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Healthcare Grievance & Customer Service Administrator
Columbus, OH
... Professional Experience Grievance and Appeals Coordinator Maxim Healthcare May 2025 – April 2026 ● Processed member grievances and appeals in compliance with Medicare, CMS, and regulatory guidelines ● Conducted research and analysis to prepare ... - Aug 02
... Professional Experience Grievance and Appeals Coordinator Maxim Healthcare May 2025 – April 2026 ● Processed member grievances and appeals in compliance with Medicare, CMS, and regulatory guidelines ● Conducted research and analysis to prepare ... - Aug 02
Customer Experience & Client Success Leader
Pickerington, OH
... to Sponsor Agent Revenue: $900k Client-focused insurance sub-agent affiliated with HealthMarkets Insurance Agency, with experience supporting individuals and families in navigating health, life, Medicare, and supplemental insurance options. ... - Jul 30
... to Sponsor Agent Revenue: $900k Client-focused insurance sub-agent affiliated with HealthMarkets Insurance Agency, with experience supporting individuals and families in navigating health, life, Medicare, and supplemental insurance options. ... - Jul 30
Senior Java Full-Stack Developer
Columbus, OH
... FULL STACK JAVA DEVELOPER, Pittsburgh, PA BNYM, March 2020-April 2024 Developed Spring Boot microservices and Angular UI; migrated AngularJS to Angular 14. Deployed to AWS (EC2/ECS/Lambda/IAM/CloudWatch); implemented IaC with Terraform and CI/CD ... - Jul 14
... FULL STACK JAVA DEVELOPER, Pittsburgh, PA BNYM, March 2020-April 2024 Developed Spring Boot microservices and Angular UI; migrated AngularJS to Angular 14. Deployed to AWS (EC2/ECS/Lambda/IAM/CloudWatch); implemented IaC with Terraform and CI/CD ... - Jul 14
Production RAG and LLM Systems Engineer
Columbus, OH
... Employment history FEB 2025 – PRESENT, GENERATIVE AI DEVELOPER UnitedHealth Group, Cleveland, OH JUN 2022 – AUG 2024, AI / ML ENGINEER TCS (Client: Hilton), Hyderabad, India Built and maintain a production retrieval-augmented generation pipeline ... - Jul 10
... Employment history FEB 2025 – PRESENT, GENERATIVE AI DEVELOPER UnitedHealth Group, Cleveland, OH JUN 2022 – AUG 2024, AI / ML ENGINEER TCS (Client: Hilton), Hyderabad, India Built and maintain a production retrieval-augmented generation pipeline ... - Jul 10
Customer Care Specialist III - Medicaid/Medicare
Columbus, OH
... Interpret healthcare policies, plan documents, and regulatory guidelines (Medicaid, Medicare, Marketplace). Coordinate with internal departments such as claims, care management, provider services, and pharmacy to resolve issues. Educate members on ... - Jul 06
... Interpret healthcare policies, plan documents, and regulatory guidelines (Medicaid, Medicare, Marketplace). Coordinate with internal departments such as claims, care management, provider services, and pharmacy to resolve issues. Educate members on ... - Jul 06
Data Warehouse & BI Architect (Oracle Expert)
Plain City, OH
... Outstanding Contribution – 2005 EPM ND Best Team Award – EPM Product Development (2004) PROFESSIONAL EXPERIENCE: Software Developer Client: ODOT – State of Oklahoma Agency Apr 2025 – Present Project Description: Implemented Fusion Data Intelligence ... - Jul 02
... Outstanding Contribution – 2005 EPM ND Best Team Award – EPM Product Development (2004) PROFESSIONAL EXPERIENCE: Software Developer Client: ODOT – State of Oklahoma Agency Apr 2025 – Present Project Description: Implemented Fusion Data Intelligence ... - Jul 02
Behavioral Health EHR Billing & Prevention Lead
Reynoldsburg, OH
... Daniels Akron, Ohio • 330-***-**** ******@*****.*** • Open to Relocate PROFESSIONAL SUMMARY Behavioral health administrative and prevention professional with 10+ years of experience in EHR systems (Carelogic, GOSH), Medicaid/Medicare billing, audit ... - Jul 01
... Daniels Akron, Ohio • 330-***-**** ******@*****.*** • Open to Relocate PROFESSIONAL SUMMARY Behavioral health administrative and prevention professional with 10+ years of experience in EHR systems (Carelogic, GOSH), Medicaid/Medicare billing, audit ... - Jul 01
Operations-to-Software Engineer (Full-Stack & Data)
Columbus, OH
... • Implemented physics, UI state machines, asset management, and performance optimizations. Manufacturing ERP/QMS Toolkit (In Development) Java, MySQL, Android, Python • Designed modular ERP/QMS components for food manufacturing traceability, ... - Jun 22
... • Implemented physics, UI state machines, asset management, and performance optimizations. Manufacturing ERP/QMS Toolkit (In Development) Java, MySQL, Android, Python • Designed modular ERP/QMS components for food manufacturing traceability, ... - Jun 22
Business Analyst: Requirements & Systems Thinking
Columbus, OH
... Business Analyst / .NET Developer Alphenso Technology Bangalore, India Dec 2019 – Dec 2021 Elicited and decomposed requirements for .NET application development projects, translating business objectives into functional specifications, user stories, ... - Jun 19
... Business Analyst / .NET Developer Alphenso Technology Bangalore, India Dec 2019 – Dec 2021 Elicited and decomposed requirements for .NET application development projects, translating business objectives into functional specifications, user stories, ... - Jun 19
PMHNP-BC: Psychiatric Nurse Practitioner Resume Title
Delaware, OH
... Coordination • Cognitive Behavioral Therapy (CBT) Principles • Motivational Interviewing • Home-Based Health Assessments • Medicare Annual Wellness Visits • Health Risk Assessments (HRA) • Chronic Disease Management • Medication Reconciliation • ... - Jun 10
... Coordination • Cognitive Behavioral Therapy (CBT) Principles • Motivational Interviewing • Home-Based Health Assessments • Medicare Annual Wellness Visits • Health Risk Assessments (HRA) • Chronic Disease Management • Medication Reconciliation • ... - Jun 10