- CenterWell (San Juan, PR)
- …and market level; Partners with Clinical Documentation Improvement, Audit, and Education to develop programs to improve clinical documentation. + Partner with ... to establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking. +… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Associate Director , TLL, Renal Rare Disease, is a field-based, customer facing, non-sales position on Otsuka's Rare Renal team focused on enhancing and ... and speaker bureaus. + Train, evaluate, and educate physician speakers to provide high-quality compliant focused branded and unbranded education . + Ensure… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …of promotional materials or other types of product communications to provide comprehensive regulatory compliance guidance. + Ensures product promotional materials ... ambiguity and comfortable working with multifunctional teams Educational Qualifications Education and Experience + Bachelor's Degree required (life sciences… more
- Humana (San Juan, PR)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... various complaint types handled by the Resolution team including: Part C Appeals, Provider Disputes and/or other end compliant inquiries. + Has 6-7 direct reports… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- …and academic translational clinical research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director is typically ... While not essential, prior personnel management experience, will support position at entry ( Associate Director / Director ). + An advanced understanding of drug… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (San Juan, PR)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Grifols Shared Services North America, Inc (PR)
- …in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming clinical trials, ... and present data from clinical trials to the company and externally + Provide strategic input for clinical development plans and regulatory strategy + Provide… more
- Humana (San Juan, PR)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (San Juan, PR)
- …a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic ... planning support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how… more
- Humana (San Juan, PR)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (San Juan, PR)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics, driving… more
- ZOLL Medical Corporation (San Juan, PR)
- …Understand, communicate, and train hospital and office staff to submit complete orders. Provide education and support to appropriate staff to reduce medical ... we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our… more
- Zurich NA (San Juan, PR)
- …and career development of personnel + Administrate and direct operations to provide prompt, accurate and dependable service to customers + Direct and conduct ... experience in the Operations areaOR + Zurich approved Apprenticeship program including an Associate Degree and 7 or more years of experience in the Operations… more
- Humana (San Juan, PR)
- …variable factors. The Senior Procurement Professional will report directly into the Associate Director of Procurement and will create category strategies, design ... authorized to work in the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role. **_HireVue Statement_** _As part of our… more
- Humana (San Juan, PR)
- …Work Arrangements Available **Reporting Information** + You will report to the Director of Enterprise DevOps and Enterprise Engineering Enablement. + You will be ... be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet… more