quality 65%. Introduced Change Management, Problem Management, Asset Management and Project Management policies into operation. * Developed IT Governance mode...
Tags for this Online Resume: Business Strategies, Distributed Systems, Engineering, Management, Networking, Portfolio Management, Pricing, Vendor Management, Infrastructure, Retail
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
Electrical Engineer - 20 Years of Experience - Near 75208
to with approximately 3,000 300-foot geothermal wells, including athletics practice and competition facilities. * Provided preliminary electrical analysis of existing, 100,000 SF major airline customer support facility in increase personnel density within the same square footage and generated furniture circuiting from existing sources for client review. Performed electrical survey electrical system analysis and completed el...
Tags for this Online Resume: Due Diligence, Autocad, Autodesk AutoCAD, Microsoft, Microsoft Word, Distribution, Management, Retail, Call Center, Cascading Style Sheets
Risk Manager with 20 years of experience
SUMMARY Risk management professional with a proven record of developing operational processes and managing risk for financial institutions.
Tags for this Online Resume: Pc, Personal Computer, Audit, Call Center, Compliance, Database, Management, Policies and Procedures, Administration, Operations Manager, Risk Management
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
Engineering & Design Manager
Areas of Expertise Project Conceptual Development Systems Engineering Licensing Preparation Engineering Management Instrumentation Systems Innovative Design Project Engineering & Design DCS Systems Engineering Project Management Project Conceptual Development - Developed Technical conceptual briefs for four large DOE projects of which three were accepted on technical merit prior to total project acceptance. Developed and ma...
Ideal Companies: none
Tags for this Online Resume: Compliance, Risk Analysis, Consulting, Construction, Services, Quality, HVAC, Licensing, Management, Security, project engineer
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
