Healthcare Contract Specialist Jobs in San Juan, Puerto Rico | HealthcareCrossing.com


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15

Healthcare Contract Specialist Jobs in San Juan






Job info
 
Company
**********
Location
San Juan, PR
Posted Date
Mar 26, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
Jan 25, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
San Juan, PR
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
San Juan, PR
Posted Date
Mar 21, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicare Appeals and Grievance Medical Director in San Juan Puerto Rico Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for ..

 
Company
**********
Location
San Juan, PR
Posted Date
Feb 19, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana UM Medical Director - Conviva in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..

 
Company
**********
Location
San Juan, PR
Posted Date
May 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
San Juan, PR
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

 
Company
**********
Location
San Juan, PR
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana FP&A Lead, Medicaid Market in San Juan Puerto Rico Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
San Juan, PR
Posted Date
Mar 23, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director - Florida Medicaid in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve ..

 
Company
**********
Location
San Juan, PR
Posted Date
Oct 01, 2022
Info Source
Employer  - Full-Time  90  

... The Provider Contracting Executive communicates contract terms, payment structures, and reimbursement ... settlement arrangements (with finance)Delivers a contract that can be operationalized, and ... be operationalized, and maintained.Collaborates with..

 
Company
**********
Location
San Juan, PR
Posted Date
Nov 09, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
San Juan, PR
Posted Date
Feb 11, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medical Director - National Medicare Team in San Juan Puerto Rico Description The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director ..

 
Company
**********
Location
San Juan, PR
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
San Juan, PR
Posted Date
Nov 01, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

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