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11 Jobs bij Mcs-Puerto-Rico

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IPA Operations Executive AD

RegularExemptGENERAL DESCRIPTION:Responsible for monitoring and documenting the programs or special projects designed for the management of IPA's and in some cases initiatives for centers and/or care ...

CRM Technical Lead AD

RegularExemptGENERAL DESCRIPTION:Provides technical leadership to the development tasks performed by resources to launch new programs, modify them, or integrate them according to business and technica...

Productivity Assurance Specialist AD

RegularExemptGENERAL DESCRIPTION:Responsible for executing and reviewing quality controls for monitoring the operational processes established in the Unit to process claims and benefit configuration, ...

IPA Operations Executive

RegularExemptGENERAL DESCRIPTION:Responsible for monitoring and documenting the programs or special projects designed for the management of IPA's and in some cases initiatives for centers and/or care ...

CRM Technical Lead

RegularExemptGENERAL DESCRIPTION:Provides technical leadership to the development tasks performed by resources to launch new programs, modify them, or integrate them according to business and technica...

Productivity Assurance Specialist

RegularExemptGENERAL DESCRIPTION:Responsible for executing and reviewing quality controls for monitoring the operational processes established in the Unit to process claims and benefit configuration, ...

Pharmacy Intervention Supervisor/STARS

RegularExemptGENERAL DESCRIPTION:\"Responsible for ensuring that the personnel under their supervision perform clinical interventions, including patient calls, to enhance the impact of quality measure...

IPA Executive

RegularExemptGENERAL DESCRIPTION:Supports business goals by addressing service requests from Independent Physician Administrations (IPAs) regarding financial and administrative issues. Resolves issues...

Contracting Specialist

RegularExemptGENERAL DESCRIPTION:Responsible for executing processes related to contracting professional service providers, which includes conducting market analysis to ensure compliance with the cont...

Project Manager

RegularExemptGeneral DescriptionResponsible for the management, administration, strategy, and leadership of various projects to deliver them on time, within the established budget, quality, scope, and...

IT Quality Specialist

RegularExemptGENERAL DESCRIPTION:Responsible for defining, implementing, and improving standards, processes, and quality assurance practices throughout the lifecycle of applications and systems. Ensur...

Pharmacy Cost Containment Lead

RegularExemptGeneral DescriptionResponsible for the Pharmacy Department's Financial Activities such as Budget and Savings Initiatives. Develops, analyzes, and evaluates pharmacy savings initiatives an...

Grievances & Appeals Specialist

GENERAL DESCRIPTION:Analyzes, investigates, supports, and answers Grievances, Dental Pre-Service, and Payment Appeals filed by members, insureds, and Providers within the time stipulated contractually...

Pharmacy Intervention Supervisor/STARS AD

RegularExemptGENERAL DESCRIPTION:\"Responsible for ensuring that the personnel under their supervision perform clinical interventions, including patient calls, to enhance the impact of quality measure...

IPA Executive AD

RegularExemptGENERAL DESCRIPTION:Supports business goals by addressing service requests from Independent Physician Administrations (IPAs) regarding financial and administrative issues. Resolves issues...