Empleos de general en San Juan

**Company Description** Fairmont Hotels & Resorts is a renowned luxury hotel brand with a global presence and a commitment to creating lasting memories for our guests. With over 30,000 employees worldwide, we are dedicated to providing exceptional service, embracing innovation, and fostering a culture of excellence. Made legendary by the people and...

**RESUMEN DEL PUESTO** El técnico de mantenimiento tiene la responsabilidad de mantener las facilidades del proyecto en el que este asignado, limpias y ordenadas. Realiza tareas de limpieza rutinarias como mantenimiento de pisos, baños, alfombras, cristales, control de polvo, recogido de basura. Reporta a su supervisor los materiales que hagan falta, así...

**Job Description** We are looking for a reliable and experienced Janitorial Cleaner to perform a variety of cleaning duties to ensure a clean, safe, and orderly environment across assigned facilities. This role plays a critical part in maintaining the overall appearance and sanitation of the workplace, contributing to a positive experience for...

**(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...

**About the Role** Our client is seeking a **Legal HR Generalist** to join the Human Resources team. This opportunity is ideal for a professional who is currently pursuing a Juris Doctor (JD) and has an interest in developing a career at the intersection of Human Resources, employment law, and employee relations. The selected candidate will work closely...

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...

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:** 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...

Regular Exempt **GENERAL DESCRIPTION:** Responsible for presenting products to prospects and ensuring thorough follow-up until closing the sales cycle to meet company goals. Prepare accurate sales reports to document the sales process. **ESSENTIAL FUNCTIONS:** - Identify potential clients and market segments for expanding the company's...

Regular Non-Exempt **GENERAL DESCRIPTION:** Responsible for handling, validating, and completing requests and reconciliations related to the Beneficiary Value Program. Assess program reconciliation and collaboration with cross-functional teams to enhance overall program performance to ensure that the Beneficiary Value Program goals align with the...

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:** Supports daily unit operations by completing document intake, evaluation, classification, and distribution processes. Provides guidance to technicians, resolves escalated issues, and acts as a liaison between internal and external teams to ensure efficient workflow and service delivery. Monitors...

Regular Non-Exempt **GENERAL DESCRIPTION:** The Customer Service Representative I – CC is responsible for providing excellent service when answering requests from policyholders, members, and providers through phone calls received. Solves situations or service needs, channeling them through the established operational processes and service...

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...

Regular Exempt **GENERAL DESCRIPTION:** Responsible for the ongoing monitoring of all elements of the Special Needs Plan Care Coordination (SNP-CC) as needed to comply with regulatory requirements and quality indicators. Evaluates care coordination frameworks, identifies risks and improvement opportunities, supports audit readiness, and works...

Regular Non-Exempt **GENERAL DESCRIPTION** : The Beneficiary Value Program Efficiency Analyst is responsible for preserving the quality of the product by analyzing and developing operational data and report requests related to Te Paga. Provides administrative and analytical support in the implementation and monitoring of Te Paga-related...

Regular Exempt **GENERAL DESCRIPTION:** The Beneficiary Value Program Efficiency Manager leads the strategic planning, customer management, “Te Paga” initiatives, and investment efforts aligned with the company’s corporate strategy. Ensures seamless integration of technical and operational requirements to support internal and external...

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...

Regular Non-Exempt **GENERAL DESCRIPTION:** Responsible for receiving, registering, and forwarding requests for organizational determination and/or any associated clinical documentation or documentation for the clinical management of the insured. Works with the authorizations of services already predetermined through the automatic process using...