Medical Consultant Resume Samples

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E Schamberger

Esperanza

Schamberger

6106 Theresia Estates

Philadelphia

+1 (555) 375 5920

6106 Theresia Estates

Philadelphia

Phone

p +1 (555) 375 5920

Experience Experience

Phoenix, AZ

Medical Consultant

Phoenix, AZ

Berge and Sons

Phoenix, AZ

Medical Consultant

Establish scope, protocol and approach to providing both Guest first aid and Cast Member Health Services at SHDR
Develop strategies to increase employee engagement in their health and life balance in order to build a resilient and productive workforce for the future
Identify, manage and mitigate fundamental occupational medicine issues at the workplace
On duration of the project, interface with site management on all Cast Member health-related matters
Develop Occupational Health Policies and Procedures
Development and presentation of CPD seminars, luncheon presentations to clients or IDEXX staff
Consultants are expected to meet caseload and turnaround expectations and to be accessible for client consultations during regular working hours

Houston, TX

Medical Information Consultant

Houston, TX

Bernier Group

Houston, TX

Medical Information Consultant

Self-Management, act as a Product and sales expert within the team, provide counselling and mentoring to junior team members
Finance Management, set up budget plan and execute accordingly based on company policy
Planning: propose, review, design and implement hospital promotion plan through the collaboration with line manager and marketing colleagues
Team Collaboration, work closely and collaboratively with other team members
Sales Achievement & Business Development
Industry & Disease/Therapeutic area
Industry & Disease/Therapeutic area knowledge

present

Los Angeles, CA

Professional Medical Affairs Consultant

Los Angeles, CA

Berge, Kirlin and Wilderman

present

Los Angeles, CA

Professional Medical Affairs Consultant

present

A significant part of the successful applicant’s working time will be spent in travelling within Turkey
To understand clinical and performance differences between JJVC products and key competitor products
Assist Turkish PAF & Business team: panel meetings and training, product launches, practice visits etc
Teaching ECPs how to communicate and fit new JJVC products, using a benefit driven strategy
Support generic educational initiatives to increase knowledge and confidence in contact lens prescribing and fitting
To understand the interaction between sales, marketing and national accounts
To keep up to date with the latest research and advancements within vision care correction

Education Education

Bachelor’s Degree in Health Related Field

University of Florida

Bachelor’s Degree in Health Related Field

Skills Skills

Flexible with a strong ability to multitask
Strong literature searching skills and ability to synthesize complex information
Excellent medical writing skills/ability to write clearly for a diverse audience
Excellent written and verbal communication skills including the ability to present information in to large audiences
Ability to identify, evaluate, understand and synthesize clinical evidence from peer reviewed literature
Ability to analyze and translate data to develop recommendations for action plans
Able to work with minimal supervision
Ability to multi-task, shifting back and forth effectively among multiple activities
Comfortable speaking and working with Senior Leadership
Ability to track and analyze data to report out to management

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Medical Consultant Resume Examples & Samples

Establish scope, protocol and approach to providing both Guest first aid and Cast Member Health Services at SHDR
Understand and document as relevant to Disney the local Shanghai and China country specific requirements for worker health and public health
Provide medical consultation and expertise for occupational health matters. Document process and protocols and train related partners to include medical surveillance, government mandated exams and certifications, OSHA-required exams, work-related injury/illness management, fitness for duty evaluations, urgent care cases
Develop strategies to increase employee engagement in their health and life balance in order to build a resilient and productive workforce for the future
Define strategy for determining whether to in source or outsource the Guest First aid services, and take part in hiring or defining outsource vendor
Work with Director of Safety, VP of HR and CMO to develop a strategy for Cast Member Health Services including recommendations on physician and nursing staffing and services, operational effectiveness, and clinical effectiveness
Develop Occupational Health Policies and Procedures
On duration of the project, interface with site management on all Cast Member health-related matters
Work with Director of Safety (SHDR) and VP of Safety Services, as well as CMO to create new medical surveillance programs as needed to address novel occupational health hazards
Provide wellness services (biometrics, health assessments, wellness lectures) as needed
Establish partnership with local hospital; and parameters of that partnership as it relates to green channel for guest and cast medical services, sick leave mgt., maternity situations, work injury, health certification renewals etc
Monitor ongoing emerging public health issues in China and work with site leadership and CMO to mitigate exposures to Cast and Guests at SHDR
Identify, manage and mitigate fundamental occupational medicine issues at the workplace
Fluent in both English and Mandarin
Understanding of both Western Medicine as well as Traditional Chinese Medicine
Broad perspective on health care delivery and ability to translate the vision to strategy and execution
Personal and professional integrity of the highest order
High energy and personal presence as a component of leadership ability
Effective consensus building and negotiation skills
Excellent communicator, both written and oral for multiple audiences
Highly developed interpersonal skills with demonstrated ability to manage multiple constituencies
Able to collaborate in a global environment with occupational health and wellness leaders from various countries

