Manager Health Resume Sample
Baby Cartwright
2923 Modesto Trafficway,
Boston,
MA
+1 (555) 639 9472
Work Experience
Manager Health
03/2017
-
PRESENT
Dallas, TX
- Support implementation of the sector’s knowledge infrastructure, using firm standard architecture and technologies, to develop home sites and communities that align broader context of business priorities with content strategy (working closely with the assigned content advisor and community implementation lead)
- Together with respective business leaders, help to convene the sector’s specialists to facilitate dialogue and to advance and extract relevant knowledge, ensuring that innovative ideas, good practices and lessons learned from pursuits and engagements are shared across and beyond the sector
- Drive the execution of the sector’s content strategy to ensure re-usable collateral is captured, co-created or curated, surfaced and proactively distributed to practitioners, including knowledge assets such as credentials, ‘Why EY’ decks, or account activity
- Coordinate documentation, tracking and resolution of all plan providers’ billing and payment issues
- Provide expertise and research providers’ claims inquiries from plan and corporate staff
- Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners’ (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer
- Uses, protects, and discloses HCP patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Office Manager, Health Services
01/2013
-
11/2016
Detroit, MI
- Ordering supplies for office
- Determining appropriate steps to assist clients/residents/staff/family members
- Other routine decisions as they pertain to the essential functions of the position
- Lead analysis, provide recommendations, and represent Analytics
- Work closely with leaders across business areas to drive results across the business
- Manage levels of performance and assist with employees’ professional growth by planning and building an effective organization; communicating effectively; coordinating with others; maintaining employee morale; motivating, recognizing and rewarding others; coaching and developing others, and engaging in self-development
- Develop, prioritize and implement strategy; set policies and procedures and manage creativity and innovation with primary goal of impacting health business
- Definition and refinement of sustainable end to end operational processes to support Health Checks
Manager, Health Management Consulting
07/2010
-
11/2012
Philadelphia, PA
- Gaining subject matter expertise in Health Check methodology and the related analytical database
- Engage key stakeholders and deliver effective change and progress the community’s knowledge culture
- Identify opportunities to achieve a step change advancement of the community’s accessible knowledge
- Works with procurement and IT to negotiate and coordinate vendor contracts across the segment for the health management system, as well as procurement and management of medical assets that coordinate with the system, including audiometers, EKG’s, etc
- Participate in the design, development, implementation and support of the Global Benefits strategy and set of plan offerings that are aligned with business objectives and are externally competitive and internally equitable
- Oversee The Hershey Company’s health and wellness program including monitoring the cost effectiveness of existing self-insured and insured group health and welfare as well as supplemental plans and making well thought-out, fact-based recommendations on required revisions to meet strategic benefits objectives and to comply with federal and state legal and regulatory requirements
- Design and implement all supplemental benefits including: dental, vision, life/supplemental life, workers compensation, disability and other paid-time off offerings
- Evaluate, design, recommend and implement new offerings to meet changing business needs
Education
Silicon Valley University
2004 - 2009
Bachelor's Degree in Computer Science
Professional Skills
- Background in working with electronic medical records, medical management system, metrics, population health or other relevant experience demonstrated
- Experience working within the healthcare insurance industry (e.g., network contracting, clinical programs, etc.)
- Excellent benefits; including Tuition Reimbursement
- Over 3 years and up to and including 5 years of healthcare experience
- Engage Sales resources and validate account strategies, needs analyses, and deal strategies
- Working experience
- Aligns and prioritizes support team activity for normal and emergent activity
How to write Manager Health Resume
Manager Health role is responsible for health, leadership, procurement, training, integration, database, auditing, architecture, reporting, research.
