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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 operational...

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 Non-Exempt **GENERAL DESCRIPTION:** Analyzes, processes, and adjudicates all types of complex claims submitted in Centers for Medicare and Medicaid Services Form 1500 (CMS‑1500) and Uniform Billing Form 04 (UB‑04) formats, applying the highest level of analytical judgment to determine appropriate payment or denial. This includes the...

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 operational...

**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...

**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...

**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...

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...

**YOUR OPPORTUNITY** As the Casa BACARDÍ Brand Home General Manager, you will be the senior business leader responsible for the strategy, performance and long-term development of Casa BACARDÍ Puerto Rico. You will lead the Brand Home leadership team and drive commercial growth, financial performance, operational excellence and an exceptional consumer...

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 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 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...

Regular Exempt **Regions of Arecibo, Manati, Mayaguez, Aguadilla, Ponce, Bayamon, Caguas and Carolina.** **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...

Changing lives. Building Careers. Joining us is a chance to do important work that creates change and shapes the future of healthcare. Thinking differently is what we do best. To us, change equals opportunity. Every day, our colleagues are challenging what’s possible and making headway to innovate new treatment pathways to advance patient outcomes...

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 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...

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: -...

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: -...

**About the Opportunity** We are seeking a strategic and results-oriented **Brand Manager** to lead the growth, profitability, and market development of a portfolio of brands. This role serves as a key liaison between suppliers, sales teams, and internal business partners to drive brand performance, optimize commercial execution, and identify growth...

Regular Exempt **GENERAL DESCRIPTION:** The Beneficiary Value Program Efficiency Manager leads the strategic planning, customer management, “Te Paga” initiatives, and investment efforts aligned with the company’s corporate strategy. Ensures seamless integration of technical and operational requirements to support internal and external...