, entre otros: FM Medical Vital, Menonita Vital, Triple S (todos los LOB), Humana, MMM, MCS. Creación de facturas para planes médicos...
Disenador(a) de Tablero Regular Exempt GENERAL DESCRIPTION: The Dashboard Designer transforms complex data into clear, actionable insights. This position supports analytics and business teams by turning user needs into intuitive das...
Especialista en Monitoreo de Programas Clinicos Regular Exempt GENERAL DESCRIPTION: Responsible for the ongoing monitoring of all elements of the Special Needs Plan Care Coordination (SNP-CC) as needed to comply with regulatory requ...
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...
Representante de Servicio al Cliente - CR Regular Non-Exempt GENERAL DESCRIPTION: Responsible for resolving service cases received from various sources, including email, voicemail, fax, and internal referrals, that are processed acc...
with outstanding balances and sends collection letters for Commercial, MCS Personal, COBRA, Government, and Classicare. Analyzes...
Especialista de Manejo de Cuidado Regular Exempt GENERAL DESCRIPTION: Carries out nursing functions in performing care management process, organizational determinations, and transitional care, including, but not limited to, health a...
Lider de Regulaciones en Farmacia Regular Exempt GENERAL DESCRIPTION: Responsible for the implementation, evaluation, analysis, and presentation of pharmacy regulatory programs derived from federal and state regulations, market and ...
, or are institutionalized, o they meet the criteria for admission to the various MCS Care Management Programs, Establishes an individualized... adopted by MCS. Proactively identifies problems and barriers that may affect the insured by establishing achievable goals...
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...