
Medical Information Coordinator
hace 20 horas
The Clinical Services Associate plays a critical role in facilitating effective communication between Optum's healthcare professionals and providers.
In this position, you will:
- Collaborate with stakeholders to resolve issues and improve processes related to credentialing, contracting, and product load status.
- Deliver training and education to providers on various topics, including initial credentialing, re-credentialing, contract management, and demographic updates.
You will be responsible for:
- Providing live person chat support to assist healthcare professionals and providers with their queries.
- Tracking and documenting provider issues to identify trends and areas for improvement.
A strong understanding of Microsoft Office and Windows-based applications is essential for success in this role.
-
Medical Records Examiner
hace 4 días
San Juan, San Juan, Puerto Rico Optum A tiempo completoAs a Medical Records Examiner, you will be responsible for reviewing medical records to determine the accuracy of claims submissions.This role requires strong analytical skills to review medical records and interpret data to understand historical claims activity. The examiner will also communicate complex information to senior leadership and provide written...
-
Healthcare Support Specialist
hace 24 horas
San Juan, San Juan, Puerto Rico Optum A tiempo completoAbout 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...
-
Medical Records Technician
hace 4 semanas
San Juan, San Juan, Puerto Rico Advantmed A tiempo completoAdvantmed is hiring enthusiastic Medical Records TechniciansThis is a great "foot-in-the-door" position for those looking to be involved in the emerging Healthcare & Technology industry. At Advantmed, our mission is to improve the healthcare system by ensuring appropriate, quality care, and eliminating unnecessary costs.Advantmed is a privately held...
-
Jt002 - Purchasing Coordinator
hace 2 semanas
San Juan, San Juan, Puerto Rico Quality Consulting Group A tiempo completoQUALITY 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: Responsible for...
-
Clinical Resolution Specialist
hace 5 días
San Juan, San Juan, Puerto Rico Optum A tiempo completoOptum 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...
-
Community Outreach Coordinator
hace 5 días
San Juan, San Juan, Puerto Rico Dcmc Partners A tiempo completoAbout DCMC PartnersWe are a Great Place to Work Certified company specializing in disaster recovery, hazard mitigation, and crisis management with over 30 years of expertise. Job Summary:The Community Engagement Liaison will serve as a key representative between the client and the local communities where the generation sites are located. Key...
-
Construction Project Manager
hace 4 semanas
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoMentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry.As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines.With offices in...
-
Equipment Logistics Coordinator
hace 4 horas
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoCompany OverviewMentor Technical Group (MTG) is a global leader in life sciences engineering and technical solutions, providing comprehensive support to the FDA-regulated industry. Our expertise ensures compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines.Job SummaryThis position is responsible for coordinating and...
-
Healthcare Service Coordinator
hace 20 horas
San Juan, San Juan, Puerto Rico Optum A tiempo completoAs a Call Center Representative at Optum, you'll have the opportunity to make a real difference in people's lives by providing exceptional service and support to our members and providers.We're looking for compassionate and customer-focused individuals who are passionate about delivering high-quality care and improving the health of our communities. In this...
-
Standard And Equipment Coordinator
hace 2 semanas
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoCompany Overview Mentor Technical Group (MTG) provides a complete portfolio of technical support and solutions to the FDA-regulated industry.As a global leader in life sciences engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy...
-
Registered Nurse Rn
hace 4 semanas
San Juan, San Juan, Puerto Rico Psi A tiempo completo• Observe and record patient behavior • Perform physical examinations and diagnostic tests• Collect patient health history• Counsel and educate patients and their families on treatment plans• Administer medication, change wound dressings and care for other treatment options• Read and interpret patient information, making treatment decisions when...
-
Validation And Csv Engineer
hace 3 días
San Juan, San Juan, Puerto Rico Lumiere Systems A tiempo completoJob Description: Minimum of 5 Yr exp leading the validation of a major capital automation projects.1.Validation and Compliance Knowledge GxP (Good Practice) Guidelines: Familiarity with GxP guidelines such as Good Manufacturing Practice (GMP), Good Laboratory Practice (GLP), and Good Clinical Practice (GCP).FDA 21 CFR Part 11: Understanding of the regulatory...
-
Healthcare Claims Analyst
hace 5 días
San Juan, San Juan, Puerto Rico Optum A tiempo completoAt Optum, we strive to deliver high-quality care to our patients. As a Healthcare Claims Analyst, you will play a critical role in ensuring the accuracy of claims submissions.You will be responsible for reviewing medical records to determine the validity of claims. This requires strong analytical skills and attention to detail to ensure that all information...
-
Director Of Institutional Sales
hace 4 días
San Juan, San Juan, Puerto Rico People Talent Acquisition A tiempo completoCompany Overview Our client is one of the leading companies in Puerto Rico in the distribution of pharmaceutical, health, consumer, and veterinary products.They are seeking a Director of Institutional Sales Job Summary Professional work that consists of promoting and managing the sales of medicines and medical-surgical products directed to Hospitals (Medical...
-
Director Of Institutional Sales And Growth
hace 4 días
San Juan, San Juan, Puerto Rico People Talent Acquisition A tiempo completoJob Summary:A highly skilled Sales Leader is sought after to spearhead the growth and evolution of our institutional market. As a seasoned professional, you will be responsible for developing and implementing commercial strategies to drive sales and expand our reach in the pharmaceutical and health industries.The ideal candidate will have a strong background...
-
Receptionist (English Domain)
hace 2 semanas
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoMentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry.As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines.With offices in...
-
Recovery Resolutions Analyst
hace 5 días
San Juan, San Juan, Puerto Rico Optum A tiempo completoOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...
-
Sr. Quality Engineer
hace 7 días
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoMentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry.As a world leader in life science engineering and technical solutions, MTG has the knowledge and experience to ensure compliance with pharmaceutical, biotechnology, and medical device safety and efficacy guidelines.With offices in...
-
Jt003 - Inside Sales Representative
hace 2 semanas
San Juan, San Juan, Puerto Rico Quality Consulting Group A tiempo completoQUALITY 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: Responsible for...
-
Quality Assurance Manager
hace 7 días
San Juan, San Juan, Puerto Rico Mentor Technical Group A tiempo completoCompany OverviewMentor Technical Group is a world leader in life science engineering and technical solutions. We provide comprehensive portfolios of technical support and solutions for the FDA-regulated industry.We have offices in various locations, serving clients in six global markets: United States, Puerto Rico, Dominican Republic, Mexico, Germany,...