Empleos de services en San Juan

**Our Company** At FirstBank PR, we strive to be a trusted advisor to our clients and our employees are the ones that ensure we deliver on our promise of excellence in personalized customer service. Our more than 3,100 employees in Puerto Rico, the Virgin Islands and Florida share a passion for excellent customer service. We are proud of our team because...

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...

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 Non-Exempt **GENERAL DESCRIPTION:** Responsible for providing frontline support within the Human Resources Services function by responding to employee inquiries and processing routine HR transactions throughout the employee lifecycle. Ensures transactions are completed accurately, timely, and in compliance with established policies,...

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...

At KPMG, you can become an integral part of a dynamic team at one of the top tax firms in the world. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMGs extensive network of specialists and enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax...

At KPMG, you can become an integral part of a dynamic team at one of the top tax firms in the world. Enjoy a collaborative, future-forward culture that empowers your success. Work with KPMGs extensive network of specialists and enjoy access to our Ignition Centers, where deep industry knowledge merges with cutting-edge technologies to create innovative tax...

**Company Mission** Duo Health is a new type of medical group designed around the needs of patients living with chronic kidney disease. Our proprietary Health Mobilization™ platform partners multidisciplinary care teams with community nephrologists and activates the clinicians, facilities, and community organizations needed to care for the whole patient. ...

**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...

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...

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 Exempt **GENERAL DESCRIPTION:** Responsible for seeking out new prospects to present the company's products and ensuring appropriate follow-up until the sales cycle is completed, to meet the company's established goals. Research and stay updated on new trends within the industry and commercial sales processes. **ESSENTIAL...

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...

Temporary - AEP Non-Exempt **GENERAL DESCRIPTION:** The Customer Service Representative I – SC is responsible for assisting customers and prospects with information about the company's products and services. They address and clarify any questions from beneficiaries who have concerns. Resolves service needs by following established...

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 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:** 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...

Temporary - AEP Non-Exempt **GENERAL DESCRIPTION:** Manages the orientation, presentation, and medical plan sales process, complying with established policies and procedures in conjunction with the laws and regulations applicable to the industry. Receives calls from prospective clients, identifying their eligibility, and fosters interest to guide...