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Online Resumes with "Managed Care Professional "

Healthcare Professional

Tags for this Online Resume: Registered Nurse, Managed Care Professional , Healthcare Consultant, Director of Case Management, Nursing Informatics

Managed Care Professional

Tags for this Online Resume: Managed Care, Provider Relations Representative, Provider Relations Manager, Medicare Advantage Plans, Member Services Representative, Member Services Manager

Case Manager, Nashville Area

A Managed Care professional with extensive career experience in developing personalized patient care plans, staff and workflow scheduling and auditing procedures to ensure legal compliance. Recognized for building strong supportive relationships and delivering optimum member care and education. A quality focus on exceeding the required metric demands by employer for documentation and reimbursement standards.

Tags for this Online Resume: Case Management, Mentor and Trainer, Startup Business Experience, Supervisor, Manager, Registered Nurse

Seasoned Provider Network Management professional with 27+ year of experience

I'm a Provider Network Director who has 27+ years of experience who is expert at developing, recruiting and managing provider networks, expertise developing physician/hospital Provider Relations, and am strategic in planning and tactical in organizaing and implementing activities.

Tags for this Online Resume: managed care professional, provider contracting negotiator, Provider Risk Contracting, provider network development, managed care strategist, NCQA/HEDIS expert

Senior Credentialing Representative - 13 Years Healthcare Experience - Nashville, TN

Dynamic Managed Care Professional with extensive experience in provider relations, credentialing, and provider contracting. Highly effective leader in situations that require prioritizing to reach a certain goal with a strong track record of performance in large organizations. Fluent in interpretation of CMS Policies and Procedures while providing excellent customer service and analytical skills.

Tags for this Online Resume: Effective , Leader , Credentialing, Provider Relations