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Online Resumes with "NCQA"

High Volume Producer in Utlization Reviews

High volume in production in Utlization reviews, educator, team leader and team member.

Ideal Companies: Crawford and company, Children's Healthcare of Atlanta

Tags for this Online Resume: UR, Cae Management, Precertification, Preautorization, Insurance, LPN, PRECERIFICATION, NCQA

The Oprah Winfrey of Sales

Stealth Expert in the art of the passive sale. Unprecidented success within service industries through sincere belief in market value and passionate anticipation of resulting customer delight. Seasoned twenty-first century virtual professional.

Ideal Companies: Google,,

Tags for this Online Resume: Sales, Consulting, Service Consultant, Employment Expert, Online Business, Virtual Business Development, Start-up, Writing, Copywriting, Career Services

Vice President, Marketing and Corporate Communication

Leadership responsibility for marketing strategy, business planning, corporate communications (internal, external, Internet, events, corporate responsibility)

Ideal Companies: Member Health, Universal American, Anthem/Wellpoint

Tags for this Online Resume: Marketing, communications, public relations, executive Healthcare, Banking, Business-to-Business, strategic/business planning, branding, content, direct marketing, creative development, staff/budget management.

Quality Healthcare Consultant

I have over six (6) years experience working in the Healthcare Insurance field, ranging from delegation oversight for external vendors, auditing, Medical Records, Quality Management review, QI reporting, presentation analyses and accreditation review for the National Committee for Quality Assurance (NCQA). In addition, I have over 14 years experience in the telecommunications field along with three degrees (AA, AAS and R...

Ideal Companies: Northwestern University, University of Chicago, South Suburban Hospital, Social Security Administration, Department of Health/Human Services, BCBS, United Health, Cigna

Tags for this Online Resume: Adobe Acrobat, Word, Excel, Powerpoint, Outlook, Sharepoint, MOSS, Access, PDF, Crystal Reports, MS Office, Acrobat Adobe

Accreditation Manager

To provide my URAC and NCQA knowledge and experience to an organization that needs to begin or maintain their accreditation status.

Tags for this Online Resume: URAC, NCQA, Delegation, Accreditation

Challenge is a part of life

Adaptible to any work environment, independent worker, resourceful, creative, quick learner

Clinical Compliance Director

To obtain a position as a quality improvement auditor or consultant who works with Managed care companies to offer guidelines and supportive processes to increase HEDIS/QARR rates and acquire NCQA accreditation

Healthcare Management- 6 years of experience in the Programs Development.

Contribute to the quality of life to the population through the development and implementation of Healthcare programs that promote the integral health.

Tags for this Online Resume: Office, NCQA, On Base, MedeAnalytics, Leader, hard worker

Supervisoor, Case Manager, 12 years experience, Cleveland

To obtain a management position that will allow me to utilize my leadership skills and/or develop programs reflecting current consumer demand in the healthplan field.

Tags for this Online Resume: supervisor, NCQA and URAC accreditation , registered nurse, policies and procedures, transplant, end-of-life


Creative, strategic, and energetic leader focused on leading a company to grow to the next level

Ideal Companies: managed care organizations, hospitals, physician groups, PHO, IPA, MSO

Tags for this Online Resume: ceo, coo, svp

Director, Quality Improvement

Grow with an organization that is committed toward improving the care and services to it's members and provider network. I would like to utilize my experience and knowledge on NCQA and HEDIS to further assist an organization with the expected changes with healthcare reform in 2014.

Tags for this Online Resume: NCQA, HEDIS, CAHPS, Performance Improvement, Pay for Performance, Regulators

Quality Management Reviewer/ Risk Management Reviewer

Experienced nurse with multiple undergraduate degrees interested in pursuing career as an staff analyst. Background includes staff nursing, quality management, risk management, and legal compliance.

Tags for this Online Resume: NYPORTS, NCQA, HEDIS, MySQL