unit

**Job Summary** Strategic and operational leader responsible for designing, implementing, and optimizing the clinical excellence shared services unit within Clinical Operations. This role ensures that cross-functional clinical and administrative processes are agile, scalable, data-driven, and aligned with the highest quality standards. The Director will lead...

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...

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...

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...

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...

**(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...

**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...

For Health and Safety support  **WHAT MAKES YOU A FIT: .png)** **The Technical Part:** - Bachelor’s Degree and or an equivalent of five (5) years of exposure in Industrial and Constructions projects within the regulated...

For Health and Safety support  **WHAT MAKES YOU A FIT:** **The Technical Part:** - Bachelor’s Degree and or an equivalent of five (5) years of exposure in Industrial and Constructions projects within the regulated industry. - Bilingual (Spanish and English). - Good organizational and problem solving skills. - Shift: First (Monday-Friday) & according...

**Overview** Enterprise Mobility operates the Enterprise Rent-A-Car, National Car Rental, and Alamo car rental brands and has frequently been named one of the top places to work. Enterprise Mobility is the largest and fastest growing privately owned automotive rental and leasing company in North America and we are hiring now! We are working towards our...

**Description** : **SUMMARY** Perform one or more of the following duties and responsibilities in support of ClientQuality Assurance program under minimal supervision. **FUNCTIONS** - Review and approve product MPs. - Approve process validation protocols and reports for manufacturing processes. - Request Quality on incident triage team. - Approve...

As a Contracts Lead here at Honeywell, you will handle all facets of contract formation and contract management including drafting, interpretation, negotiation, contract review, and administration of complex supplier agreements. You will report directly to our Procurement Asst General Counsel and you’ll work in Puerto Rico on a Remote work schedule. In...

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...

Regular Exempt **GENERAL DESCRIPTION:** Administers, manages, and monitors the operation of the Contracting area to guarantee compliance with organizational goals, following the applicable regulations for each line of business and the contracting and credentialing policy. Oversee the operation and experience of contracting end-to-end Providers...

**Staff Credit Officer** **Lending & Credit Adm Department** **FirstBank PR** **Our Company** At FirstBank PR, we strive to be trusted advisors 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...

**Who We Are:** Global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today’s complex world. Our culture thrives on finding new and better ways...

## Responsibilities **REGISTERED NURSE ESSENTIAL FUNCTIONS** - Provide and coordinate care by assessing patients’ physical and behavioral health needs. - Develop and implement nursing care plans. - Maintain medical records and educate patients and their families about various physical and behavioral health conditions. - Provide nursing care and services...

**Registered Nurse Essential Functions** - Provide and coordinate care by assessing patients’ physical and behavioral health needs. - Develop and implement nursing care plans. - Maintain medical records and educate patients and their families about various physical and behavioral health conditions. - Provide nursing care and services within the standards...