electronic

**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 including immunology, oncology and neuroscience - and products and services in our...

***QRC Group, LLC*** *is a firm dedicated to offer services to the Pharmaceutical, Medical Devices and Chemical Industries in the validation and regulatory fields.* *Log on now to our website http://www.**qrcgroup.com**/ to learn more about our services and solutions!* We are seeking a **SAP Implementation Support Specialist** to support the deployment...

**Company Mission** Duo Health is a new type of medical group designed around the needs of patients living with chronic kidney disease. Our proprietary Health Mobilization™ platform partners multidisciplinary care teams with community nephrologists and activates the clinicians, facilities, and community organizations needed to care for the whole patient. ...

Regular Non-Exempt **GENERAL DESCRIPTION:** The Beneficiary Value Program Efficiency Clerk is responsible for the accurate classification, registration, and monitoring of operational items related to Te Paga within designated electronic portals. The Clerk ensures items are properly categorized, validated, documented, and escalated when issues...

Regular Exempt **GENERAL DESCRIPTION:** Supports the planning, development, and execution of specialty pharmacy programs for both MCS lines of business. Responsible for monitoring and reporting to ensure established programs deliver the expected clinical and financial results. Ensures that specialty medication strategies achieve company goals and...

Regular Non-Exempt **GENERAL DESCRIPTION:** Responsible for receiving, registering, and forwarding applications received within the unit to certify the chronic conditions of beneficiaries for a chronic product. Responsible for the confirmation of chronic conditions for the C-SNP plan members. Enters data from health status and risk factor...

Regular Non-Exempt **GENERAL DESCRIPTION:** Receive the Grievances, Pre-Service Appeals, Post-Service Appeals, Payment Disputes, Payment Appeals, and Administrative Organizational Determinations (AOD) filed by Providers and members, as applicable. Responsible for filling and assigning cases to the Specialists in accordance with established time...

**(Región - Sur)** Regular Non-Exempt **GENERAL DESCRIPTION:** The Community Outreach Technician provides administrative support within the case management process for addressing the non-clinical needs of policyholders referred to the unit’s program. This role involves assisting in the development of individualized care plans based on...

Regular Exempt **GENERAL DESCRIPTION:** Evaluates utilization in clinical records and hospital facilities concurrently and retrospectively. Identifies and refers to other clinical departments (Case management, condition management, among others) cases for the management of treatment alternatives. Makes efforts to receive advice in difficult...

## Overview Company Overview: Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers...

Regular Exempt **GENERAL DESCRIPTION:** Conducts prospective reviews (preauthorization’s) of items or services provided to beneficiaries using the Clinical Guidelines criteria for assessing medical necessity. Determines the appropriate level of care according to the severity of the subscriber’s condition. Ensures the appropriate use of...

## Overview Company Overview: Allied Universal®, North America’s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers...

Regular Exempt **GENERAL DESCRIPTION:** The Health Educator is responsible for designing and implementing educational interventions aimed at preventive care, healthy lifestyles promotion and condition management aligned with the goals and objectives of the company’s Wellness Program. **ESSENTIAL FUNCTIONS:** - Design and develop...

Industry: Pharmaceutical Manufacturing Work Arrangement: Remote Contract Duration: Initial 6-month assignment, with potential for extension Project Site Supported: Carolina, Puerto Rico Position Overview We are seeking an experienced Automation Engineer to support a site-wide Alarm Rationalization Program within a regulated pharmaceutical...

At Fluor, we are proud to design and build projects and careers. We are committed to fostering a welcoming and collaborative work environment that encourages big-picture thinking, brings out the best in our employees, and helps us develop innovative solutions that contribute to building a better world together. If this sounds like a culture you would like to...

Regular Exempt **GENERAL DESCRIPTION:** Provides education to internal and external clients on operational topics that promote efficiency in the process executed by our providers and business partners, such as the Risk Adjustment payment model “CMS-HCC”, ensuring best practices in coding standards and clinical documentation within the medical...

Eaton’s ES AMER PCS division is currently seeking a SCM Project Lead.  ## What you’ll do: **PRIMARY FUNCTION:** Lead SCM project activities for Power Components Division Sites. Ensure activities are completed based on the required timeline while managing CAPEX, cost out and other goals. Work with other department process owners to complete...

Descripción de Puesto – QA Nurse Monitoring Reviewer CMS, 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...

This position is responsible for monitoring the security and surveillance systems to assist in managing the overall security of the airport facilities to include employees, visitors, and security personnel to avoid any act of unlawful activities. Manages the collection and dissemination of information related to emergencies, security violations and other...

Título del puesto: Collection Clerk Compañía: Eastern America Insurance Agency Departamento: Accounting – Collections Reporta a: Director – Collections & Client Services Clasificación: No-exento Descripción general del puesto: Recopila, registra y mantiene documentación de pagos siguiendo las prácticas, políticas y procedimientos de la...