medicare

# General Accountant — Full Time, First Shift (Onsite) **Location:** Puerto Rico (Onsite) **Employment Type:** Full Time, Regular **Shift:** First Shift (Day) **Department:** Finance / Accounting **Reports To:** Accounting Manager / Controller ## About the Opportunity PeopleLift is recruiting on behalf of one of Puerto Rico's leading hospitals — a...

**Care Center Registered Nurse** **Location: Aibonito, Puerto Rico.** This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support. Please note that per our...

Regular Exempt **GENERAL DESCRIPTION:** Responsible for evaluating and managing the credentialing and recredentialing processes for healthcare professionals and facilities participating in the provider network across all lines of business. Ensures compliance with regulatory requirements, accreditation standards, and company policies, maintaining...

Regular Non-Exempt **GENERAL DESCRIPTION:** Promotes MCS Classicare products and services by participating in events and/or formal and informal activities approved by the Medicare Center and Medicaid Services (CMS). Ensure compliance with the requirements established by the regulatory agency. Carries out the pre-qualification process for...

Regular Non-Exempt **GENERAL DESCRIPTION:** Promotes MCS Classicare products and services by participating in events and/or formal and informal activities approved by the Medicare Center and Medicaid Services (CMS). Ensure compliance with the requirements established by the regulatory agency. Carries out the pre-qualification process for...

Regular Non-Exempt **GENERAL DESCRIPTION:** Promotes MCS Classicare products and services by participating in events and/or formal and informal activities approved by the Medicare Center and Medicaid Services (CMS). Ensure compliance with the requirements established by the regulatory agency. Carries out the pre-qualification process for...

Regular Non-Exempt **GENERAL DESCRIPTION:** Responsible for receiving and initiating phone calls regularly in alignment with the strategies and special projects of the Medicare Stars Program. Ensures the call volume and service quality meet the productivity targets and supports the attainment of Stars-related goals. Solves and forwards situations...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

Regular Non-Exempt **GENERAL DESCRIPTION:** Promotes MCS Classicare products and services by participating in events and/or formal and informal activities approved by the Medicare Center and Medicaid Services (CMS). Ensure compliance with the requirements established by the regulatory agency. Carries out the pre-qualification process for...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

# **Become a part of our caring community** The Bilingual Care Coach works as a non-clinical member of the care management team. You will employ a variety of approaches to evaluate and support a member's optimal wellness in this role. This is a remote position, and the Care Coach work assignments are often straightforward and of moderate...

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers. When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our...

Regular Exempt **GENERAL DESCRIPTION:** The Events and Promotions Executive is responsible for handling and coordinating the logistics of Classicare events and activities and the efforts and initiatives related to the Advantage line of business. Identifies and develops work plans for region-level initiatives and provides recommendations to...

Regular Exempt **GENERAL DESCRIPTION:** Responsible for leading outreach initiatives aimed at providers, specialists, and Independent Practice Associations (IPAs) to enhance performance under the Center for Medicare and Medicaid Services (CMS) Risk Adjustment model. Identify gaps in chronic condition documentation (HCCs), track the achievement of...

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...

**About the Role** We are seeking a detail-oriented and proactive **Compliance Associate** to support and strengthen our organization's Compliance Program. This role is responsible for ensuring adherence to federal and state regulations, contractual obligations, internal policies, and Medicare-related requirements. The ideal candidate will have experience...

Regular Exempt **GENERAL DESCRIPTION:** The Coding & Payment Rule Specialist is responsible for identifying coding guidelines established by the American Medical Association's (AMA) standard classification systems (ICD-10, CPT, HCPCS) and payment rules established by the Centers for Medicare & Medicaid Services (CMS) for the proper and timely...

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...