Associate Jobs in Puerto Rico

Description Humana is continuing to grow! We have several new Inbound Contact Representatives openings that will have the pleasure of taking inbound calls from our Medicare Members and provide excellent service ..

Job Information Humana Associate Director, Provider Payment Integrity | ... Juan Puerto Rico Description The Associate Director, Payment Integrity uses technology ... and our financial recovery. The Associate Director, Payment..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Description The Care Management Support Assistant 3 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal ..

Description The Claims Research & Resolution Representative 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Supervisor, Grievances & Appeals ..

Job Information Humana RN Care Manager, Telephonic Nurse (Bilingual) - Puerto Rico in San Juan Puerto Rico Description This is a Work-At-Home position located in Puerto Rico. You must be fully ..

Job Information Humana Care Manager, Telephonic Nurse 2 (Fully Bilingual RN with Clinical exp.) - WAH Puerto Rico in San Juan Puerto Rico Description The Care Manager, Telephonic Nurse 2 , ..

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes process data to initiate, develop and ..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

... is looking to add new associate to the PrePay Audit team ... San Juan, PR office. The associate will make appropriate claim decision ... is looking to add new..

Job Information Humana Outbound Contacts Representative 3 in San Juan Puerto Rico Description The Outbound Contacts Representative 3 represents the company by making outbound contact to members and/or providers regarding a ..

Description The Outbound Contacts Representative 3 represents the company by making outbound contacts to members and/or providers regarding a variety of issues. The Outbound Contacts Representative 3 performs advanced administrative/operational/customer support ..

Description The Business Support Coordinator 2 follows established procedures and guidelines to provide timely and effective clerical support to an office, business unit, department, or other organization group. The Business Support ..

Job Information Humana Senior Vendor Management Professional in San Juan Puerto Rico Description The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work ..

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 / Call Center Representative positions that will have the pleasure of taking inbound calls ..

Job Information Humana Medical Claims Processing Representative 2 in San Juan Puerto Rico Description The Medical Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper ..

Job Information Humana Consumer Service Operations Representative - Manati, PR in Manati Puerto Rico Description The Consumer Service Operations Representative is responsible for the daily activities across multiple service functions area. ..

Description Responsibilities Humana's Corporate Marketing organization is seeking 2 Bilingual Production Professionals that are fluent in both English and Spanish to join the Humana Translation team supporting Medicaid growth and to ..

Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an organization that provides health ..

Job Information Humana Activity Coordinator in Manati Puerto Rico Description The Activity Coordination ensures the day-to-day operations of the Wellness Center and meets participants needs. The Activity Coordination also performs a ..

Job Information Humana Grievances and Appeals Representative 3 - KY, WI or PR in San Juan Puerto Rico Description Do you enjoy helping those in need? Do you love researching, analyzing ..

Job Information Humana Consumer Service Operations Representative 3 in Barceloneta Puerto Rico Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The ..