- Humana (San Juan, PR)
- …+ Medicare Compliance experience a minimum of 5 years + 3 years of working knowledge of the CMS Marketing Guidelines + Experience in presenting to leadership + 3 ... years of in depth experience in applying Health Insurance laws and regulations governed by the Department of Insurance and CMS. + Bachelor's degree in Marketing, Business, Law or related field + Excellent communication skills + Strong attention to detail … more
- General Motors (San Juan, PR)
- …**Work Arrangement** _This role is based remotely but if you live within a 50-mile radius of [_ _Atlanta, Austin, Detroit, Warren, Pontiac, Milford or Mountain View_ ... _], you are expected to report to that location three times a week, at minimum._ **The Role** The Corporate Development team is responsible for developing & maintaining relationships with external partners, as well as analyzing, negotiating, structuring, and… more
- Humana (San Juan, PR)
- …* Bachelor's degree OR equivalent experience * 3 - 5 years managing large scale projects and cross functional teams * Success in developing working relationships ... within a highly matrixed business environment * Ability to analyze data and make informed recommendations * Must be passionate about contributing to an organization focused on continuously improving consumer experiences * Document creation, LMOC, backup other… more
- Marriott (San Juan, PR)
- …Handles customer inquiries and lead requests for groups (eg, Full Service and MSB, 10-99 peak room nights) within predefined Group Sales parameters. Works with ... **Additional Information** Remote position focused on group sales opportunities. Reside in United States. Nights + Weekends, CST EST preferred. **Job Number** 24105840 **Job Category** Sales & Marketing **Location** Sales Support East, 7750 Wisconsin Avenue,… more
- Marriott (San Juan, PR)
- …Prepare breads and pastries, including preparing doughs and fillings, proofing, baking, and decorating as appropriate. Review Production sheet to understand variety ... of baked goods to be produced daily. Prepare and cook food according to recipes, quality and presentation standards, and food prep checklists. Maintain kitchen logs for food safety program compliance. Keep Chef informed of excess food items for planning of… more
- Mathematica (San Juan, PR)
- …Mathematica applies expertise at the intersection of data, methods, policy, and practice to improve well-being around the world. We collaborate closely with public- ... and private-sector partners to translate big questions into deep insights that improve programs, refine strategies, and enhance understanding using data science and analytics. Our work yields actionable information to guide decisions in wide-ranging policy… more
- Humana (San Juan, PR)
- …+ 5+ years of experience in information technology, process management, business administration, communication, or a related field + Proven experience with Microsoft ... Power Platform; Focus on Power Apps and Power Automate + Strong understanding of user experience and design best practices + Proficiency in documentation tools and software such as Microsoft Office Suite, Lucidchart, or similar + Demonstrated experience with… more
- Marriott (San Juan, PR)
- …The Systems Engineer serves as a Subject Matter Expert in a complex array of solutions. An ideal candidate will exhibit strong communications skills, be ... **Job Number** 24106612 **Job Category** Information Technology **Location** Marriott International HQ, 7750 Wisconsin Avenue, Bethesda, Maryland, United States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management… more
- AbbVie (Barceloneta, PR)
- …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 - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us… more
- HealthEdge Software Inc (San Juan, PR)
- …A successful Clinical Program Manager will demonstrate effective client communication and strategic decision-making that appropriately balances the user experience, ... **Overview** **Overview:** This role supports clinical program creation, maintenance, and client implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and… more
- Humana (San Juan, PR)
- …+ 5+ years of proven technical experience as a Full Stack Web Software Engineer, delivering web applications from conception to deployment. + Understanding of ... **Become a part of our caring community and help us put health first** Healthcare Quality Reporting & Improvement (HQRI) delivers integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and technology to empower members, providers, and… more
- Trellix (San Juan, PR)
- …* Issue Resolution Leadership: Lead the resolution of critical customer issues, employing creative problem-solving when standard procedures fall short of meeting ... **_Job Title:_** Principal Critical Account Manager **_Role Overview:_** Join our team as a Principal Critical Account Manager (PCAM) within the Critical Accounts Program (CAP) at Trellix. In this strategic role, you will be at the forefront of addressing… more
- Marriott (San Juan, PR)
- …Reporting directly to the Director - Messaging & Collaboration, the Senior Product Owner - Entra ID/Active Directory is responsible for the design, implementation, ... maintenance, and optimization of the Entra ID/Active Directory infrastructure. They will work closely with IT teams, security professionals, and business stakeholders to ensure the reliability, security, and scalability of the Entra/Active Directory… more
- Humana (San Juan, PR)
- …+ Bachelor's degree or equivalent work experience + Prior project management experience + Experience with project management tools and Office products + Must be ... passionate about contributing to an organization focused on continuously improvement **Preferred Qualifications** + PMP + Stakeholder Management + Experience working with Medicaid requirements and guidelines. + Facilitation + Previous experience working with… more
- Humana (San Juan, PR)
- …+ 2+ years leadership experience + 3+ years RA experience, either Corporate or regional + Claims processing experience/knowledge + Experience collaborating with ... legal, risk management, internal audit and compliance partners + Strong knowledge of Microsoft products + Excellent written and verbal communications skills + Proficiency in data analysis + Demonstrated process improvement experience + Ability to work/interact… more
- Humana (San Juan, PR)
- …- What it takes to Succeed** CPC, CCS, ROCC, RHIA, or RHIT Certification with a minimum of 3 years post-certification experience * Minimum of 3 years post ... certification experience Outpatient Specialty Surgeries and Procedures * Minimum of 3 years post certification experience reading and interpreting claims * Strong knowledge of CPT/HCPS coding * Experience reading & coding from operative reports * Chemotherapy… more
- AbbVie (San Juan, PR)
- …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 - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us… more
- HealthEdge Software Inc (San Juan, PR)
- …and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations ... **Overview** **Senior Postgres DBA** **Position Overview:** HealthEdge is a cutting-edge software company focused on providing next-generation core administration and care coordination for transformative health plans. Within our Operations group, the Database… more
- Humana (San Juan, PR)
- …+ Bachelor's Degree + Associate of Society of Actuaries (ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program ... (APDP) + MAAA + Strong communication skills + Successful completion of at least 3 actuarial exams + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Scheduled Weekly Hours** 40 **Pay Range** The… more
- Humana (San Juan, PR)
- …+ Bachelor's degree + Must be fully bilingual English/Spanish + 3 years of Provider contracting provider relations or provider operations + Experience working in a ... matrix reporting environment + Previous experience in claims + Prior contract interpretation experience + Superior organizational skills + Ability to work in a deadline driven environment + Experience facilitating meetings + Experience in Microsoft Word, Excel… more