To write great resume for manager health job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Manager Health Resume
The section contact information is important in your manager health resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Manager Health Resume
The section work experience is an essential part of your manager health resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous manager health responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular manager health position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Manager Health resume experience can include:
- Maintain an effective, efficient service bureau, which meets or exceeds the customer’s expectations
- Practice continuous improvement on Health Check practices, identifying areas for streamlining and efficiencies
- Manage delegated credentialing team including the development and oversight of performance metrics and application of HR policies and procedures
- Act as the primary point of contact for all vendors for plan administration and on-going vendor management
- Responsible for the development, continuous improvement, and administration of comprehensive employee benefit plans, including policies, communication, and ongoing analysis/modifications
- Develop content including plans, competitive analysis’, executive and corporate thought leadership documents, event recommendations, media strategy and the like
Education on a Manager Health Resume
Make sure to make education a priority on your manager health resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your manager health experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Manager Health Resume
When listing skills on your manager health resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical manager health skills:
- Three to five years experience working with Behavioral Health and/or Substance Use required
- Experience in Wellness programming required
- Experience working in public relations
- Strong work and moral ethic with the innate ability to do what’s right for the team and business, beyond achieving personal accolades
- Demonstrates ability to work with and influence team members functioning in a matrix environment
- Collaborates with information delivery to measure consulting strategy effectiveness
List of Typical Experience For a Manager Health Resume
1
Experience For Office Manager, Health Services Resume
- Communicates goals and outcomes of consulting strategy to upper management to gain support in consulting initiatives
- Collaborates with internal stakeholders as needed to provide value added services to BCBST’s clients while supporting changing needs
- Responds to requests for information and proposals regarding BlueHealth Solutions products and consulting services
- Collaborates with product development, marketing and sales regarding the wellness programs alignment with needs and expectations of the market and our members
- Collaborates with sales and account management to assist in driving incremental health and wellness product sales
2
Experience For Manager, Health Management Consulting Resume
- Provide RFP responses for HMS
- Assemble PowerPoint presentations to support sales activities
- Coordinate meetings, webcasts, and visits by prospects
- Directs the Site’s HSE&F AOP, STRAP, and Corporate governance processes including, the assurance letter, compliance initiatives, governmental reporting, and best practice exchanges
- Is a strong advocate of the Honeywell Operating System (HOS) behaviours and tools and adopts them as part of the HSE&F enterprise’s MOS. Provides guidance and support to assure site HOS phase gate exits are successful and gaps are identified and corrective actions are implemented
- Collaborate with medical informatics, account management, sales, product strategy and all other stakeholders as needed to provide value added service to BCBST’s customers
- Ensures various team members provide high quality and cost effective services
- Assist with strategy development for BCBST’s employee wellness program
3
Experience For Credentialing Manager, Health Plan Resume
- Responsible for assisting in administration of Raiser’s Edge donor database including data entry, maintaining accurate data for event mailings and electronic mailings, timely donor acknowledgements, reporting and tracking of gifts
- Support sales forces in all reimbursement matters provide health economic argumentations to support the applicable use of Celgene’s drugs
- Assists with the development and evolution of the team’s strategic direction, annual goals and objectives, recommends new processes and changes for increased department productivity
- Prepares and codes invoices and other bills for supervisors’ approval and forwards to AP within established timeframes
- Independent thinker; Ability to analyze data and provide meaningful insight as to patterns and trends
- Firm understanding and background in electronic medical records with an ability to interface and problem solve system issues with medical professionals. Responsible as the primary point of contact with safety technology and IT on all issue identification and resolution for the clinic EMR
- Fully understand population health and biostatistics with an ability to look at interventions and outcomes in the health and wellbeing area. Demonstrated past leadership and strategy in this area is critical
4
Experience For Manager, Health Partner Contracting & Service Resume
- Problem solve device interface issues with the electronic medical record, with collaboration from nursing and medical team
- Mental Health/Chemical Dependency: Utilize expertise of best practice standards to render medical and social necessity determinations
- Quality of Care: Adhere to clinical standards of care through collaboration with providers in order to ensure appropriate outcomes
- Case Management: Communicate with members, family and other medical personnel as necessary to facilitate a desired outcome
- Pharmacology: In collaboration with Physician Advisor, assess appropriateness and effectiveness of medications in order to determine a medications use, dosage, side effect as applied to different disease states
- Electronic Records: Manage electronic files to create patient files in order to document patient records, treatments, and progress
