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Health Care Professional - Extensive Knowledge in Different Roles - MMA plans, Value Based , Commercial and Medicare Advantage
Dedicated professional with over fourteen years of proven success implementing and executing community engagement activities in various regions of the State, as well as maintaining physician/patient relationships. Demonstrates knowledge and strength in project management, HEDIS measures, Valued Based, providing contract oversight and negotiation, excellent customer service, process quality improvement and business develop...
Ideal Companies: Health Care Companies MMA plans, Commercial , Medicare , Gerber , Hospitals . Humana , Aetna, Anthem , Wellcare , Prestige Health Choice , Cigna , Evolent, Gerber, MMM , United Health Group
Tags for this Online Resume: Account Manager, Benefits, Management, Network Management, Networking, Data General Nova, Behavioral Health, Business Development, Integrate, Pharmaceutical, Provider Contract, Health Educator, Population Health Manager, Value Based Program Manager, Quality Analyst
Continuous success attaining excellence in driving operational implementation and leading continued strategic growth by cultivating cutting-edge business solutions. More than 20 years of experience in technology leadership, project management oversight, continued growth augmentation, and distinction in driving operational success, while consistently exceeding performance goals. Change Management certified with experience in...
Ideal Companies: I would love to work for a company that empowers innovation and team success. I appreciate a challenge and enjoy leading people to drive scalable solutions to some of the biggest business problems. As a reliable and effective executive leader, I bring a vision-driven approach to decision making, strategic planning, and tactical implementation.
Tags for this Online Resume: Inventory, CIO, Install, Medical, Science, Services, Test, Training, Apple, Capital Equipment, healthcare, Global Product Development & Engineering, Leadership Training & Mentoring Goal Attainment, P&L Accountability, SAP Supply Chain Planning, Change Management Program Leadership, Program Leadership
Twenty plus year Critical Care Nurse seeking to expand horizons and transition into a Director level position within a Hospital allowing me to utilize my experience as a Registered Nurse, House Supervisor and MBA in advanced setting.
Senior Healthcare Administrator and Military Veteran with a Top-Secret/SCI Security Clearance and 15+ years of proven experience in the United States Navy. Accomplished measurable results while leading teams of 200 in a dynamic, fast - paced environment. Possess a comprehensive background in Project Management, Leadership, and Administration derived from conducting domestic and global operations. Managed risk upon multiple ...
Ideal Companies: Medical Center; Project Management; Government
Tags for this Online Resume: Management, Health Care Industry, Healthcare Administration, Leadership, Medical, Strategic Planning, Operational Management, Global Competence, Project Management, Financial Management, Microsoft Office Suite, Communication
Payment Integrity / Payment Review Manager, Over 19 years in healthcare adminstration a team motivator and corportate collaborator.
Accomplished professional offers extensive experience in organizational leadership and operations within the healthcare insurance industry, demonstrating particular strengths in clinical and pharmaceutical claims, customer service, business processes, project lead, and medical review. Proven management and leadership skills in developing cross-functional teams via HR processes, training, supervision, and successfully leadin...
Tags for this Online Resume: Healthcare, Insurance, Payer, Reimbursement, HIPPA, CLAIMS, Coding, Reimbursement Policies, Medical Review Policies, SOP, Facets, Clinical Review, Customer Service, Salesforce, Tableau
To join a highly acclaimed interactive company that promotes constructive organization with excellence in communication and interacting with customers and team members.
Tags for this Online Resume: Consultant, Account Representative, Account Receivables, Medical Biller, Pharmacy Consultant, Insurance, Verification, Coder, Claims Adjuster, Claims Examiner, Billing, Specialty Pharmacy, Research, Follow up, Coding, CPT, ICD10, Provider, Clinician
Award-winning Patient Advocate and Medical Administrator with repeated success guiding sizeable, cross-functional health teams in the delivery of leading-edge medical services to Veterans. Talent for HR management and launching sales programs that generate record-setting sales revenues. Expert presenter, administrator, negotiator, and businessperson; able to forge solid relationships with partners and build consensus across...
Ideal Companies: Health Care Companies / Pharmaceutics Industry / Government / College -University
Tags for this Online Resume: Benefits, Coding, Compensation, HR, Human Resources, Networking, Payroll, Project Coordinator, Quality Assurance, Management, Supervision, Sales, HealthCare Management, BANKING INDUSTRY, AUDITING
To apply my skills and knowledge in at a world-class organization where I can make a positive impact through my planning, implementation and organizational skills.
Ideal Companies: University of Illinois; Michael Reese Hospital
I hope to become a part of an innovative and diverse management team that is leading the company through focused action, planning, coaching, and mentoring in fulfilling the agency's mission.
Ideal Companies: I am open to working for any private industry company that is innovative in its approach to healthcare and is committed to ensuring the health and safety of the community it serves, sure to be around in decades to come, ethical in its practices, and an industry leader or well on track to becoming one. I am open to working for and with both private, Tribal, local, state, and federal government agencies.
Tags for this Online Resume: Policy Analysis, Problem Solving, Regulatory Compliance, Operational Streamlining, Process Improvement, Conference&Training Sessions, Emergency Management, Advocacy, Conflict Resolution, Research, Training, Compliance, Governmental Affairs, Military Dependent, Hospital Services, Account Executive, Public Speaking, Incident Command System, HSEEP, Continuity of Operations, Planning, NIMS, NRF, Occupational Health & Safety