Retiree Medical Actuarial Consultant Resume Examples & Samples

Perform actuarial consulting in the area of retiree health care valuations
Assist in the development of standard processes and tools for retiree medical claims and trend assumptions that lead to high quality results
Provide actuarial client project leadership focusing on building relationships with clients and/or other internal RFM consultants, working independently and often directing the efforts of others through project management, coaching and mentoring team members
Form effective actuarial teams, share client background and goals, share ideas, provide timely and regular coaching and feedback to team members
Lead all retiree health care-related actuarial valuation work on client teams, provide technical coaching to other team members, and provide ultimate sign-off on results
Additional formal or informal responsibilities may include: people management or mentoring, workflow management, technical expertise
Actively engage in peer review to ensure high quality client deliverables
College degree (or equivalent experience)
Candidate must have ASA/FSA (Associate of the Society of Actuaries or Fellow of the Society of Actuaries) designation
5+ years of health care industry experience (carrier or consulting)
People management experience or equivalent skills (depending on people management responsibilities)

Medical Economics Consultant Resume Examples & Samples

Prior budgeting and planning experience
Comprehensive knowledge of Microsoft Office applications including Access, Excel and multi-dimensional databases
Must be proficient with SQL Server - build complex queries
Must understand CMS reimbursement - Medicare to providers on a FFS basis
Strong data manipulation skills

Medical Services Consultant Resume Examples & Samples

Independent professional standing in a clinical behavioral health field
5-10 years of progressive management experience in managed behavioral health care
Ability to collaborate in a joint team framework on achieving overall medical/behavioral goals
Master’s degree required

Medical Practice Consultant Resume Examples & Samples

Professional appearance and disposition
Commitment to client service
Strong initiative and problem solving abilities
Commitment to business development
Strong organization and time management abilities
Strong Excel skills
5+ years Healthcare industry experience/and or education
Solid knowledge of Medicare and third-party payer coding and billing regulations
Understanding of operations management for medical clinics
Knowledge of various physician compensation arrangements and models
Experience in developing and performing presentations
Strong project management skills are imperative

Medical Quality Consultant Resume Examples & Samples

A background in Customer Experience is essential
Quality experience
3+ years' experience in the pharmaceutical industry
Superior facilitation and presentation skills; excellent written and communication skills
Able to travel as required

Consultant / Medical / Economics Resume Examples & Samples

Degree in health- or business-related field
Experience in ecomomics pertaining to the healthcare industry
Excellent PC skills required
Strong organizational and research skills
Able to identify and solve problems quickly and efficiently
Advance degree in related field

Professional Medical Affairs Consultant Resume Examples & Samples

Optimising Eye Care Professionals and key influencers’ awareness of the clinical benefits of Johnson & Johnson Vision Care’s (JJVC’s) products involving both national and independent practices
Teaching ECPs how to communicate and fit new JJVC products, using a benefit driven strategy
Support generic educational initiatives to increase knowledge and confidence in contact lens prescribing and fitting
Assist Turkish PAF & Business team: panel meetings and training, product launches, practice visits etc
Support practice visits and peer-to-peer recommendation initiative
Actively participate in JJVC involvement in clinical conferences across Turkey and also support Local Professional meetings and ECPs Focus meetings were appropriate
Participate in regular dialogue with ECPs designed to help support them and gather their views
Graduated from a faculty of Medicine / Pharmacy / Biology / Chemistry
Min 3 years experience in Contact Lens / Ophthalmologyindustry
Demonstrable experience of working successfully in a team
Very good interpersonal and presentation skills
High verbal and written communication skills in English & Turkish
Computer skills including Power point, Word and Excel

