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Online Resumes with "HEALTHCARE COMPLIANCE"
Tags for this Online Resume: healthcare compliance, quality management, medical management, utilization review, utilization management, performance improvement, strategy, leadership, management, false claims act, anti-kickback statute, accreditation, licensure, gap analysis, risk assessment, risk management, remediation, project management, public speaking, operations, clinical operations, managed care, Medicare, Medicare Advantage, Medicaid, Managed Medicaid, Payor, Communication
Tags for this Online Resume: Project Management, Project Manager, Management, Microsoft Change Management, Process Improvement, Training, Change Management, System Implementation, Consulting, healthcare, revenue cycle management, EDI, Implementation, Healthcare compliance, Audit, QI, Director, Operiations management, Gap Analysis, Provider credentialing, Hospital billing, Provider billing, medical coding
Tags for this Online Resume: certified in healthcare compliance, policy writing, HIPAA Privacy Rule, HIPAA Security Rule, Ethics Action Line, Compliance auditing, corrective action plans, corporate integrity agreement, compliance training, SOC 2 security audit, compliance committee, vendor compliance
PROFESSIONAL SUMMARY High-performing, dependable manager bringing over 17 years of healthcare and compliance management experience and a willingness to take on added responsibility to meet tight deadlines. Enthusiastic team player with a strong work ethic and advanced complex problem solving skills.
Tags for this Online Resume: Quality Assurance, Project Manager, Long Term Care, Managed Care, NCQA, CPHQ, CHCA, Medicare, Medicaid, Quality Improvement, Quality Managment, CMS, Quality Improvment Projects (QIPs), Healthcare compliance auditing, Performance Measure Validation, ICD-10-CM, CPT, HCPCS
* Drafted revised and amended healthcare organization's articles
Tags for this Online Resume: Due Diligence, HIV, Ideal, Lasers, Legal, Legal Writing, Management, Planning, Public Health, Research, healthcare compliance, healthcare consulting, healthcare attorney, healthcare lawyer
SUMMARY Analytic, strategic and business oriented legal and compliance services with 18 years experience as Healthcare Regulatory & Compliance Advisor and Consultant. Experienced healthcare Project Manager, Counsel, Attorney and Advisor for Pharmacy Benefit Manager, Lawfirms, Managed Care Primary Groups, Office of the Governor of Puerto Rico, Health Insurance Plans, Pharmaceutical, Consumer and Medical Devices organizations...
HIGHLIGHTS OF QUALIFICATIONS * Licensed Nursing Home Administrator in SC in 2011 * Consistent deficiency free surveys 2011, 2012, 2014, 2017. One tag in 2013, 2015, 2016. * 5 Star Rating on CMS's Nursing Home Compare since inception. * AHCA Bronze Quality Award 2017 * QIO, CCME Award of Excellence for Exceptional Performance in Achieving a perfect score of 0% Healthcare Acquired Conditions from 2011 - 2014 when the project ...
Tags for this Online Resume: physical therapist, rn, physical therapy, outpatient physical therapy, care, outpatient rehabilitation, registered nurse, nurse, healthcare, pt, Nursing Home Administrator, Executive Director, Long Term Care Administrator, Healthcare Administrator, Skilled Nursing Home Administrator
To become a full-time, permanent member of a marketing team.
Ideal Companies: Marketer
Tags for this Online Resume: Communications, Manager, Account Manager, Regulatory, Proposal Writer, Management, Retail, Benefits, Budgeting, Business Requirements, Buying, ROI, Healthcare Compliance, Marketing, Remote, Telecommute, marketing, account manager, marketing manager, compliance and regulatory Medicare Part D
Summary * Responsible for administrative functions in health care delivery system. * Able to handle and resolving customer's enquiries and complaints * Submission of doctors credentialing with various insurance plans * ADP trained in "Essential Time and Attendance Bytes for Supervisors" to accomplish systematic payroll * OSHA and HIPPA Trained knowledgeable of last updates to safely implement healthcare regulations * Skillf...
Tags for this Online Resume: Assessments, Billing, Medical, Medical Billing, Office Administrator, Planning, Policies and Procedures, Strategic Planning, Complaints, Insurance, healthcare, MAnagement, contracts, healthcare compliance, credentialing
AREAS OF EXPERTISE & SKILLS * Specialization in execution excellence for US healthcare multi domain, multi-year and multi-million dollar, complex and challenging programs for New products set up, Legacy platform modernization and migrations, Healthcare compliance (HCR), Medicare, Private Exchanges set up and Digital footprint expansion along with Single Sign On setups. Deep business and technical knowledge and consulting ex...