Provide Quality oversight for drug product operations at a leading biotechnology company in Juncos, Puerto Rico, with a focus on new product introductions, change control and validation. You will work with minimal supervision and make the quality calls that keep projects and product moving. What you
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· Página 1 / 46Support the product complaint system at a leading biotechnology company in Juncos, Puerto Rico. You will lead and manage product complaint investigations and use data analysis and trending to detect signals early and drive timely action. What You'll Do Keep the complaints database current and accura
Regular Exempt GENERAL DESCRIPTION Provides cross-functional collaboration to support the Quality Improvement Program, ensuring timely submissions, adherence to established timelines, and successful execution of quality initiatives. Responsible for the Quality of Care (QOC) process, leads task force
Regular Non-Exempt GENERAL DESCRIPTION Oversees interventions and/or calls to clients (beneficiaries, providers, pharmacies) to promote the correct use of medications and follow the prescription to increase adherence in the identified population, which results in a significant impact on the star rat
Regular Exempt GENERAL DESCRIPTION Responsible for working with Pharmacy Quality Clinical Programs, including Medication Therapy Management Program (MTMP: Comprehensive Medication Review (CMR) & Targeted Medication Review (TMR)), Diabetes Program Medication Reconcilliation Intervention, Specialt
Regular Exempt GENERAL DESCRIPTION Analyzes, investigates, supports, and answers Grievances, Dental Pre-Service, and Payment Appeals filed by members, insureds,Providers, and/or Non-Part Providerswithin the time stipulated contractually for both Lines of Business (LOB) and followingthe terms statedi
Regular Exempt GENERAL DESCRIPTION Responsible for driving strategic initiatives that transform pharmacy operations, enhance patient outcomes, and optimize cost-efficiency within the healthcare insurance industry. Leads cross-functional initiatives, implements innovative solutions, and ensures the e
Regular Exempt GENERAL DESCRIPTION Performs internal and external audits of Independent Contractors and Providers following the established work plan, monitoring compliance with documentation and clinical coding rules. Identifies situations that may represent a risk in case of a Risk Adjustment audi
Regular Exempt General Description The Clinical Quality Specialist is responsible for reviewing and evaluating quality of care concerns, including complaints, internal referrals, CTMs, appeal reconsiderations, and Hospital-Acquired Conditions (HACs). Ensures timely case resolution, oversight of Corr
Regular Non-Exempt GENERAL DESCRIPTION Analyzes and processes simple or non‑complex professional and institutional claims, including performing data entry, adjudicating payments, issuing denials, and requesting additional information, in accordance with applicable benefits, policy requirements, and
En Varmed Rehabilitation Center, estamos comprometidos con la excelencia en el servicio y el bienestar de nuestros pacientes. Buscamos profesionales apasionados y dedicados que deseen contribuir al bienestar de nuestra comunidad. Si tienes las habilidades, la experiencia y el compromiso que buscamos
Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in t
Unit Secretary Career Opportunity Join a Team That Puts Your Passion for Helping Others First Are you looking for a career close to home and heart? Join Encompass Health as a Unit Secretary, playing a pivotal role in supporting the nursing unit to ensure seamless patient care within a community- foc
Overview PURPOSE STATEMENT: Responsible for directing, planning, coordinating, monitoring and supervising the effective and efficient use of the operations of nursing and the delivery of behavioral health/nursing services in a positive, empathetic, and professional attitude toward customers at all t
Regular Non-Exempt GENERAL DESCRIPTION Oversees interventions and/or calls to clients (beneficiaries, providers, pharmacies) to promote the correct use of medications and follow the prescription to increase adherence in the identified population, which results in a significant impact on the star rat
At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality
At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality
At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality
At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality
Company Description ALPHA BIOMEDICAL & DIAGNOSTICS, INC. is a healthcare technology company headquartered in Caguas, Puerto Rico, United States. The organization focuses on providing diagnostic and biomedical equipment solutions and services to healthcare facilities in the region. Team members s