Clinical Program Consultant for Medical Policy Resume Examples & Samples

Triage/prioritize the Medical Policy Executive, Individual physician and Medical Society related Questions/complaints that come into the Medical Policy Questions mailbox (1 business day TAT required for triage; Enter requests in physician complaint tracker
Meet with Executive Admin for National Medical Policy, Medical Policy daily(dependent on volume) to review National MD, Medical Policy inbox to filter for direct submission complaints
Research and prep National MD, Medical Policy to review question/complaint/legal (1 business day TAT required)
Monitor open requests to ensure timely completion of requests (10 business day TAT);updating of tracker for completion/updates
Coordinate the upload of society/individual complaints to PEI tool with Director, Physician & Society Engagement
Meet with National MD, Medical Policy and Director, Physician & Society Engagement on a scheduled basis—minimum of weekly and interact throughout the week to ensure timelines are met Prepare responses on requests and send to National MD, Medical Policy for editing and finalization
Develop sample letter repository that will be stored on the Executive Compliant SharePoint that can be utilized for future requests with modifications
Complete and distribute monthly activity reports to leadership
EPMC Executive Medical Policy committee: Agenda+ follow up items from previous meetings, completion of minutes and posting of materials to EMPC SharePoint site. All EMPC review and direction should be working with the chairperson
Prep chairperson for MTAC meetings—ensure policy summaries are reviewed with the chairperson prior to the meeting. Develop agenda and follow up on action items from previous meetings. Post materials to appropriate SharePoint site
Monthly review of MTIS requests—
5+ years of experience working within a managed care organization or health insurer
Medical Management, Appeals or Claims experience with a health insurer
Proficient in the use of MS Word and PowerPoint. Intermediate to advanced knowledge in Excel
Prior experience tracking projects and reporting out of data
Ability to multi-task, shifting back and forth effectively among multiple activities
Flexible with a strong ability to multitask
Ability to analyze and translate data to develop recommendations for action plans
Excellent written and verbal communication skills including the ability to present information in to large audiences
Ability to identify, evaluate, understand and synthesize clinical evidence from peer reviewed literature
Excellent medical writing skills/ability to write clearly for a diverse audience
Strong literature searching skills and ability to synthesize complex information
Understanding of medical coding concepts (e.g., CPT, HCPCS, ICD-9/10)
Comfortable speaking and working with Senior Leadership
Ability to track and analyze data to report out to management

Senior Medical Consultant Resume Examples & Samples

Broad application of principles, theories, and concepts in applicable discipline, plus working knowledge of other related fields
Uses professional concepts in accordance with company objectives to solve complex problems in creative and effective ways
This job is the fully-qualified, career-oriented, journey-level position
Demonstrates functional area business processes and assigned and thoroughly understands crossfunctional areas
Directs the analysis of enterprise-wide or very complex client needs in project areas such as new/existing business operating models, innovative approaches to solutions support, market research of emerging or available product functionality and operational readiness assessment
Directs the development of comprehensive and strategic business cases with cost/benefit dimensions of proposed projects that are used at management and executive levels for funding and scope decisions
Accountable for tracking and/or monitor and report for senior mgmt the results of actualization of benefits
Directs/conducts the analysis of current business processes and functional requirements
Prepares appropriate documentation to communicate and validate the information
May develop project plans
Identifies and coordinates within other project managers and implements schedule deadlines as appropriate
Manages common resource demands
Provides on-going project management and status reporting at all levels
Provides advice and input into the project plan
Minimum ten (10) years of experience, to include a minimum three (3) years in a consulting role
Minimum five (5) years of experience in a relevant environment such as a healthcare environment
Certification or advanced qualification by third party association that matches the function or field applicable to the business discipline (such as AHIP or HIAA) preferred
Certification by professional society or industry group such as AHIP or HIAA preferred

Medical Practice Consultant Resume Examples & Samples

Requires a BA/BS. Clinical background and/or MBA not required but a plus
5-10 years health care experience; or any combination of education and experience, which would provide an equivalent background
Physician environment experience in practice transformation / quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics and electronic health records preferred
Strongly prefer program management experience
Strongly prefer external facing provider relations experience
Prefer contracting experience
Prefer experience with healthcare analytics

Medical Economics Consultant Resume Examples & Samples

Responsible for analyses and profitability determination of contracts, business and billing rules; includes fee-for-service to full risk contracting arrangements
Responsible for familiarity with a variety of Apria's business concepts, practices, and procedures and their impact on profitability
Generate reports as requested using departmental databases
Performs other related duties as directed by supervisor
Education or experience equivalent to a four year college degree is required
At least 1 years related work experience
Proficient with Microsoft Office products, particularly Excel, and Access
SQL experience is a plus