- Regulatory Guidelines: Practice and adhere to departmental and state guidelines in order to protect self, members, and organization
5
Experience For Manager, Health Partnerships Resume
- Professional Development: Attend educational workshops; review professional publications; establish personal networks; participate in professional societies in order to maintain professional and technical knowledge
- Resolve routine issues with the Health Partners in the market in accordance with the department’s service level agreements/expectations
- Oversees health management consultant team and accountable for employee and team development and performance
- Accountable for developing and implementing the health management consulting strategy, toolkit and overall effectiveness of the health management consulting team
- Assists consultants with designing and developing population health management strategies for key clients and industries at large
- Reviews population health management and product strategy and makes recommendations based on client feedback and industry trends
6
Experience For Evaluation Senior Manager, Health Professions Resume
- Accountable for maintaining awareness of current industry trends in health and wellness programs, corporate wellness as well as market changes impacting health and wellness programs
- Oversee and encourage the collaboration with key Health Partners in the development of specific strategies for enhanced engagement. Health Partner engagement shall be measured by confidence in CareSource’s ability to fulfill promises, integrity to make things right when problems occur, pride in working with CareSource and their passion about CareSource being a vital member of the care team
- Works with procurement and IT to negotiate and coordinate vendor contracts across the segment for the health management system, as well as procurement and management of medical assets that coordinate with the system, including audiometers, EKG’s, etc. Also provides technology expertise for online or app based solutions for the wellbeing programs
List of Typical Skills For a Manager Health Resume
1
Skills For Office Manager, Health Services Resume
- The majority of the job is performed in a production/manufacturing environment with some risk and harmful elements
- Translate the identified Philips solution for the opportunity into a value proposition and create a pricing strategy to support the proposition
- Ensure compliance with the organization’s credentialing plan
- Regular workload with minimal overtime or urgent tasks
- Build a Business Plan that supports achievement of your Quota
2
Skills For Manager, Health Management Consulting Resume
- Accurately forecast your sales funnel
- Research target opportunities and generate account leads
- A fast-paced & positive work environment
- Professional development and growth opportunities
- Onsite gym, cafeteria and free coffee
- Discounts on company products
- As the Principal Investigator, lead the design and execution of health outcomes studies including writing research proposals, designing questionnaires, overseeing statistical analysis plan (SAP) development, overseeing data analysis, providing analytical interpretation, writing reports, and writing abstracts, posters, and manuscripts
- Successfully work with internal and external collaborators in the above listed tasks
3
Skills For Credentialing Manager, Health Plan Resume
- Successfully lead engagements to ensure client satisfaction and ensure deliverables are sent on time and are of rigorous scientific quality
- Serve as project manager including developing and keeping project timelines, ensuring purchase order (PO) is received and submitting invoices in a timely manner
- Contribute to process improvements with respect to project management, knowledge sharing, and quality control
- Conduct research in coordination with cross-functional teams to assist in defining strategies for assigned products
- Mentor junior research staff
- Provide health outcomes expertise and thought leadership to both internal and external stakeholders
- Attend and present at professional conferences
- Be available for travel to support of all of the above responsibilities (~10%)
- Understands business use of the implemented interfaces
4
Skills For Manager, Health Partner Contracting & Service Resume
- Help to build client relationships and participate in business/clinical development and proposal work
- Develop commercial strategies and tactics for pipeline and/or in-line branded products specific to the Managed Care marketplace
- Establish portfolio business case and deliver portfolio/product mix and related KPI’s including financial performance, gross profit contribution, and learner outcomes
- Provides direct oversight for the team of Support Coordinators responsible for the development and management of person-centered Individual Support Plans for Individuals with I/DD, which includes supervising the work of RN’s, in coordinating services for Individuals with I/DD ensuring contractual requirements are met
- Coordinate and support PMI R&D’s ongoing post-market assessment studies in Japan with a collaboration with CROs (clinical research organization)
5
Skills For Manager, Health Partnerships Resume
- Supports the operations of existing environment
- Adheres to a production support process and timeline
- Respond to internal helpdesk tickets
- Responsible for collaboratively working with the HIM Operations management team to define and implement the strategy, goals, objectives, budgets, orientation and training requirements, system policies and procedures, as well as, performance standards for all HIM Operations functions
- Oversee, plan, manage, and lead core HIM operations while ensuring turnaround times, quality, and productivity standards are met. Inform the System Director of HIM Operations of any significant issues/barriers
- Design, lead, and implement a decentralized clinical scanning quality assurance program. Strong leadership and communication skills are vital to interfacing with different levels and departments within the health care system to accomplish this goal
6
Skills For Evaluation Senior Manager, Health Professions Resume
