Lider de Grupo Regular Non-Exempt GENERAL DESCRIPTION: Supports daily unit operations by completing document intake, evaluation, classification, and distribution processes. Provides guidance to technicians, resolves escalated issues...
Especialista de Entidades Delegadas Regular Exempt GENERAL DESCRIPTION: Responsible for the monitoring of compliance with contractual Service Level Agreements (SLAs) of delegated entities, Centers for Medicare and Medicaid Services ...
Lider de Grupo de Unidad CIU Regular Non-Exempt GENERAL DESCRIPTION: Serves as a subject matter expert in the Clinical Intervention Unit, providing support to Technicians and the Supervisor. Identifies areas for improvement and deve...
, o they meet the criteria for admission to the various MCS Care Management Programs, Establishes an individualized plan of care... with specific goals for each patient enrolled in the program, using clinical judgment and clinical guidelines adopted by MCS...
El recurso será responsable de recibir electrónicamente las descripciones de diagnósticos en formato narrativo. Su función principal será analizar la documentación clÃnica provista, interpretar correctamente la información médica y asignar ...
El Técnico de Farmacia será responsable de recibir y procesar las solicitudes de pre-autorización sometidas por las farmacias de manera electrónica. Deberá realizar el análisis correspondiente de la información clÃnica y administrativa para...
service provided to guarantee the continuity of the services offered by the MCS Call Center. Essential Functions: Handles..., writing and verbal) English Basic (comprehensive, writing and verbal) MCS Healthcare Holdings, LLC. (MCS) is an Equal...
Billing Analyst Responsible for generating premium invoices for clients in the commercial area (Full Insured, Cost Plus, and ASO). Analyze billing data to ensure accuracy and timely invoicing. Prepare reports to represent billing data, a...
) English Intermediate (writing, conversational, reading, and comprehension) MCS Healthcare Holdings, LLC. (MCS) is an Equal... Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities. MCS...
Compliance Education Specialist Regular Exempt General Description: Supports the department by designing and advancing regulatory-aligned compliance education initiatives. Translate complex regulatory requirements into clear, effective...