Regional Lead-medical Economics Senior Consultant Resume Examples & Samples

Undergraduate degree in business, finance, related field preferred or 3 to 5 years equivalent work experience in the healthcare industry
Demonstrated leadership and project management experience
Understanding of medical cost drivers and provider contracting methods
Knowledge of Medicare Advantage products and services
Advanced software and programming skills: proficient in Excel

Medical Economics Consultant Resume Examples & Samples

Being able to manage complex projects that will compete for priority
Knowledge of provider contracting and reimbursement methods
Financial modeling in Microsoft Excel
Turning data into usable information

Medical Consultant Resume Examples & Samples

Responsible for telephone consultation with clients regarding choice of appropriate diagnostic testing, interpretation of laboratory results (both reference laboratory and in house testing) and potentially treatment and long-term management of medical cases
Responsible for knowing tests offered by IDEXX (reference labs and in house tests), specimen requirements and clinical utility of each test and how to interpret results
Consultants are expected to meet caseload and turnaround expectations and to be accessible for client consultations during regular working hours
Maintain proficiency and continually develop medical knowledge base by attending continuing professional development meetings and maintain familiarity with current literature
Participate in scheduled consulting service meetings and other educational or organizational meetings as they arise

Senior Medical Economics Consultant Resume Examples & Samples

Perform utilization analyses for accounts, payor types and products
Participate in meetings to discuss pricing strategy in support of contract negotiations
Predict and ensures timely provision of rate quotations and financial analysis reports
Maintain historical versions of models and completed analytics
Assist less experienced Medical Economics Consultants
Mentor less seasoned staff
Education or experience equivalent to a four year degree is required
At least three years related work experience is required
Developing reporting and analytics in SQL/SSAS
Healthcare industry experience is a plus
Must occasionally lift and/or move up to 10 pounds

Senior Acta Medical Economics Customer Consultant Resume Examples & Samples

Minimum of 5 years experience performing complex healthcare analytics
Strong technical skills in Excel, Access, PowerPoint required. SAS/SQL knowledge a plus
Excellent communication skills (written and verbally)
Previous experience and ability to drive a cross matrix team to achieve results

Acta Medical Economics Customer Consultant Resume Examples & Samples

Minimum of 2 years experience performing complex healthcare analytics
In depth knowledge of healthcare financial concepts
Excellent independent worker in addition have a strong ability to work well in a team environment

Senior Medical Cost Management Consultant Resume Examples & Samples

Develops strategy to improve member outcomes and reduce medical costs for the business line(s). Develops and implements tactical plans to achieve strategic objectives
Works independently across departments to coordinate development of strategy and implementation
Reviews and analyzes reports including MLR, claims trend data, and other actuarial data. Commissions new reports as needed working with different functions such as informatics, actuary and departmental analytical teams
Participates as subject matter expert in departmental care cost committee
Provides reports to senior leadership identifying cost trends, cost reduction targets
10+ years' experience in health care management/administration/consulting
Excellent problem solving skills with ability to address problems that are broad, complex and abstract, often involving company-wide issues and requiring substantial creativity, resourcefulness, staff engagement, Lean diagnostic techniques, negotiation and diplomacy to develop solutions
Knowledge and experience in health plan business managed care processes and operations
Excellent computer skills including Microsoft Excel and PowerPoint
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Medical Economics Consultant Resume Examples & Samples

