Especialista En Desarrollo De La Red

, coordinates, and provides guidance to new and existing providers related to MCS products, billing, claims processing, complaints..., and ensures that communications that are sent by delegated entities that mention or impact MCS meet the same standards...

Lugar: Puerto Rico | 07/04/2026 17:04:23 PM | Salario: S/. No Especificado | Empresa: Mcs Healthcare Holdings, Llc

Supervisor(A) De Manejo De Cuidado

program, according to procedures established by MCS and regulatory agencies. Serves as clinical support in consultations..., monitors, and ensures compliance with the Care Management Program work plan for the different MCS business lines. Prepares...

Lugar: Puerto Rico | 07/04/2026 17:04:18 PM | Salario: S/. No Especificado | Empresa: Mcs Healthcare Holdings, Llc

Beneficiary Value Program Analyst

(comprehensive, writing and verbal) MCS Healthcare Holdings, LLC. (MCS) is an Equal Employment Opportunity Employer... and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities. MCS is a participating E-Verify employer....

Lugar: Puerto Rico | 07/04/2026 17:04:02 PM | Salario: S/. No Especificado | Empresa: Mcs Healthcare Holdings, Llc

Especialista De Utilizacion Medica

, 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...

Lugar: Puerto Rico | 07/04/2026 17:04:48 PM | Salario: S/. No Especificado | Empresa: Mcs Healthcare Holdings, Llc

Human Resources Representative

) 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...

Lugar: Puerto Rico | 05/04/2026 17:04:40 PM | Salario: S/. No Especificado | Empresa: Mcs Healthcare Holdings, Llc

Grievances & Appeals Specialist

(LOB) and following the terms stated in the contracts established in MCS and the rights of Patients and Providers... by MCS Classicare or MCS Life policyholders, as assigned and in compliance with Centers for Medicare and Medicaid Services...

Lugar: Puerto Rico | 04/04/2026 17:04:51 PM | Salario: S/. No Especificado | Empresa: Mcs Healthcare Holdings, Llc