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Regular Non-Exempt **GENERAL DESCRIPTION:** Analyzes claims and/or adjustments submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, as well as member reimbursements, by applying payment rules to determine appropriate adjudication, denial, or the need for additional...

Regular Non-Exempt **GENERAL DESCRIPTION:** Provides first-level technical support to internal and external customers by responding to service requests, answering inquiries, resolving or escalating technology-related issues, and ensuring timely follow-up. Troubleshoots hardware, software, and system problems, documents incidents and requests, and...

**GENERAL DESCRIPTION:** Responsible for answering and making telephone calls to participating and non-participating providers offering services in the service area and outside the plan service area, as well as to policyholders. Guarantees that situations or service needs are solved at the time of the call and, if necessary, refer to their supervisor any...

Regular Exempt **GENERAL DESCRIPTION:** Carries out nursing functions in performing care management process, organizational determinations, and transitional care, including, but not limited to, health assessments, biopsychosocial needs assessment, and barriers for policyholders with medical conditions to develop a comprehensive and customized...

You are responsible for performing preventive maintenance and repairs that incorporate MM best practices. You adhere to all safety practices according to company procedures and local regulations. - You provide quick, effective repairs; inspect, maintain, and repair industrial equipment and machinery to ensure they are always in proper working order. -...

Feeling stuck? Put your career in motion with a great, new opportunity. Join the Kelly® team as a Strategic Services Coordinator to work at a leading organization in San Juan, PR. We’re here every step of the way to help you and your career be the best it can be. Bring your energy and expertise. We’ll help you get where you want to be. Salary/Pay...

**Overview** Job Description The Talent Acquisition Manager supports the Store locations through effective talent acquisition strategies for leadership positions. This position must leverage sourcing methods and drive best-in-class talent acquisition practices and processes. In addition, the Talent Acquisition Manager will interface collaboratively...

**Resumen de las Funciones** Supervisa y coordina las actividades de mantenimiento de edificios, tales como trabajos de albañilería, ebanistería, carpintería, pintura, jardinería, y ornato; y las funciones de diagnóstico, mantenimiento, instalación y reparación de sistemas y equipos eléctricos de bajo voltaje. Supervisa indirectamente las funciones...

We're seeking a Browser Automation Engineer to join our team in Puerto Rico. We’re building an intelligent automation framework powered by large language models to solve complex, real-world workflows. We’re looking for a Browser Automation Engineer II with a strong foundation in JavaScript and experience designing complex browser automations for a...

Regular Exempt **GENERAL DESCRIPTION:** The Senior Account Executive represents the company in official service procedures and group renewals. Ensures effective attendance, communication, and resolution of various service-related situations as required by the clients. Serves as primary liaison between the employer or group and the management 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. La Concha Resort es un resort de lujo moderno en Condado, Puerto Rico con historia desde el 1958. Representando el estilo de vida divertido “Latino Chic”, al...

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...

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...

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 DEPARTAMENTO DEL TRABAJO Y RECURSOS HUMANOS (DTRH) Edificio Prudencio Rivera Martínez 505 Ave. Muñoz Rivera Hato Rey, Puerto Rico 00918 Patrono con igualdad de oportunidades de...

## 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 Exempt **GENERAL DESCRIPTION:** Responsible for directing, developing initiatives, and establishing plans of action to ensure compliance with service standards, comply with the needs of internal and external clients, and achieve the renewal goals established by the company. Responsible for the service and renewals of the groups under...

Regular Exempt **GENERAL DESCRIPTION:** Evaluates the handling, processing, and/or payment of medical and/or life insurance claims to seek efficiency in the claim adjudication processes of each of the analysts, according to the parameters established in the unit, and seeks continuous improvement and compliance with corporate results. Makes...

Regular Exempt **GENERAL DESCRIPTION:** Serves as a liaison between the company and extended care home administration to coordinate, refer, and manage documents and/or services related to the company’s Home Health Program. Responsible for handling, channeling, and resolving service situations related to complaints, claims, and operational...

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 DEL PROCURADOR DE LAS PERSONAS DE EDAD AVANZADA** Avenida Ponce de León, Pda. 16, Edificio 1064 San Juan, Puerto Rico 00919 Patrono con igualdad de oportunidades de empleo **CONVOCATORIA...

Job Type Full-time **Description** StoneMor Puerto Rico ofrece oportunidades profesionales gratificantes dentro de nuestro Departamento de Ventas. Actualmente estamos buscando un Consejero de Ventas para unirse a nuestro equipo. El Consejero de Ventas es responsable de proveer una experiencia enfocada primariamente en las necesidades...