Coordinate the oversight and monitoring of the Home and Community Services operating margin improvement effort, driving cross-functional team work efforts to identify, design, implement and monitor initiatives that improve the Organization’s revenue, claims and administrative expenses
Use medical economics experience and knowledge to facilitate idea generation and quantification of savings initiatives (areas of focus include provider contracting, utilization management, care management, risk adjustment, operational efficiency, product design, etc.)
Provide timely insight into claim cost drivers for the business segment leaders and identification of new improvement opportunities
Understand the larger medical cost picture, and create process to identify and quantify interactions and dependencies of the different initiatives
Use medical economics experience and knowledge to develop and implement infrastructure to align and explicitly link initiatives’ savings estimates with the financial plans/forecasts, emerging financial results and product pricing
Partner with Finance, Actuary, FP&A and the business and functional partner leaders to ensure that the initiatives are appropriately contemplated in current/future year projections and pricing models as well as monitored in the emerging financial results
Coordinate savings opportunity projections and post implementation savings measurement with other areas
Regularly interact with Senior leadership to set and adjust overall goals and objectives of the process
Provide greater ability to more timely engage, analyze, and implement beneficial but complex financial arrangements with new vendor business partners
Help develop and implement improved infrastructure and processes to provide management with regular performance scorecards highlighting initiative implementation successes, accountability, “capture” of initiative benefits, activity, progress and identification of barriers
Consistently work with the business and functional area partners to develop a pipeline of new initiatives, seeking to achieve our multi-year financial improvement targets. This effort focused on operating margin improvement is positioned to become a normal part of the way HCS does business
Train business partners in the use of business case return on investment measurement, developing a self-service culture that enables a broad base of support to initiative owners in their efforts to identify potential operating margin improvement initiatives
Develop improved business case and savings estimate capabilities to enable more accurate and deeper projections
Assist in the deployment of an employee-wide communications strategy, highlighting the operating margin improvement challenge and providing regular status reports with respect to achievement of targeted improvements
Influence other departments where you do not have direct authority
Be persistent in following up with senior management and staff from numerous departments
Collaborate with P&L owners and functional leaders. This will require strong communication skills (verbal and executive quality presentations)
Be able to determine when projections seem unreasonable and constructively push back until satisfied with the analysis
Bachelor's Degree - Finance, Accounting, Analytics or other related field
5 years’ progressive experience in finance, accounting or analytics/informatics in the health care payer sector with a focus on medical economics
Master’s degree in health care management, decision sciences, or quantitative field is preferred
Demonstrated expertise in particularly-relevant analytical methods or health care business domain (payer/provider)
Demonstrate consistent application of strong problem solving skills in the creation and interpretation of quantitative analyses, and to assist the supervisor in development of analysis plans
Experience in all aspects of health service research including extracting, understanding, and proper analysis of health insurance or health care delivery data
Working experience with analytical (SAS, R, Python), visualization (Tableau, Spotfire, Cognos), and data (Oracle, Teradata, Hadoop) software
Excellent written and oral communication skills, with the ability to communicate and interpret complex strategic and technical findings to management and colleagues, verbally and through written reports, the results of complex, quantitative analysis
Ability to influence senior decision makers with demonstrated leadership experience in a healthcare industry consulting role
Ability to establish collaborative working relationships across business units that include colleagues with diverse clinical and business skill sets and analytics acumen
Person must demonstrate a high degree of professionalism, enthusiasm, and initiative on a daily basis
Ability to work in a fast-paced, complex environment is a must

Medical Economics Consultant Resume Examples & Samples

Use medical economics experience and knowledge to facilitate idea generation and quantification of savings initiatives (areas of focus include provider contracting, utilization management, care management, risk adjustment, operational efficiencies, product design, etc.)
Partner with Market Segment Finance, Actuary, FP-A and the business and functional partner leaders to ensure that the initiatives are appropriately contemplated in current/future year projections and pricing models as well as monitored in the emerging financial results
Regularly interact with Senior Finance leadership, including the Chief Actuary and CFO of the Health Plan as well as other leadership and staff, to set and adjust overall goals and objectives of the process. Provide greater ability to more timely engage, analyze, and implement beneficial but complex financial arrangements with new vendor business partners
5+ years' progressive experience in finance, accounting or analytics/informatics in the health care payer sector with a focus on medical economics
Medical economics
Financial analysis/modeling
Statistical/quantitative modeling
Executive communication
Direct report development/talent management
Collaboration across matrix organizational structure

Medical Economics Associate Consultant Resume Examples & Samples

An understanding of the healthcare industry; Required
The ability to demonstrate critical thinking; Required
Analytical ability with financial and healthcare concepts; Required
Express ideas clearly and the desire to achieve results; Required
Microsoft Office Proficiency; Required

