Director Of Managed Care

Director Of Managed Care Resume Keywords and Skills (Hard Skills)

Here are the keywords and skills that appear most frequently on recent Director Of Managed Care job postings. In other words, these are the most sought after skills by recruiters and hiring managers. Go to Sample Templates ↓ below to see how to include them on your resume.

Remember that every job is different. Instead of including all keywords on your resume, identify those that are most relevant to the job you're applying to. Use the free Targeted Resume tool to help with this.

Choose a category
  • Managed Care
  • Medicare
  • Provider Relations
  • Healthcare Industry
  • Healthcare Consulting
  • Healthcare Management
  • Medicaid
  •  Find out what your resume's missing
  • U.S. Health Insurance Portability and Accountability Act (HIPAA)
  • Revenue Cycle
  • Physician Relations
  • Healthcare
  • Hospitals
  • Healthcare Information Technology (HIT)
  • HMO
  • Health Insurance
  • Credentialing
  • Electronic Medical Record (EMR)
  • Contract Negotiation
  • Revenue Cycle Management

  •   Show full list

Resume Skills: Regulatory Compliance

  • HIPAA
  • Anti-Kickback Statute
  • Stark Law
  • False Claims Act
  • Medicare/Medicaid Regulations
  • ICD-10
  • CPT
  • HCPCS
  • Medical Terminology
  • HEDIS
  • ACA
  • NCQA
  • Medicaid/Medicare regulations
  •  Match your resume to these skills

Resume Skills: Managed Care Software

Resume Skills: Financial & Administrative

Resume Skills: Languages

Resume Skills: Managed Care Operations Tools

Resume Skills: Leadership and Management

  • Strategic Planning
  • Project Management (PMP Certified)
  • Risk Management
  • Change Management
  • Stakeholder Management
  • Operations Management
  • Quality Management
  • Business Analysis
  •  Match your resume to these skills
  Does your resume contain all the right skills? Paste in your resume in the AI Resume Scan ↓ section below and get an instant score.

Compare Your Resume To These Director Of Managed Care Skills (ATS Scan)

Paste your resume below and our AI will identify which keywords are missing from your resume from the list above (and what you need to include). Including the right keywords will help you get past Applicant Tracking Systems (i.e. resume screeners) which may scan your resume for keywords to see if you're a match for the job.

Sample Director Of Managed Care Resume Examples: How To Include These Skills

Add keywords directly into your resume's work experiences, education or Skills section, like we've shown in the examples below. Use the examples below as inspiration.

Choose a template
Your Name
Director Of Managed Care
City, Country  •  (123) 456-789  •  [email protected]  •  linkedin.com/in/your-profile
EXPERIENCE
BlueCross BlueShield July 2020 - Present
Senior Manager, Managed Care
Reengineered the managed care contracting strategy, which increased provider participation by 37%, thus expanding patient access to services
Spearheaded contract negotiations with providers, saving the company an estimated $3.5M in annual spend
Implemented a proactive approach to maintaining compliance with HIPAA and other healthcare regulations, reducing non-compliance risk by 45%
Leveraged data and Healthcare Technology to foster informed decision making and strategies, resulting in a 15% improvement in operational efficiency
Developed strong relationships with physicians through consistent communication and networking initiatives, causing a 25% increase in provider satisfaction ratings
Resume Worded August 2017 - June 2020
Assistant Director, Managed Care
Championed a revamp of the Medicare and Medicaid protocols, increasing compliance and reducing errors in record keeping by 22%
Cultivated strong provider relations, resolving concerns and issues swiftly and resulting in significantly reduced complaint volume by 30%
Managed a cross-functional team of 10, with a track record of meeting deadlines and a 98% task completion rate on the process automation project
UnitedHealth Group June 2014 - July 2017
Managed Care Specialist
Streamlined the revenue cycle process, driving a 15% increase in cash flow by eliminating inefficiencies
Worked closely with providers to obtain credentialing, resulting in increased staffing levels by 40%
Developed monthly reports detailing operational metrics to monitor performance and inform decision-making
EDUCATION
Resume Worded Institute July 2015
Master of Business Administration - Healthcare Administration
Specialized subjects included Managed Care and Insurance Strategies
Resume Worded University June 2014
Bachelor of Science - Health Policy and Administration
Minors in Accounting and Business Law
Awards: Dean's List 2011, 2013 (Top 10%)
SKILLS
Managed Care Software: Epic Systems, Cerner, AllScripts, McKesson, Meditech, eClinicalWorks
Regulatory Compliance: HIPAA, Anti-Kickback Statute, Stark Law, False Claims Act, Medicare/Medicaid Regulations
Financial & Administrative: Budgeting, Strategic Planning, Contract Negotiation, Revenue Cycle Management, Process Improvement, Key Performance Indicators (KPIs)
Languages: English (Native), Spanish (Conversational)
OTHER
Certifications: The American Association of Healthcare Administrative Management (AAHAM) Certification, American College of Healthcare Executives (ACHE) Certification
Leadership & Volunteering: Healthcare Executive Forum (Board Member), Rotaract Volunteer (2014 - 2017)
Awards: Healthcare Financial Management Association (HFMA) Recognition Award 2019
Projects: Implementation of new HRIS system leading to 30% efficiency improvement in HR operations
Your Name
Managed Care Operations Director
City, Country  •  (123) 456-789  •  [email protected]  •  linkedin.com/in/your-profile
EXPERIENCE
Aetna June 2020 - Present
Senior Manager, Managed Care Operations
Enhanced operations by incorporating health information technology, which improved process efficiency by 20%
Facilitated provider relations, increasing participation in preferred provider programs by 30%
Successfully negotiated HMO contracts, resulting in cost savings of $5M annually
Led and maintained HIPAA compliance initiatives across the organization reducing possible infractions by 40%
'Oversaw the implementation of electronic medical record (EMR) system, reducing errors in patient records by 30%
Resume Worded September 2016 - May 2020
Managed Care Consultant
Proposed modifications to Medicare protocols, resulting in a 15% increase in claims accuracy
Maintained strong relationships with physicians to deliver patient-centered care, boosting patient satisfaction ratings by 10%
Implemented revenue cycle management strategies that reduced payment cycles by 20%
Anthem Inc. February 2012 - August 2016
Managed Care Analyst
Launched a provider communication campaign leading to increased transparency in the revenue cycle process
Assisted in the credentialing process, adding 20 new providers to the network
Managed Medicaid related operations, meeting compliance metrics 100% of the time
EDUCATION
Resume Worded Institute June 2020
Executive Master in Health Administration
Graduated as top 5% of class
Resume Worded University February 2012
Bachelor of Science in Business Administration - Healthcare Management
Minors in Finance and Economics
Awards: Resume Worded Scholar 2011
SKILLS
Managed Care Operations Tools: Microsoft Office Suite, SQL, Database Management, Revenue Cycle Operations, Healthcare Analytics, Quality Assurance Standard
Healthcare Regulations & Compliance: ICD-10, CPT, HCPCS, Medical Terminology, HIPAA, HEDIS, ACA, NCQA, Medicaid/Medicare regulations
Leadership and Management: Strategic Planning, Project Management (PMP Certified), Risk Management, Change Management, Stakeholder Management, Operations Management, Quality Management, Business Analysis
OTHER
Certifications: Project Management Professional (PMP) Certification (2020), Certified in Healthcare Compliance (CHC) (2018), Six Sigma Green Belt Certified (2016)
Leadership & Volunteering: Lead for local Healthcare Administration Roundtable Discussions (2017 - Present), Volunteer at Health for All Non-Profit (2015 - Present)
Conferences & Seminars: ‘Future of Managed Care’ Summit Speaker (2019), Participant in 'Innovations in Healthcare Management' Symposium (2017, 2018)
Reviews & Acknowledgements: Featured in Top 100 Healthcare Leaders magazine (2021), Recognized for exceptional commitment to healthcare compliance by Board of Aetna

