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Online Resumes with "Medicaid Medicare"

Enrollment Coordinator- 7 Years of Experience - Near 07650

Summary Statement As Sr. Enrollment Coordinator I became technology savvy and flexible. A team player who achieves consistent results and delivers innovative solutions to complex business needs. My expertise includes commitment, assertive, and hands on. Summary of Qualifications * Proficient in Microsoft Suite as well as Adobe Photoshop and Power Point, * (In House Application) * Alchemy, Facets, Cactus, Outlook, Legacy, Ca...

Tags for this Online Resume: Management, Managed Care, Data Entry, Medicare, Reconciliations, work from home, Audit, Quality Assurance, Spreadsheet, provider relations

Medical Office Manager - 8 Years of Experience - Near 33069

Detail-oriented, dedicated and energetic professional with 10+ years of successful experience. Committed in maintaining a reputation based on customer service, quality, and effective leadership. Currently seeking a position where I can effectively utilize my skills, abilities, and expertise as follows: * Team Lead/Oriented * Supervise/Mentoring * Medicare/Medicaid * Team building/Coaching * Operations Management * Strategic...

Tags for this Online Resume: Complaints, Customer Service, Negotiation Skills, Retention, Team Lead, Call Center, Microsoft, Microsoft Access, Microsoft Excel, Microsoft Office

Licensed Nurse - 6 Years of Experience - Near 73160

Career Summary I have fourteen years of clinical experience, including ten years of health care management, involving Medicaid, Medicare and commercial networks. I've implemented, trained and selected staff to support commercial network management, product management and client support management. Aiming to use my clinical and communications experience to effectively fill the clinical position in your organization.

Tags for this Online Resume: Insurance, Support, Management, Behavioral Health, Nursing, Patient Care, Utilization Management, Cms, Communications, Credentialed

Registered Nurse - 7 Years of Experience - Near 34105

Certification Licensure and Accreditation through AHCA (the Agency for Health Care Administration) and JC (Joint Commission). Formerly at Avow Hospice, as Manager of Admissions and External Affairs. Implemented Nursing Policies and Procedures to Improve Patient Care and Staff Efficiency coordinated with Compliance and Quality Improvement. Implemented Bedside Electronic PI (Patient Information) System and Compliance for Medi...

Tags for this Online Resume: Nursing, Health Care Industry, Medicare, Patient Care, Planning, Policies and Procedures, Services, Strategic Planning, Regulation Review, Compliance, SouthEast, Florida

Benefits Manager - 20 Years of Experience - Near 30907

Experience Summary Seeking a leadership position to further exceed experience as an HR manager and willing to relocate. Retired Army Sergeant First Class with over 25 years of military experience and over 10 years of management and supervisorial experience while holding a Secret clearance. Able to efficiently work with other and effectively communicate and complete task in a timely manner. Experienced in all aspects of Huma...

Tags for this Online Resume: HR, Human Resources, Budgetary, Database, Security, Accounting, Arbitration, Benefits, Budgeting, Coding

Medical or Health Services Manager

SUMMARY: A dedicated and self-motivated Project Manager, drawing upon 5+ years of industry experiences within healthcare. Specialties: Process Improvement Clinical Quality Initiatives State Medicaid and Medicare Innovation models like DSRIP, Meaningful Use, HEDIS, PCMH, CCM and Transition of Care Healthcare Information Technology, Financial Analysis Budgeting Strategic planning & Operations and Grant & Report writing

Tags for this Online Resume: Medical, Fraud, Call Center, Documentation, Financial, Financial Analysis, Insurance, Quality, Policies and Procedures, Management

Materials Manager

SUMMARY Healthcare professional with extensive experience in training, management, reconciliation, audit, Medicaid and Medicare regulations. Experienced with federal regulations and compliance. Experienced with analysis and preparing reports for management. Medical claims Adjudication and Network Management.

Tags for this Online Resume: Management, Policies and Procedures, Audit, Business Analysis, Compliance, Medicare, Cms, Complaints, Business Analyst, Integrate

Business Analyst - 9 Years of Experience - Near 80229

SUMMARY OF QUALIFICATIONS/skills Eighteen years of experience in the IT field of the health care industry with a thorough understating of all major states of Software Development Life Cycle (SDLC). Experienced in all stages of SDLC for various methodologies including Waterfall and Agile Fifteen years of experience in gathering requirements, defining, analyzing, testing, implementing system enhancements, and documentation Te...

Tags for this Online Resume: Benefit Plans, Management, Medical, POS, Software, Test, Unit Testing, EDI, Electronic Data Interchange, Quality Assurance

Chief Executive Officer - 15 Years of Experience - Near 10036

SUMMARY OF QUALIFICATIONS Executive Management Skills: Effective communicator as management at an executive level with strong organizational and problem solving skills with proven abilities to liaise with various departments, institutions (providers), insurance companies, unions, and the public to raise awareness and bring support to facilities. Worked with the medical and behavioral health, care coordination and outreach d...

Tags for this Online Resume: Information Technology, Insurance contract negotiations, french, Investment Opportunities, spanish, Executive Leadership, budget Management, Medical management, electronic Medical Records, Medicare/medicaid, program development

Medical or Health Services Manager - 15 Years of Experience - Near 92602

Tags for this Online Resume: Remote, Medicaid/Medicare, Clinical Model, Account Management, Manager, Irvine

Registered Nurse - 8 Years of Experience - Near 28675

Summary .I am a highly motivated, skilled nurse with a broad background of working with the public, management, excellent computer skills, knowledge of Medicaid, Medicare and other programs at the State and Federal Level. I have served 4 years as a Clinical Director for a three county Hospice with a growth rate of 58%, I have trained, educated, served as Case Manager, performed Core Measures, worked with large insurance com...

Tags for this Online Resume: Hospice, Medical, Medicare, Software, Assessments, PCS, Personal Conferencing Specification (PCS), Coding, ACH, Communication Skills, Home Health, Education


Summary Healthcare Executive with over 25 years of experience in both Medicaid and Commercial managed care markets. Progressive leadership roles in financial modeling, predictive analytics, development and implementation of quality initiatives and cost-reduction programs. Acumen in strategic positioning, infrastructure development and design experienced in leading an organization through State, NCQA, and Department of Insur...

Tags for this Online Resume: PEDIATRIC, Public Health, Budgeting, Call Center, Management, Medical, Medical Affairs, Operating Budget, Quality, Quality Assurance