Medical Policy Consultant Senior Resume Examples & Samples

1) Present and provide implementation input to key government programs and medical policy committees
Medical and Behavioral Health Policy Committee
Coverage Committee
Operational committees as assigned, for example the Coding and Reimbursement Committee
Government Program committees including the PAMMP meetings and Rules meetings
2) Prepare final policy documents and tools for implementation
3) Implement medical policies integrates with all systems to ensure accurate claims processing
4) Ensure that changes in the medical policy positions are communicated to all related business areas
5) Research and apply appropriate and regular updates of CPT, HCPCS, and ICD-9/ICD- 10 coding to the medical policies
6) Maintain Blue Cross's intranet and internet medical policy databases with current policy decisions and coding
7) Produce standard reports and assist in the analysis and impact of these reports as they relate to policy implementation process. This will require training in several Blue Cross systems such as the utilization management platform, claims processing application, ViPS STARS and others as necessary
8) Serve as a liaison to other divisions (e.g., Network Management, Account Management, and Service) for medical policy issues on government programs
9) Research issues on an ad hoc basis to determine coverage status of other payers and FDA approval status; this may also require limited research of evidence-based literature
10) Lead work groups, as needed
11) Lead projects that support Medical Policy Department and/or Government Market Solutions
12) Serve as a subject matter expert on Government Programs medical policy implementation and claims processing to team members and BCBSM

Medical Risk Consultant Resume Examples & Samples

Collaborate with underwriters to proactively evaluate and price potential ongoing risks that will affect the loss ratio of a group
Provide medical input on claim payment interpretations
Demonstrated competency to work in conjunction with the underwriters to come up with creative risk solutions
Demonstrated knowledge of medical technology and the related cost
Extensive knowledge of facility inpatient and outpatient coding and/or claim review, facility and benefit contracts, language and implications
Advanced knowledge of medical and surgical procedures and other healthcare practices required
Demonstrated understanding of standard office and business practices and desktop applications; excellent computer skills and proficiency working software programs (e.g., Microsoft Word and Excel, and database query tools)
Able to function efficiently in multiple claim systems
Demonstrated math aptitude, analytical ability, competent in performing complex and detailed work with high level of accuracy and independently without direct supervision
Strong communication skills; clear and succinct, both orally and in writing, with peers and colleagues, regarding complex and sensitive issues
Experience leading complex internal projects and initiatives impacting business operations and product decision making
Demonstrated research and documentation skills
Advanced knowledge of health plan cost containment strategies including medical management interventions, provider contracting methodologies, and benefit design alternatives
Demonstrated competency in analyzing cost of care based on highly individualized data
Demonstrated competency to interpret risk with varying factors that are individual and group specific
Strong knowledge of case management functions and the ability to be a resource to that team

Medical Economics Senior Consultant Resume Examples & Samples

3-6 years of SAS programming and data analysis experience
Prior experience with Aetna data systems preferred but not required
This is a telework position and can be located near any Aetna office**

Medical Economics Consultant Resume Examples & Samples

Strong SQL experience and Advanced Excel experience is required
3+ years of data interpretation and analysis experience
Extensive experience with databases as well interpretation and manipulation of related data
Healthcare background preferred

Medical Device & Diagnostics Consultant Resume Examples & Samples

Assist Global Head, Regulatory Affairs, in assuming primary or secondary regulatory responsibility for assigned clinical research projects in medical devices/diagnostics by providing to the project team regulatory information, guidance, training, support and strategic planning based on applicable regulations and guidances issued by the applicable regulatory agency(ies)
Manage/oversee assembly and submission of applications to competent authorities
Identify and interpret regulations, guidelines, and other pertinent information issued by applicable regulatory agencies and other regulatory organizations
Directs the performance of the regulatory affairs staff. Develops project timelines, develops strategic goals with staff, and provides guidance as needed for completion of tasks. Assesses performance and recommends salary adjustments
Review protocols, consent forms, reports, scientific documents, publications, and related papers, etc., as appropriate for various clinical research projects to ensure compliance with regulations
Ensure the compilation and maintenance of pertinent documentation (e.g., files) required for regulatory compliance for assigned clinical research projects
Keep abreast of, interpret and communicate applicable regulatory agency regulations and statutes with internal departments and ensures Novella compliance
Serve as a member of groups, teams, or committees related to regulatory affairs, and quality assurance or other designated Novella activities, as appropriate
Participates in business development activities to grow Novella business. Participates in new business development activities including, but not limited to, client meetings and proposal preparation/presentation
Extensive knowledge of clinical research and product development life cycles for medical devices, diagnostics, combination products, and related products
Extensive working knowledge of activities related to regulatory affairs, reimbursement and quality assurance, both domestic and international
Robust experience in medical device regulatory affairs for class II and III devices and diagnostics in the US and ROW
Good interpersonal skills with the ability to communicate effectively, both orally and in writing, with all levels of staff, and with the public
Ability to be detail oriented with background adequate to deal with scientific issues related to technical regulations and SOPs
Demonstrated ability to motivate, lead, and grow a regulatory affairs team
Extensive demonstrated experience directing and supervising staff
Ability to read and synthesize technical material and to prepare clear and concise written documents
Comprehensive knowledge of US Good Clinical Practice (GCP), ISO 14155-2011 (GCP), Good Manufacturing Practices (GMP),Quality Systems Management (ISO 13485) and Good Laboratory Practices (GLP) requirements,
Demonstrated experience in client service in the clinical research business
Demonstrated high energy level
Ability to handle multiple tasks and challenges simultaneously
Demonstrated ability to form strong working relationships across functional boundaries
Exceptional ability to conceptualize, develop and manage timelines
Ability and willingness to travel internationally
Ability to travel internationally for extended periods of time

