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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...

Regular Non-Exempt **GENERAL DESCRIPTION:** Calls medical offices to request, receive by fax, and register documents contained in the medical records of Classicare policyholders, as required and according to the different initiatives worked on in the unit. Refers documents received by the medical offices to the Risk Assessment unit, to complete...

Regular Exempt **GENERAL DESCRIPTION:** Manages and ensures the effective execution of the Care Management Program work plan for the Company's lines of business. Ensures that the appropriate resources are in place to ensure compliance with the appropriate care management of the participating members of the program(s). Participates in designing,...

## Company Description **Publicis Groupe** es líder mundial en comunicación. El Groupe se posiciona en cada paso de la cadena de valor, desde la consultoría hasta la ejecución, combinando la transformación del marketing y la transformación del negocio digital. Publicis Groupe es un socio privilegiado en la transformación de sus clientes para mejorar...

## Company Description **Publicis Groupe** es líder mundial en comunicación. El Groupe se posiciona en cada paso de la cadena de valor, desde la consultoría hasta la ejecución, combinando la transformación del marketing y la transformación del negocio digital. Publicis Groupe es un socio privilegiado en la transformación de sus clientes para mejorar...

Regular Exempt **GENERAL DESCRIPTION:** Analyzes, investigates, supports, and answers Grievances, Dental Pre-Service, and Payment Appeals filed by members, insureds, Providers, and/or Non-Part Providers within the time stipulated contractually for both Lines of Business (LOB)and following the terms stated in the contracts established and the...

**(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...

**BCforward is currently seeking a highly motivated Client Development Executive (former Account Executive) in** San Juan, Puerto Rico **.** **Position Summary:** The Client Development Executive is a senior-level sales professional responsible for driving strategic business development within a defined account or portfolio of accounts. This role focuses...

At Bristol Myers Squibb, our employees often ask, “Who are you working for?”—a question that fuels collaboration, accountability, and urgency in our work. Our purpose-driven culture inspires us to discover, develop, and deliver innovative medicines to prevail over serious diseases. We offer uniquely interesting and meaningful work, opportunities for...

**Job Description** **Role Overview** We are looking for a motivated Applied AI Specialist to join our growing Voice AI team. This role suits candidates who combine a solid grounding in software engineering fundamentals with strong testing discipline and a customer-focused mindset. You will initially own feature testing and quality assurance for our Voice...

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. ...

Pyramid Global Hospitality is a leading hospitality management company with a portfolio of more than 200 hotels and resorts and over 18,000 associates across the United States, Caribbean, and Europe. Our platform includes [Benchmark Resorts &...

The Senior Manufacturing Excellence Engineer is a key driver of operational transformation and continuous improvement across Bacardi Supply operations. This role is responsible for deploying and sustaining Total Productive Manufacturing (TPM), Tier Management System (TMS), performance management systems, and continuous improvement methodologies to eliminate...

[Please note this is a Direct Search led by Bacardi, Applications from agencies will not be accepted nor will fees be paid for unsolicited CVs.] The Senior Manufacturing Excellence Engineer is a key driver of operational transformation and continuous improvement across Bacardi Supply operations. This role is responsible for deploying and...

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 performances that define San...

**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...

**About Scene Health** Scene’s 360° model of care enhances the gold standard of medication adherence, Directly Observed Therapy. Combining personalized video coaching, education, and motivational content, we bring healthcare professionals, patients, and their families together to solve the $500B medication non-adherence problem. Our mobile app allows...

**Overview** As a Part-Time Supervisor, you will support the management team to create the best experience for our customer and deliver desired results. You also share the responsibility to execute assigned store operations and maintain a visually appealing store. You create a positive environment that develops and engages your managers, associates, and...

QUALITY CONSULTING GROUP, a leader in the pharmaceutical, biotech, medical devices, and manufacturing industry, is looking for a talented, highly motivated and enthusiastic to join our team. In this role, you’ll work with a highly enthusiastic team, contributing in a world-class manufacturing industry in Puerto Rico & USA. Responsibilities: - **Performs...

QUALITY CONSULTING GROUP, a leader in the pharmaceutical, biotech, medical devices, and manufacturing industry, is looking for a talented, highly motivated and enthusiastic to join our team. In this role, you’ll work with a highly enthusiastic team, contributing in a world-class manufacturing industry in Puerto Rico & USA. Responsibilities: - **Performs...