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Online Resumes with "Prior Authorizations"

Featured Profile

Account Management/ Relationship Building - Sales & Marketing - 18Years of Experience - Near 89117

Professional Account Manager/Sales Representative specializing in marketing, sales, business development and customer service with an emphasis on relationship building and focus on insurance. Presently looking at all industries where skills can translate. Would love to learn a new field or relocate.

Ideal Companies: Insurance Carriers or Hospitality, Gaming or any industry where my skills and talents will translate.

Tags for this Online Resume: Las Vegas, Sr Account Manager, Account Manager, insurance, sales, marketing, customer service, business development

Featured Profile

Pharmacist w/ Management, Prior authorization, Formulary Management and Managed Care experience

A Registered Pharmacist in OH, KY, CT, NY and MA with strong analytical and problem solving skills. Proven ability to multi-task, work autonomously, manage projects and a diverse set of responsibilities, 10+ years of management experience. Team player who works well with cross functional groups and adapts well to changing environments. Skilled in building excellent relationships with a wide audience from support and pharmac...

Ideal Companies: United Healthcare, Anthem, Express Scripts, Humana, Mercy Healthcare,

Tags for this Online Resume: prior authorization, medicare, pharmacist, managed care, project management, six sigma, Cincinnati, long term care

Health Technologist - 5 Years of Experience - Near 85027

Tags for this Online Resume: reimbursclaome claimsement , claims, prior authorizations

Featured Profile

Senior Sales Representative finishing in Top 5% of company with 4 years of experience seeking postion with biotech/pharmaceutical company

Highly motivated and accomplished sales executive with a proven ability to drive business growth through aggressive sales initiatives that produce revenue growth, market share, and new-market penetration. Tactical thinker with the ability to design and implement sales, marketing, and business action plans to support corporate objectives.

Ideal Companies: Johnson&Johnson, Genzyme, Genentech, Biogen, Regeneron, Pfizer, NC Biotech Medical

Tags for this Online Resume: Experienced, Driven, Motivated, Accomplished, Growth, Leader

Licensed Nurse - 5 Years of Experience - Near 76522

- Service Delivery Operations Team Lead Present -Interpret day-to-day business objectives and prepare/execute operational practices/work programs. Ensure proper execution of processes by team May make decisions about the day-to-day operation of the group including management of work assignments and information between shifts as well as approach regarding workload equipment staffing and scheduling. Includes adjusting work ho...

Tags for this Online Resume: Dialysis, LPN, Wound Care, Customer Service, Data Entry, Distribution, Documentation, Gastrointestinal, Health Insurance Portability And Accountability Act, Insulin

Case Management Manager - 20 Years of Experience - Near 60409

I am a Nurse Case Management professional with upwards of 16 experience. My experience includes but is not limited to Telephonic Complex Case Management, Occupational Health/Worker’s compensation, and Psychiatric Nursing. Additionally, my proficiency with Utilization Review software, namely InterQual criteria and guidelines as well as Epic allows me the opportunity to make determinations on admissions, prior authorization, ...

Tags for this Online Resume: Utilization Review, ICD-9, Health Care Industry, Interqual, MCG, Communication Skills, Computer Aided Software Engineering, Patient Care, Coding, ICD-9, Health Care Industry, Management, Benefits, Communication Skills, Computer Aided Software Engineering, Patient Care, Utilization Review Nurse, Allscripts, Powerchart, Epic, EMR, CPT Codes

Featured Profile

Pharmacist - 20 Years of Experience - Near 55388

To help my customers in the safe and cost-effective use of pharmaceuticals to maximize their benefits while minimizing their costs and adverse effects.

Tags for this Online Resume: Pharmacist, Drug Formulary, Pharmaceutical Contracting, Contracting Terms and Conditions, Vendor relations, Communications, Cost Savings, 340B Program, Microsoft Office Suite, Services

Medical Office Manager - 8 Years of Experience - Near 33069

Detail-oriented, dedicated and energetic professional with 10+ years of successful experience. Committed in maintaining a reputation based on customer service, quality, and effective leadership. Currently seeking a position where I can effectively utilize my skills, abilities, and expertise as follows: * Team Lead/Oriented * Supervise/Mentoring * Medicare/Medicaid * Team building/Coaching * Operations Management * Strategic...

Tags for this Online Resume: Complaints, Customer Service, Negotiation Skills, Retention, Team Lead, Call Center, Microsoft, Microsoft Access, Microsoft Excel, Microsoft Office

Medical Office Manager - 10 Years of Experience - Near 30329

Summary of Qualifications and Skills: Comprehensive knowledge of Medical Terminology, Current Procedural Terminology (CPT) Codes, International Classification of Diseases (ICD- 10) Codes. Extensive knowledge of Managed Care Insurance and Workman?s Compensation Regulations and Guidelines. Inclusive knowledge and experience in Medical Billing, Insurance Follow-up, Accounts Payables, Accounts Receivables, and Medical Business ...

Tags for this Online Resume: Medical Referral Coordinator IV, Prior Authorizations/Pre-certifications, Call Center Scheduling Supervisor, Medical Billing/Insurance Follow ups Specialist, Accounts Recievable/Accounts Payables, Medical Billing Manager, Patients Accounts Manager, Management, Medical Office Manager, Patients Service Relations

Pharmacist - 13 Years of Experience - Near 33785

SUMMARY: * Active Florida Pharmacist License #53616 * Highly knowledgeable with experience in prior authorization, hospital, retail and long-term care pharmacy. * Adept at all aspects of daily management and inventory * Strong decision-making ability * Efficient and accurate * Skilled in clinical interventions * Strong clinical background * Drug utilization review * Inventory management * Expert understanding of Medicare an...

Tags for this Online Resume: Management, Triage, Nephrology, Cardiovascular, Data Management, Research, Sales, Sales Training, Training, Clinical Research

Pharmacy Technician

Summary Highly motivated, High-performing medical office, and healthcare management student, with excellent communication skills and a strong background in retail management, prior authorizations, and pharmacy. Looking to apply my education and experience to a career by join a growing organization where I can continue to develop, and learn while advancing within the company.

Tags for this Online Resume: Documentation, Security, Distribution, Policies and Procedures, Scheduling, Billing, Comdisco Continue, Communication Skills, Excellent Communication Skills, Health Care Industry

Registered Nurse - 20 Years of Experience - Near 85050

QUALIFICATIONS * Health Care Background-Solid range of practically acquired clinical work experience and academic, nursing study with exposure to medical/surgical, obstetrics/gynecology, pediatrics, labor and delivery, newborn, nursery, intensive care, direct observation, neonatal pediatrics, pediatric intensive care, geriatrics, coronary care, psychiatric unit, operation room and emergency room procedures. * Basic Nursing ...

Tags for this Online Resume: Management, Medical, Medical Records, Medical/Surgical, NICU, Pediatrics, Surgical, Operating Room, Scheduling, Surgery, womens health, quality management