to sell and/or renew MCS Advantage's line of business products to potential clients or beneficiaries (as applicable...), and the company's goals and parameters. ESSENTIAL FUNCTIONS Generates referrals by participating in activities that MCS...
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...
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 ...
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...
Lider Operacional Regulatorio Regular Exempt GENERAL DESCRIPTION: Responsible for ensuring the seamless transition, ongoing compliance, and continuous improvement of regulatory requirements from project implementation to business-as...
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 ...