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Online Resumes with "Medicaid Medicare"

Quality Assurance Specialist - 15 Years of Experience - Near 91321

Professional Summary: Work Status: Green Card Satya Sakhamuri an Engineering Graduate has 15+ years of I.T experience which includes Software Quality Assurance, Testing, Project Management, Development and Implementation for various complex enterprise applications using the latest technologies. Have Excellent Communication and coordination skills. Experience working with Medical, Pharmacy, Billing, Ecommerce, Health Insuran...

Tags for this Online Resume: Agile, Extensible Markup Language (XML), Software, Structured Query Language, Test, Test Cases, Web, C Programming Language, Quality, Active Server Pages

Medical or Health Services Manager - 20 Years of Experience - Near 33534

SUMMARY * 15+ years' experience as a clinical professional with a broad range of healthcare experience, talent and expertise also in Medicaid claims reviews programs * Extensive nursing experience in multiple areas (Utilization Review/Managed Care including Inpatient/Outpatient service for Pre-Cert, Concurrent Review, Case Management, Medical Claim/Bill Review, ICD-9/ICD-10 Coding, Hedis Reviews, Home Health Care, School Nu...

Tags for this Online Resume: Medicare, Computer Aided Software Engineering, Management, Injections, Insurance, VITAL SIGNS, Medication Administration, Nursing, Wound Care, D.O.D., Case Manager, Billing, Coding, Auditing, Utilization Review, Manager, Supervisor, Health Services, Nurse, LPN, Trainer

Case Manager - 6 Years of Experience - Near 01033

To obtain a position that will showcase my skills and diverse background in the healthcare industry while allowing my continued professional growth and goal attainment within the company's vision. Background Qualifications: -Detailed oriented, with extensive experience in case management at the Ltach and SNF levels of care -Ability to work in high stress positions dealing with peers, patients, families, medical staff, and p...

Tags for this Online Resume: Dialysis, Management, Pulmonary, Utilization Management, Insurance, Medicare, Assessments, Documentation, Marketing Management, Referrals

Executive Assistant - 14 Years of Experience - Near 08648

Professional Summary Maintain a stable workplace environment so office runs efficiently. Efficient document tracking and management. Maintain office supplies including dealing with vendors using cost conserving measures. Organized and managed shipping department dealing with major domestic and international shippers. Administered executive travel plans, hotels and car services. Relied on by executives for in depth and timel...

Tags for this Online Resume: Marketing Management, Medicare, Teamwork, Dictaphone, Documentation, Administrative Assistant, Banking Industry, Management, Services, Help Desk

Project Manager

Summary of qualifications 1-2 Project Manager/Manager Experience 2-4 Operation and Subject Matter Expert Experience 4-5 Summary of Qualifications * 7 years of experience in information technology operations with a focus in Enterprise Systems. * 6 years of experience as a Project Manager/Manager with a focus in leading IT infrastructure teams and projects. * 5 years of experience with cloud technology particularly with SaaS ...

Tags for this Online Resume: Focus, Information Technology, Amazon Web Services, Apache Cassandra, Apache Hadoop, Applications, Business Requirements, Clusters, Configure, Data Extraction

Case Manager/ Utilization Coordinator - 20 Years of Experience - Near 08872

COVER LETTER: To Whom It May Concern, I am a 34+ yr experienced RN with diversified hospital experience. My experience includes medical surgery, dialysis (peritoneal), immunology, infectious disease, and IV therapy team experiences including PICC and chemotherapy administration. I have spent 16 years of my career focused on hospital utilization review, case management (Medicaid/Medicare, Managed Care), hospital bill audit, ...

Tags for this Online Resume: Insurance, Medicare, Microsoft SMS, nurse, healthcare, care, rn

Business Analyst - 5 Years of Experience - Near 20104

PROFESSIONAL SUMMARY: * Over 7+ years extensive Experience as Facets Configuration Consultant in Healthcare Industry with specialization in FACETS implementation and in-depth understanding of Trizetto FACETS data model. * Health Insurance Portability and Accountability Act (HIPAA), Data Warehouse and working on Requirement gathering, Business Process flow, Business Process Modelling, Data Analysis, Data Mapping. * Strong kn...

Tags for this Online Resume: Management, Microsoft Access, Microsoft Office, Microsoft Visio, Test, Unified Modelling Language, VISIO, Microsoft Project, MS Project, Electronic Data Interchange

Physician - 20 Years of Experience - Near 85086

Utilize my experience and knowledge of medical practice and insurance industry ( health insurance, managed Medicaid/Medicare, workers compensation, disability). Develop cost containment programs to promote medically efficient health care with quality.

Tags for this Online Resume: medical director, Office only orthopedic practice, alternate payment, Bundled Payment, Risk arrangement contracting, Fraud and Abuse, claims review, Medical Management, Health Insurance, Managed Medicaid and Medicare, Occupational Medicine, Workers compensation, outpatient rehabilitation, disability

Case Management Manager - 20 Years of Experience - Near 32822

PROFESSIONAL SUMMARY Dedicated, compassionate, knowledgeable healthcare professional with 18 + years' experienced Supervisor and Manager in Managed Care Medicaid and Medicare, Case Management, Home Care, HIV/AIDS surveillance and research with 2 publications. Bilingual (Spanish/English} Public Health Advisor who was selected by the Center of Disease Control (CDC) to train medical staff on data abstraction for the Pediatric ...

Tags for this Online Resume: Acquired Immune Deficiency Syndrome (AIDS), Program Manager, Benefits, Computer Aided Software Engineering, Management, Policies and Procedures, Public Health, Medical, Patient Care, Medicare, registered nurse

Registered Nurse - 10 Years of Experience - Near 24054

looking for home health or telephonic job at home, lots of ED experience, also have supervision experience, long term care, med/surg, telemetry, ICU, can give you a good home job with my experience, also currently work with Medicaid/Medicare, full assessments, full admissions, discharge planning, setting up transportation, approvals from insurance companies for procedures, office visits, discharge planning

Tags for this Online Resume: rn

Director - 20 Years of Experience - Near 60563

SUMMARY OF QUALIFICATIONS * Keenly analytic and results oriented revenue cycle professional with 19 years of experience in Healthcare Systems, Patient Accounts, Early-out Collections and Analyzing Accounts Receivables * Core knowledge and expertise with federal/state and HIPPA privacy and security regulations of payer contracts * Health information technology and changes related to health care reform, and Medicaid expansion...

Tags for this Online Resume: Insurance, Management, Software, Cms, Financial Services, Managed Care, Medicare, Month-end Close, Planning, Project Management, management

Director - 20 Years of Experience - Near 27526

Areas of Expertise * Resource & Business Planning * Strategy Process Creation * Impact Assessment * Project Implementation * Training & Development Programs * Corporate Compliance * Mentoring & Coaching * Drafting & Negotiating Contracts * Contracts Law Key Accomplishments * Improved payment timelines over 25% in first quarter while overseeing rebate payments of $14M/quarter by working with IT to create reports to validate ...

Tags for this Online Resume: Pricing, Management, Compliance, Full life cycle, Planning, Audit, Billing, Business Planning, cross functional training, department training, GTN, Pricing Strategy and Analysis