- Directly responsible for ongoing record review/other related MRC/CDC activities and HIM process improvement activities to meet the needs of the network entities and the health care system. Functions as a subject matter expert on regulatory requirements (Joint Commission/DNV, State, CMS) related to HIM Operations
- Works with on-site HIM departments to enhance operations and/or to resolve operational issues/barriers to performance
- Responsible for the development of System HIM Operations policies and procedures, tools, resources, and educational materials
- Maintains confidentiality of patient health information in accordance with federal, state, local and UNC HCS policies; working closely with the site/system HIPAA Privacy and/or Compliance resource
- Function as the primary liaison for ROI vendor (and other vendors)
- Gain subject matter expertise in EPMO & EES methodologies and standards
- Manage to team objectives and deliverables in accordance within applicable policies, accreditation and regulatory requirements
- Management of team, projects and business relationships conducted through virtual interactions across various locations
- Leads cross functional teams and collaborate with business units to integrate quality objectives into their operational plans
7
Skills For Program Manager, Health Care Resume
- Develop, implement and evaluate organizations policies and procedures to meet business needs
- Directs and provides enhancements to business processes, policies and infrastructure to improve operational efficiency and comply with documented policies, accreditation standards and regulatory requirements
- Influence business owners to reach solutions that meet cross-functional business objectives
- In partnership with business owners, supports design/development of new or enhanced processes or services
- BA/BS; 5 years of experience in Health Care Management; at least 3 years’ experience providing person-centered support coordination to individuals with I/DD receiving LTSS; or any combination of education and experience, which would provide an equivalent background
- Current active unrestricted RN license in the State of Virginia
- Day and overnight travel required
- Provides administrative leadership to the CSB staff in the Director’s absence. This includes providing direction, making appropriate judgment decisions, assuring that there is appropriate staffing in the CSB, coordinating and facilitating staff meetings, etc
8
Skills For Regional Manager Health Services West Resume
- Brand Team Support: Serve as brand team’s key point of contact for all things digital (within brand/category assignment). This includes leading weekly/bi-weekly meetings, manage digital project list and timeline, providing strategic guidance when needed
- Digital Strategy: Lead the creation of the digital strategy, working alongside the brand teams, of each business unit to deliver on marketing defined business objectives. Collaborate with brand managers as well as external agency partners, to provide appropriate guidance, expertise and support needed to deploy programs
- Analysis & Reporting: Use analytic tools (Google Analytics, Omiture, Optimizely, Test & Target) to develop KPI measurements for each initiative and provide regular reports that monitor performance with insights and recommendations. Also responsible for structuring tests to improve performance and conversions
- Brand Equity: Demonstrate brand stewardship across all digital materials working closely with the brand, licensing and creative teams to ensure that all efforts are on brand and on strategy
- Websites: Responsible for the development and maintenance of branded websites to insure content is up to date, testing to ensure site is functional and remains intact, SEO strategy is optimized and provide ongoing enhancements as needed
- Licensing: The digital marketing manager needs to have in-depth knowledge of licensing guidelines, ensure that all content follows the guidelines and is approved thru appropriate submission process
- Develop solutions to efficiently and effectively complete client projects to optimize time, resources and profitability
- One to three years clinical and managed health care experience required
9
Skills For Senior Manager, Health Innovation Resume
- Leadership/management experience required
- Ensuring all benefit programs are consistent with the company’s focus and competitive in the marketplace
- Work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability
- Knowledge of Microsoft operating environment
- Knowledge of Linux operating environment
- Lead the design and execution of Outcome Research studies with clients, including writing research proposals, questionnaire design, statistical analysis plan (SAP) development, data analysis, report writing, poster and manuscript development, and proposal pricing
- Work closely and collaboratively with other internal departments and functions including Business Development, Operations, Marketing Insights and Market Access to provide research guidance and support for relevant projects
- Work closely and collaboratively with clients across US, Europe and Asia
- Monitor all engagements with clients to ensure client satisfaction and ensure deliverables are sent on time and of rigorous scientific quality
10
Skills For Senior Manager Health Care Inflammation & Immunology Resume
- Attend and drive scientific thought leadership through involvement in ISPOR, industry conferences, collaboration with key opinion leaders, and authorship of peer-reviewed and white papers
- Support business development activities by proactively meeting and strategizing with clients to identify research opportunities
- Advise internal teams on ways to optimize data assets, data collection and methods in anticipation of future market needs
- Lead the design and execution of OR studies with clients, including writing research proposals, questionnaire design, statistical analysis plan (SAP) development, data analysis, report writing, poster and manuscript development, and proposal pricing
- Expert knowledge in the disease state or product category to which assigned
- Responsible for compliance with all laws and regulations as well as Celgene’s Policies in all activities
- Tailor proposals to specific prospect requirements
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