Manager Healthcare Provider Service Jobs in Puerto Rico | HealthcareCrossing.com


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72

Manager Healthcare Provider Service Jobs in Puerto Rico





Did you search for location? Puerto Rico   Puerto Rico, TX  
Job info
 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
May 12, 2021
Info Source
Employer  - Full-Time  90  

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

 
Company
**********
Location
San Juan, PR
Posted Date
Jun 20, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

 
Company
**********
Location
San Juan, PR
Posted Date
Jun 20, 2021
Info Source
Employer  - Full-Time  90  

Description The Provider Contracting Professional 2 initiates, negotiates, ... initiates, negotiates, and executes dental provider contracts and agreements for an ... that provides health insurance. The Provider Contracting Professional 2..

 
Company
**********
Location
San Juan, PR
Posted Date
Feb 24, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Utilization Management RN - Remote ... Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

 
Company
**********
Location
San Juan, PR
Posted Date
Jun 29, 2021
Info Source
Employer  - Full-Time  90  

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

 
Company
**********
Location
San Juan, PR
Posted Date
Aug 04, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Utilization Management Nursing - Medicare ... Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

 
Company
**********
Location
San Juan, PR
Posted Date
Jun 21, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

 
Company
**********
Location
San Juan, PR
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
San Juan, PR
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Fraud and Waste-Remote US in ... Juan Puerto Rico Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
Sep 02, 2021
Info Source
Employer  - Full-Time  90  

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... & Waste to join the Provider Payment Integrity-Clinical Audit team working ... As the Fraud & Waste..

 
Company
**********
Location
San Juan, PR
Posted Date
Sep 14, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
San Juan, PR
Posted Date
Mar 20, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicare/Medicaid Program Manager -- Remote in San Juan ... looking for an experienced Program Manager (internally known as an Acquisition ... contracts. As a Medicaid/Medicare Program Manager..

 
Company
**********
Location
San Juan, PR
Posted Date
Oct 08, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
San Juan, PR
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

 
Company
**********
Location
San Juan, PR
Posted Date
Feb 12, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Provider Data Validation Coding Educator 2 ... 2 identifies opportunities to improve provider documentation and creates an education ... plan tailored to each assigned provider. The Coding..

 
Company
**********
Location
San Juan, PR
Posted Date
Dec 16, 2022
Info Source
Employer  - Full-Time  90  

... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..

 
Company
**********
Location
, PR
Posted Date
Mar 07, 2022
Info Source
Employer  - Full-Time  90  

Medical Director Opportunity - Medicare Risk Adjustment HCC Review - Puerto Rico (Option to be Florida Based)!!rnOption to either live in Puerto Rico or Florida...rnFull-Time Opportunity, M-F 8am - 5pm type ..

 
Company
Humana Inc.
Location
San Juan, PR
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
San Juan, PR
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
San Juan, PR
Posted Date
May 27, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..

 
Company
**********
Location
San Juan, PR
Posted Date
Jun 20, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2 , in ... wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments ... action. Responsibilities The RN Care Manager, Telephonic Nurse..

 
Company
**********
Location
San Juan, PR
Posted Date
Dec 12, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
San Juan, PR
Posted Date
Jun 10, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

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