How do I add skills to a Director Of Managed Care resume?

1
Review the job posting closely.

Go through the Director Of Managed Care posting you're applying to, and identify hard skills the company is looking for. For example, skills like Provider Relations, Medicare and Healthcare Management are possible skills. These are skills you should try to include on your resume.

2
Add industry skills like Healthcare Consulting and Medicaid.

Add other common skills from your industry - such as Managed Care, Healthcare Industry and U.S. Health Insurance Portability and Accountability Act (HIPAA) - into your resume if they're relevant.

3
Add skills into your work experience.

Incorporate skills - like HMO, Credentialing and Healthcare - into your work experience too. This shows hiring managers that you have practical experience with these tools, techniques and skills.

4
Show examples of where you trained people.

On Director Of Managed Care resumes, you should give specific accomplishments that involve you training others, whether that's in your team or other stakeholders.

5
Highlight leadership and management skills.

Hiring managers often want to see evidence of leadership and management on a Director Of Managed Care resume, so try to include any examples of where you led a project or managed other people.

6
Use the exact job title.

Try to add the exact job title, Director Of Managed Care, somewhere into your resume to get past resume screeners. See the infographic for how to do this.

Word Cloud for Director Of Managed Care Skills & Keywords

The following word cloud highlights the most popular keywords that appear on Director Of Managed Care job descriptions. The bigger the word, the more frequently it shows up on employer's job postings. If you have experience with these keywords, include them on your resume.

Top Director Of Managed Care Skills and Keywords to Include On Your Resume

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Director Of Managed Care Resume Templates

Here are examples of proven resumes in related jobs and industries, approved by experienced hiring managers. Use them as inspiration when you're writing your own resume. You can even download and edit the resume template in Google Docs.

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Frequently Asked Questions

What skills do hiring managers want to see on a Director Of Managed Care resume?

The most common skills and keywords we found on Director Of Managed Care resumes and job postings were Managed Care, Medicare, Provider Relations, Healthcare Industry, Healthcare Consulting, Healthcare Management, Medicaid and U.S. Health Insurance Portability and Accountability Act (HIPAA).

Skills like Contract Negotiation, HMO, Healthcare, Hospitals and Credentialing also appeared on related job postings.

Target your Resume to a Job Description

While the keywords above are a good indication of what skills you need on your resume, you should try to find additional keywords that are specific to the job. To do this, use the free Targeted Resume tool. It analyzes the job you are applying to and finds the most important keywords you need on your resume.

It is personalized to your resume, and is the best way to ensure your resume will pass the automated resume filters.

Start targeting your resume

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