Disability Medical Consultant Resume Examples & Samples

Multiple positions may be filled based on the availability of funding
Criminal record check required
Individuals selected for positions with the NC Disability Determination Service (DDS) will go through a complete federal background investigation. A suitability determination by the Social Security Administration is necessary to determine whether an employee can be issued credentials in order to have access to Social Security disability data, records, and systems. A pre-screen will be conducted through SSA Office of Human Resources (DCHR). If the pre-screen is favorable, a job offer can be extended. However, the job offer is still contingent upon a full suitability clearance through DCHR
This classification requires graduation from an accredited school of medicine and a current license to practice medicine in the State of North Carolina
Must possess a comprehensive knowledge of theory, principles and practices of general, preventative medicine, techniques involved and recent developments in medicine
Effective communication skills, both orally and written, with the ability to establish and maintain effective working relationships with others
The ability to work in an administrative, regulatory system involving established rules and restrictions
Candidates must possess the ability to compile clear and concise notes and case analysis
Successful candidates must possess and be able to demonstrate computer proficiency and keyboarding skills, as work requires the ability to navigate between various applications/programs/screens

Medical Quality Consultant Resume Examples & Samples

Manages outsourced services for virtual/vended medical and vocational case managers, by providing governance and oversight of all vended managed care services to ensure the delivery of appropriate, high quality services
Provide vendor service level expectations and standards by establishing and maintaining service level agreements
Responsible for QA oversight of internal and external vended case management, and utilization review activities by reviewing and analyzing vendor/in-house quality metric reporting on a monthly basis and reporting results
Ensures accuracy and quality standards are achieved by completing ongoing quality reviews for vendor and internal MCM services, Utilization Review and Medical Billing
Drives quality and operational effectiveness by identifying and collaborating with the appropriate internal and/or external resources or teams to execute appropriate action plans to address identified improvement opportunities
Builds strong relationships with vendor partners by hosting and/or participating in regular operational and/or stewardship meetings
Acts as a point of contact to both internal and vendor by fielding and addressing vendor issues impacting claim performance
Performs activity reviews on outsourced assignments as necessary by providing technical direction to our vendor partners to bring successful resolution of the referral
Acts as a change agent by supporting the strategic direction of medical management, ensuring appropriate communication to stakeholders and by building collaboration and commitment to the efforts
Enhances industry knowledge by keeping current on state/territory/national regulations, trends and issues and acts as a technical mentor to the organization
Solid knowledge of the insurance industry, in-depth knowledge of managed care services/products, case management techniques, medical terminology, and conditions, disability management and workers compensation claims
Ability to exercise professional judgment and assume responsibility for decisions which have an impact on people, costs and quality of service
Excellent verbal, written, and presentation skills with the ability to convey technical issues in a clear, concise and effective manner
Strong interpersonal skills with the ability to effectively interact with internal and external business partners
Detail oriented with strong organizational and analytical skills as well as the ability to prioritize and coordinate multiple tasks
Knowledge of Microsoft Office Suite, Official Disability Guidelines, Presley Reed Medical Disability Advisor and other business-related software
Bachelor's degree or equivalent work experience
Typically a minimum of five to eight years of experience in conducting quality assessment evaluations of technical and professional case management / vocational services is preferred
Previous vendor management / oversight experience preferred

