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78

Healthcare Sourcing Jobs in Puerto Rico





Did you search for location? Puerto Rico   Puerto Rico, TX  
Job info
 
Company
**********
Location
San Juan, PR
Posted Date
Dec 23, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

 
Company
**********
Location
San Juan, PR
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Senior Product Marketing Professional to join the PCO's Field Marketing team. This is a remote role that will ..

 
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
May 07, 2023
Info Source
Employer  - Full-Time  90  

Description The Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional work assignments are ..

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

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

 
Company
**********
Location
San Juan, PR
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization, with a focus on oncology requests. The Oncology ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
May 11, 2023
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

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

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

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

Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Senior Product Marketing Professional to join the PCO's Field Marketing team. This is a remote role that will ..

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

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
May 18, 2023
Info Source
Employer  - Full-Time  90  

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the ..

 
Company
**********
Location
San Juan, PR
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
May 18, 2023
Info Source
Employer  - Full-Time  90  

Description You have the unique opportunity to build a technology team for one of the fastest-growing e-commerce companies in the Clinical care management and make a difference in our members' lives. ..

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

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Pharmacy Clinical Advisor is an integral part of the Pharmacy Stars team which is accountable for Humana's medication related Star measure performance. The Senior Pharmacy Clinical Advisor develops ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
May 01, 2023
Info Source
Employer  - Full-Time  90  

Description Required: (English/Spanish) & Must reside in Puerto Rico The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are varied ..

 
Company
**********
Location
San Juan, PR
Posted Date
Jun 10, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Sales Enablement Product Marketer in San Juan Puerto Rico Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who is hyper ..

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

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..

 
Company
**********
Location
San Juan, PR
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..

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

Job Information Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in San Juan Puerto Rico Description This is a Work-At-Home position located in Puerto Rico. You must be fully ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
Jun 18, 2023
Info Source
Employer  - Full-Time  90  

Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts. The ..

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