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MCS Puerto RicoRegular Non-Exempt GENERAL DESCRIPTION Analyzed and processed eligibility transactions and received them in the Commercial Eligibility unit. Validates member eligibility and updates information in the system, as applicable. ESSENTIAL FUNCTIONS Performs audits and analysis of eligibility discrepancie
MCS Puerto RicoRegular Non-Exempt GENERAL DESCRIPTION Conducts comprehensive reviews of all cases in the quality review tray within the Pharmacy Benefit Management (PBM) systems, including the request processing and pharmacy claims adjudication tools. Ensures accurate case handling in accordance with Coverage and
MCS Puerto RicoRegular Exempt GENERAL DESCRIPTION Monitors and oversees the integrated administrative operation of clinical services. Complies and manages adequately and effectively the organization's Precertification process. Measures compliance with operational and quality processes as established. Provides dire
MCS Puerto RicoRegular Exempt GENERAL DESCRIPTION Responsible for performing the ongoing reconciliation of electronic transactions between the internal systems of the company and the systems of Regulatory Agencies and Delegated Entities, complying with the policies and operational processes. ESSENTIAL FUNCTIONS Va
Global RescueBrief Description SENIOR SPECIALIST , MEDICAL OPERATIONS - ROLE OVERVIEW We are currently seeking paramedics looking for a career change to join our growing operations teams. In this role you will staff emergency access telephone lines in our operations centers to respond to client health events and
Orthopedic Rehabilitation Associates, PCJob Description Physical Therapist Assistant – Outpatient Orthopedics Grow Your Physical Therapist Assistant Career with Us! World Arena, CO At Rocky Mountain and Spine, part of the Upstream Rehabilitation network, you’ll have the support, mentorship, and tools you need to thrive as a Physical Thera
PURPOSE AND SCOPE Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy.
PURPOSE AND SCOPE Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA’s mission, vision, values, and customer service philosophy.
AbbVieCompany Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas – immuno
ABA Centers of Puerto RicoBoard Certified Behavior Analyst / BCBA - Travel BCBA Program ABA Centers of Puerto Rico San Juan, PR / Full Time Final compensation determined by experience, training, and education Travel BCBA Program Details: 3 weeks remote, 1 week on-site travel per month Salary range: $85K-$100K (based on exper
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, yo
WalgreensOur pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center – interacting with our customers and developin
In the role the successful candidate maintains in-depth knowledge of legal requirements related to day-to-day management of employees, reducing legal risks, and ensuring regulatory compliance. This role is accountable for analyzing, planning, organizing, supervising, and supporting the Talent Acquis
BDWe Are The People Who Give Possibilities Purpose BD is one of the largest global medical technology companies in the world. Advancing the world of health™ is our Purpose, and it’s no small feat. It takes the imagination and passion of all of us—from design and engineering to the manufacturing and ma
MerckJob Description The role is accountable for performance and compliance for assigned protocols and sites in a country. Under the oversight of the CRA-Manager the person ensures compliance of study conduct with ICH/GCP and country regulations, company policies and procedures, quality standards and adv
MSDJob Description The role is accountable for performance and compliance for assigned protocols and sites in a country. Under the oversight of the CRA-Manager the person ensures compliance of study conduct with ICH/GCP and country regulations, company policies and procedures, quality standards and adv
Scientific Safety Alliance, an Inc. 5000 CompanySupervisor Técnico de Refrigeración y HVAC – Baja Temperatura Ubicación: Area Metro , Puerto Rico (Tiene que viajar a todo Puerto Rico de Ser Necesario) Sobre SSA Scientific Safety Alliance (SSA) existe para acelerar la ciencia de manera excepcional. SSA está creciendo a un ritmo extraordinario y es
IEMIEM is looking for a Full Time- Environmental Specialist to join our team. Supports environmental review and compliance for CDBG-MIT projects in Puerto Rico. Responsibilities include staying updated on regulations, conducting eligibility evaluations, preparing required documentation (NEPA, 24 CFR Pa
CLINICAL MEDICAL SERVICES INCCMS, Inc. y CMS Home Care – Llevando salud a través de todo Puerto Rico Somos la única compañía en Puerto Rico que ofrece un modelo integrado de servicios de salud, incluyendo servicios de salud en el hogar, equipo médico duradero (DME), servicios respiratorios, terapia de infusión, ortóticos y pros
CLINICAL MEDICAL SERVICES INCCMS, Inc. y CMS Home Care – Llevando salud a través de todo Puerto Rico Somos la única compañía en Puerto Rico que ofrece un modelo integrado de servicios de salud, incluyendo servicios de salud en el hogar, equipo médico duradero (DME), servicios respiratorios, terapia de infusión, ortóticos y pros
