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Start your career today…… DHL currently has an opening for a PT -Field Service Agent at our San Juan, PR facility. The Service Agent will work to provide operational support ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in San Juan Puerto Rico Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... and apply laws, regulations, and regulatory guidance as applicable for pharmacy ... be used to evidence meeting..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Description Would you like to be a member of the information security team serving the J.D. Power #1 ranked U.S. mail order pharmacy for the last 4 years in a row? ..
Description Humana is seeking a skilled Senior Network Engineer who is a real self-starter and ready to make a positive impact! This person will be directly responsible for leading work on ..
HR Specialist The candidate will be responsible for recruiting, onboarding, training, and regulatory compliance. Conduct exit interviews to obtain honest feedback from employees to make improvements to our organizational policies. Liaise ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... changes that assure compliance with regulatory and contractual obligations. Responsibilities Responsibilities ... be used to evidence meeting..
Job Information Humana Compliance (UM) Coordinator 2 in San Juan Puerto Rico Description The Compliance (UM) Coordinator 2 conducts and summarizes compliance audits. The Compliance (UM) Coordinator 2 performs varied activities ..
Director, Circularity (Remote) Date: Dec 15, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at ..
Description The Senior Pharmacy Clinical Advisor requires a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies to mitigate cost trend and improve ..
... contract requirements, provide research and regulatory interpretation, perform auditing and monitoring, ... will: Interpret and define Medicaid regulatory and contract requirements to be ... be used to evidence meeting..
Description Required: (English/Spanish) & Must reside in Puerto Rico The Product Manager 2 Conceives of, develops, delivers, and manages products for customer use. The Product Manager 2 work assignments are varied ..
Description The Senior Professional collaborates with healthcare professionals, pharmacists, and other business functions to implement formulary and medical strategies for the Medicaid line of business. Makes decisions on moderately complex to ..
Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..
Description The Lead, Technology and Cybersecurity Exams, Audits, and Client Inquiries is responsible for management of formal and informal technology reviews across IT. This involves a rigorous process which shapes and ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in San Juan Puerto Rico Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and ..
Description The Plan Build Representative 2 loads data from tables into multiple platforms which can include rates, CPT codes, etc. Implements provider demographic updates to remain compliant. Testing and implementation of ..
Description The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. ..
Job Information Humana Assistant General Counsel, Home Solutions in San Juan Puerto Rico Description The Assistant General Counsel provides a full range of legal advice and services. The Assistant General Counsel ..
Job Information Humana Director, Care Delivery and EMR/EHR Technology in San Juan Puerto Rico Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives ..
Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..
... business requirements, provide research and regulatory interpretation, and advise internal business ... monitor performance; Interpret and define regulatory and contract requirements to be ... set of data relating to..