- Cardinal Health (San Juan, PR)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Hilton (San Juan, PR)
- …franchised Hilton hotels world\-class revenue management talent and tools\. As a Revenue Manager , RMCC, Managed , you will support the team that's helping hotels ... grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director, you will...savings account, an employee assistance program, access to a care coordination program \("Wellthy"\), a legal services program, an… more
- CAI (San Juan, PR)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full...+ Minimum of 3 years of experience in Acute Care , Managed Care , or experience ... **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next...critical role in holistic assessment, planning, coordination, and monitoring care to optimize member health outcomes while advocating for… more
- AbbVie (San Juan, PR)
- …administration or project management, strong knowledge on pharmaceutical products reimbursement and Managed Care environment is a must + strategic thinking, ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more
- Cardinal Health (San Juan, PR)
- …long and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial medical and pharmacy plans while ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Western Digital (San Juan, PR)
- …years** in legal business consulting, legal technology innovation, or legal managed services * Strong technical program management with large-scale legal operations ... mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or… more
- Elevance Health (San Juan, PR)
- **Position Title:** Customer Care Representative - Bilingual (English/Spanish) (Hybrid) and Customer Care Representative **Location: Hybrid:** This role requires ... Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations… more
- Sedgwick (San Juan, PR)
- …of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth ... technology and regulatory compliance. + Serves as a project manager and process owner for all components of a...knowledge of claims management, managed care and/or absence management processes and… more
- CenterWell (San Juan, PR)
- …Medicare and/or Medicaid experience + 3 or more years clinical experience in managed care + Ability to manage end-to-end-processes + Understand Humana's business ... retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer… more
- UMB Bank (San Juan, PR)
- …assessment and underwriting of new SBCRE (Small Balance Commercial Real Estate) managed investment loans (non-owner occupied CRE loans $1,000,000 to $5,000,000) in ... all of or portions of the credit packages (as agreed with the relationship manager ) for submission to credit committee for approval (new business and renewals) +… more
- AbbVie (San Juan, PR)
- …+ Commercial pharmaceutical industry experiences such as physician/account-based selling, training, managed health care or marketing. + Strong business acumen ... lives across several key therapeutic areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For… more