Care Manager Specialist

Job Overview">Floral Long Term Care is seeking a skilled Registered Nurse to join our team. The ideal candidate will have the ability to provide high-quality patient care and work collaboratively with our interdisciplinary team.">Job Responsibilities">Assist in defining, maintaining, and interpreting standards of practicePerform required skills (assessment,...

Responsible for providing intensive follow-up to members exhibiting behavior or an environment that may predispose them to in compliance with medical treatment thus resulting in increased hospitalizations, costly treatments and/or worsening of their mental health status. Intensive follow-up may consist of telephonic follow-ups, home visits, integration and...

**Job Overview**This role offers an exceptional opportunity to join our team as a Tax Accounting Specialist. We are seeking a highly skilled and experienced professional to provide comprehensive analytical support to the Tax Manager.**Responsibilities**Assist in the preparation of tax provisions, ensuring compliance with federal, state, and local tax laws...

Optum is a global organization delivering care, supported by technology to help millions of people live healthier lives.The Clinical Resolution Specialist will determine the accuracy of disputed claims submitted by providers by comparing them to medical records. They must analyze data and make informed decisions based on state and government compliance...

The Supply Chain team at Proton Workforce -Pr is seeking a highly organized and skilled individual to manage repack activities and export processes. As a Logistics Export Specialist, you will be responsible for coordinating with the Export Manager and third-party vendors to ensure timely and accurate delivery of customer orders to the Caribbean region.About...

We are seeking a skilled Care Manager to join our team at Protalents. In this role, you will be responsible for coordinating care and services for our members, including those with complex needs. Your primary focus will be on preventing unnecessary hospitalizations and promoting positive health outcomes through effective case management.To excel in this...

In this rewarding role at Protalents, you will contribute to the well-being of our members by ensuring they receive necessary care and support. As a Care Manager, you will work closely with healthcare providers, community agencies, and members to develop personalized plans that promote health outcomes and prevent unnecessary hospitalizations.To succeed in...

Company Overview">Optum is a global organization delivering care and technology to help millions of people live healthier lives. Our mission is to improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need.">Job Description">We are seeking an experienced Associate Data Analyst to work in our team. The...

Summary: Performs clinical, analytical, and technical tasks to support the development, implementation, and ongoing monitoring of the local Quality & Compliance programs and activities for the Clinics Operations. Works collaboratively with operational leadership, to ensure measurable improvement in clinical outcomes, operational excellence, and customer...

About Optum">Optum is a global organization dedicated to delivering care, supported by technology, to help millions of people live healthier lives. We believe that everyone deserves the opportunity to live their healthiest life, regardless of race, gender, sexuality, age, location, or income.We strive to mitigate our impact on the environment and enable...

About Optum">Optum, a global healthcare organization, delivers care and technology to help millions of people live healthier lives. Our team is dedicated to improving health outcomes by connecting individuals with the care, pharmacy benefits, data, and resources they need to feel their best.">The Role of a Recovery Resolutions Analyst RN/Coder">A key member...

**Job Description**The Regulatory Compliance Specialist will play a critical role in ensuring our company's compliance with controlled substances regulations. This includes managing the Controlled Substance Program (CSP), developing and reviewing company policies and procedures, and leading regulatory audits.**Responsibilities and Duties**Manage the CSP to...

ThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in San Juan, PR.As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling new customers into Lifeline and ACP services, managing inventory, and driving significant sales performance in your...

About the JobThe Medical Information Coordinator is responsible for providing patient-centered care by communicating effectively with healthcare professionals and providers.In this role, you will:Engage in dialogue with callers to provide accurate and timely information about various products, plans, and benefits available to members.Utilize computer...

This position plays a crucial role in the supply chain, responsible for managing all repack activities and export processes. As a key member of the Proton Workforce -Pr team, you will work closely with the Export Manager and third-party partners to coordinate order processing and transportation to the Caribbean islands.Key Responsibilities:Maintain effective...

About Us\At Optum, we strive to make a positive impact on the communities we serve by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.\\Job Requirements\\2+ years of experience in data analytics/business intelligence or related\Experience interpreting large sets of structured and unstructured data and...

At Popular, we offer a wide variety of services and financial solutions to serve our communities in Puerto Rico, United States and Virgin Islands. As employees, we are dedicated to making our customers dreams come true by offering financial solutions in each stage of their life. Our extensive trajectory demonstrates the resiliency and determination of our...

At Optum, we're dedicated to delivering high-quality care and improving the health of our communities. As a Call Center Representative, you'll play a vital role in helping us achieve this mission.We're looking for compassionate and customer-focused individuals who are passionate about providing exceptional service to our members and providers. If you're...

About Our CompanyAt Peoplelift, we pride ourselves on being innovation-driven and safety-first in our approach to construction management.Job DescriptionAs a Construction Project Manager, you will be responsible for leading commercial and mixed-use developments in San Juan, Puerto Rico. Your expertise will ensure that these projects are completed on time,...

Company Overview Fox ESS is a global leader in the development of inverter and energy storage solutions.Engineered by some of the world's leading inverter and battery experts, our products are breaking new ground; offering customers the most advanced product features currently available, coupled with unrivalled performance and reliability.Description We are...