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Online Resumes with "Health Plans"



KARYL HALL

KARYL HALL 413 Merritt Avenue NE (425) 888-3012 (h) North Bend, WA 98045 (425) 246-9856 (c) KBN1122@centurytel.net QUALIFICATIONS Extensive Benefit Administration Background: Deep knowledge of insurance law, subrogation, self-funded insurance plans, COBRA, HIPAA and ERISA requir...

Tags for this Online Resume: INSURANCE DEPARTMENT LEAD, SUBROGATION SPECIALIST, AUDITOR

Senor Pharmaceutical Sales Representative , Pharm. D

I am looking for a job that gives me the independence to sell and make money. Although this is what everyone wants I have a track record of being in the top 10% to 15% of the company all the time.

Ideal Companies: Glaxo, Pfizer, Merck

Tags for this Online Resume: Medical Science Liaison, Pharmaceutical Sales

Billing, Posting or Calculating Machine Operator

Ideal Companies: health alliance plan, procare health ins, molina ins, health plan of Michigan

Manager

Detail oriented, organized, over 25 years experience dealing with people, multi-task, friendly yet strong leader.

Ideal Companies: Any company fun to work with that has a good retirement and health plan.

Meeting Deadline Queen

exceptional interpersonal, communication and leadership skills. Resourceful, creative, loyal

Ideal Companies: Kaiser Hopsital, Health and Fitness Center, Health Spa and Resorts

Tags for this Online Resume: Health Care Administration, Allied Health, Consumer Advocacy, Health Care Customer Service, Medical Billing, Health Care Human Resources, Hospital Operations, Counseling, Clinical Research, Materials Management, Safety

Credentialing Coordinator

Identify, obtain and verify credentials for all licensed practitioners for initial credentialing and recredentialing. Prepare credential files for presentation to the credentialing/re-credentialing/Hearing and Appellate. Maintain electronic and hard-copy files to ensure all credentials are current. Prepare credentials files for State Agency and Health Plan audits.

Tags for this Online Resume: Credentialing, Coordinator, MBOC, ABMS, DEA, NPDB

I also have experience in physican's credentialing, follow up, insurance verification, pand data entry.

I'm looking for a career in I can learn new things and advance with time.

Ideal Companies: United Healthcare Group, Oxford Health Plan, GHI, HIP, Fidelis Care, Metroplus, Affinity Health Plan, Atlantis Health Plan, Health Plus, Healthfirst, 1199 SEIU, Wellcare

Tags for this Online Resume: Customer Service, Healthcare, Insurance, Credentialing Specialist, Receptionist, Data Entry, Bilingual, Follow Up, Medical, Insurance Verification

Experience Senior Manager Health Plan Operations

Senior Clinical Pharmacy Director for Large National Health Plan, Atlanta, GA

Tags for this Online Resume: PRN Retail, Work at Home

Driven Individual

Recent college grad looking to break into the marketing world. Exceptional interpersonal, communication and leadership skills. Resourceful, creative, loyal.

Ideal Companies: Not really any ideal companies but definitely one that works with an interesting product and has a young driven staff.

Tags for this Online Resume: Marketing, Account Management, Recruiter, Media Relations, Communications, Health, Kinesiology

Clinical charge nurse with 20+ yrs experience in peds (3 yr), L&D (3+ yrs), urology (13 yr), non-profit org administration (20 yr)

I want to work in management, assisting the administrator to advance our company in service provided to clients, to vendors, and to our own employees. I am looking for a position with an established company with clear lines of responsibility that will give me a health plan, paid vacation, and a retirement plan.

Tags for this Online Resume: RN, computer-savvy, Centricity, pediatrics, non-profit org experience, urology

Federal Government-Senior Medicare Policy and Operations Expert and Team Lead-ACA, BIPA, MMA, BBA, Business Requirements Developer, Goverment Task Leader/COTR, Subject Matter Expert, Auditor

: Seeking management position where I can lead the successful interpretation and implementation of and compliance with state and/or federal health care policies/regulations for the delivery of health care financing, insurance, and services.

Tags for this Online Resume: Medicare, Health insurance, healthcare, policy, enrollment, appeals, policy, health plan, provider, enrollment, mediation, appeals, compliance, beneficiary