Healthcare Support Specialist Jobs in Puerto Rico | HealthcareCrossing.com


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34

Healthcare Support Specialist Jobs in Puerto Rico





Did you search for location? Puerto Rico   Puerto Rico, TX  
Job info
 
Company
The Kroger Co.
Location
San Juan, PR
Posted Date
Oct 06, 2021
Info Source
Employer  - Full-Time  90  

... to develop, execute, and monitor healthcare quality initiatives. Work in collaboration ... with subject matter experts to support accreditation activities. Demonstrate the company's ... Bachelor's Degree in business or..

 
Company
**********
Location
Arecibo, PR
Posted Date
Aug 24, 2022
Info Source
Employer  - Full-Time  90  

Job ID 21000I2GAvailable Openings 1Position Specific Information Part-Time 16 horas a la semanaPURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, ..

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

Description Care Management Support Specialists contribute to the administration ... management. The CMSS provides non-clinical support to the assessment and evaluation ... and wellbeing of members. The Support Specialist performs..

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

... facilities, or community groups to support regional market care facilitation and ... or care management. Medical Directors support Humana values, and Humana's Bold ... whether services provided by other..

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

... analytics. o Provide Market leader support reporting out on financial results, ... analysis for new contracts and support negotiations o Develop Market specific ... development o Provide leadership and..

 
Company
**********
Location
Juana Diaz, PR
Posted Date
Feb 19, 2023
Info Source
Employer  - Full-Time  90 

PURPOSE AND SCOPE: Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the USV/FMCNA Compliance Program, including following all regulatory and USV/FMS policy requirements.Under the direct supervision of ..

 
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
Oct 07, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..

 
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
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts ... areas Bachelor's degree or significant..

 
Company
**********
Location
Naranjito, PR
Posted Date
Nov 03, 2021
Info Source
Employer  - Full-Time  90  

Job ID 21000LKNAvailable Openings 1PURPOSE AND SCOPE: Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned ..

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

... Information Humana Supervisor, Care Management Support/FULLY BILLINGUAL (Healthcare/ Analytical Support Mgmt.) San Juan, PR in ... Description The Supervisor, Care Management Support contributes to administration of care ... of..

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

Description The Clinical Pharmacy Lead for Pharmacy trend will be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual ..

 
Company
**********
Location
San Juan, PR
Posted Date
Aug 27, 2022
Info Source
Employer  - Full-Time  90  

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
Jul 09, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in San Juan Puerto Rico Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews ..

 
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
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..

 
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
Mar 24, 2022
Info Source
Employer  - Full-Time  90  

... will collaborate with clinicians and support staff to provide Humana members ... involving an Administrative Law Judge, support for CMS audits, cross-functional team ... responsibilities as determined necessary to..

 
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 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Care Management Support contributes to administration of care ... of care management. Provides non-clinical support to the assessment and evaluation ... members. The Supervisor, Care Management Support..

 
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
Aug 30, 2022
Info Source
Employer  - Full-Time  90  

... looking for an experienced Senior Healthcare Investigator to join its industry ... Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts ... Qualifications Bachelor's degree or significant..

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