general

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...

Esta Convocatoria es parte del Nuevo Proceso de Adquisición de Talento en el Servicio de Carrera de las Entidades Participantes del Gobierno de Puerto Rico **Comisión de Juegos del Gobierno de Puerto Rico** **159 Calle Chardón, Piso 2, San Juan, Puerto Rico, 00918** Patrono con igualdad de oportunidades de empleo CONVOCATORIA A EXAMEN Convocatoria...

Esta Convocatoria es parte del Nuevo Proceso de Adquisición de Talento en el Servicio de Carrera de las Entidades Participantes del Gobierno de Puerto Rico OFICINA DE ADMINISTRACIÓN Y TRANSFORMACIÓN DE LOS RECURSOS HUMANOS (OATRH) Calle Vela #6 San Juan, Puerto Rico 00919 Patrono con igualdad de oportunidades de empleo CONVOCATORIA A...

Esta Convocatoria es parte del Nuevo Proceso de Adquisición de Talento en el Servicio de Carrera de las Entidades Participantes del Gobierno de Puerto Rico COMISION DE JUEGOS DEL GOBIERNO DE PUERTO RICO (CJGPR) 159 Calle Chardón, 2do piso San Juan, PR 00918 Patrono con igualdad de oportunidades de empleo CONVOCATORIA A EXAMEN Convocatoria Interna –...

Our associates celebrate lives. We celebrate our associates. Services client families during funerals, visitations, and interment. Assists in the implementation of choices made by the families/legal representative regarding the funeral, final disposition of the body and memorialization of the individual. Provides exemplary customer service in all areas of...

## Descripción general The Condado Collection es una colección de propiedades de hospitalidad en Puerto Rico, desde hoteles de lujo clásico y moderno, hasta restaurantes y entretenimiento. The Condado Vanderbilt es el estándar de excelencia para resorts de lujo en San Juan y el Caribe. Originalmente construido en 1919, y restaurado a su distinguida...

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...

QUALITY CONSULTING GROUP, es una compañía líder en la industria farmacéutica, biotecnológica, de dispositivos médicos y fabricación. Con una experiencia combinada de más 25 años proveemos servicios de alta calidad a nuestros clientes. Reclutamos recursos para todo tipo de industrias y buscamos recursos talentosos, altamente motivados que quieran...

**RESUMEN DEL PUESTO** El **Media Planner & Buyer** es responsable de desarrollar, ejecutar y optimizar estrategias de medios para las cuentas asignadas, asegurando que las campañas publicitarias alcancen los objetivos de negocio, mercadeo y comunicación establecidos por el cliente. Esta posición lidera el proceso de planificación de medios mediante el...

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...

QUALITY CONSULTING GROUP, es una compañía líder en la industria farmacéutica, biotecnológica, de dispositivos médicos y fabricación. Con una experiencia combinada de más 25 años proveemos servicios de alta calidad a nuestros clientes. Reclutamos recursos para todo tipo de industrias y buscamos recursos talentosos, altamente motivados que quieran...

Regular Exempt **GENERAL DESCRIPTION:** Leads orientations and presentations to sell and/or renew MCS Advantage’s line of business products to potential clients or beneficiaries (as applicable) that are eligible for the Medicare Program, according to the regulations established by CMS (Center for Medicare and Medicaid Services), and the...