Kaplan Medical Enrollment Consultant Resume Examples & Samples

Use a consultative sales approach with prospective students
Provide accurate & timely information regarding Kaplan programs, I-20 applications, enrollment procedures and
Reach sales targets by making outbound calls, receiving inbound calls, and conducting advising sessions with prospective and current students in person and over video chat
Actively retain current students for their next step prep with Kaplan
Build mutually beneficial relationships through a consultative approach that leads to top line growth
Drive top line growth while being empathetic and maintaining customer focus
Use test prep expertise to close sales
Use metrics and key performance indicators to set and reach personal goals
Excellent presentation and public speaking skills, ability to provide a comfortable sales environment for

Medical Economics Associate Consultant Resume Examples & Samples

The ability to demonstrate critical thinking
Analytical ability with financial and healthcare concepts
Microsoft Office proficiency (Excel & Access)
The ability to communicate ideas and results clearly
An understanding of the healthcare industry

Senior Medical Economics Consultant Resume Examples & Samples

EDUCATION AND EXPERIENCE REQUIREMENTS
Building profitability models and performing strategic analysis
Command of Microsoft Office products, particularly Excel, PowerPoint and Access
Developing reporting and analytics in SQL or SSAS
Experience with database and programming, such as SQL and Access
Experience in Healthcare, managed markets, and analytics
Working with other teams and good communication skills both verbal and written
Telecommuting OK

Medical Rehabilitation Consultant Resume Examples & Samples

To assist in the rehabilitation management of income protection claims made through group risk products and provide propositional support as well as training and development for the team of claims case managers
Manage a minimum portfolio of 60 rehabilitation referrals over a 12 month period
Work with the ZCR Claims Case Manager, employers and employees and their medical advisors to draw up rehabilitation plans and graded return to work plans and support these through to successful outcomes and customer satisfaction
To fully demonstrate medical skills, knowledge, best practice guidelines and research based evidence in all rehabilitation activities
When indicated enable, support and evaluate appropriate effective treatment provision through the Zurich provider network
To act as a point of specialist referral for non-medical employees of ZCR
To actively encourage knowledge transfer into Zurich claims and rehabilitation service departments to progress and update all colleagues levels of medical competence and confidence
Ideal pre requisites for us are experience of Insurance based Medical/Vocational Rehabilitation or Occupational Health working experience
Previous experience of group risk desirable
Understanding of claims functions and processes is again desirable
Ability to work with our customers to enable solutions in work place issues is essential
Broad medical knowledge particularly in relation, psychiatric illness, to musculo-skeletal conditions and cancer
Good working knowledge of the NHS and understanding of how to circumnavigate potential treatment delays
Good understanding of the private medical sector and the services available
Ability to communicate to all levels
Ability to form working relationships quickly and professionally and to use these relationships to positively impact upon the claims departments function
To be able to embrace change and demonstrate adaptability

Medical Economics Consultant Resume Examples & Samples

IDX Claim system and/or processing needed
Strong Analytical background
Provider contracting

Medical Information Consultant Resume Examples & Samples

Planning: propose, review, design and implement hospital promotion plan through the collaboration with line manager and marketing colleagues
Account & Brand Management: build strong relationships and credibility with Medical Practitioners, Nurses and Pharmacists to influence the prescription of Roche products, visit nurse to collect market feedback and build product advocacy
Performance Management, align with line manager to set working objective and task, collect and analyze data information on time based on business requirements
Finance Management, set up budget plan and execute accordingly based on company policy
Team Collaboration, work closely and collaboratively with other team members
Self-Management, act as a Product and sales expert within the team, provide counselling and mentoring to junior team members
Sales Achievement & Business Development
Product knowledge
Industry & Disease/Therapeutic area
Customer
Sales Force Effectiveness and capability development
RDPAC qualification within probation
Pass all Roche mandatory training courses before required timeline within probation
Good Selling skills and familiar with product knowledge
Industry & Disease/Therapeutic area knowledge
Good customer management ability and teamwork spirit

Senior Medical Cost Consultant Resume Examples & Samples

Serves as a business line expert and provides management consultation to senior leadership in the areas of medical loss ratio, medical cost reductions, strategy development, product and benefit development, and care management
Reviews and synthesizes literature and technical developments in the field of care management, medical cost management and medical informatics. Applies these new techniques to the continued improvement in medical cost management
Leads special projects and directs activities of project teams through a matrixed reporting structure as needed to implement cost containment strategies
Demonstrated experience working in matrixed environment
Demonstrated experience in business performance analytics, reporting, operational analysis and business performance optimization
Ability to lead and influence at all levels of the organization
Excellent communication skills including oral and written

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