EmploymentCrossing Jobs

Pre-Authorization Nurse 2 - Work at Home from PR ONLY - USA-PR-San Juan

Fri, 15 Sep 2023 00:00:00 CDT

Job Information Humana Pre-Authorization Nurse 2 - Work at Home from PR ONLY in San Juan Puerto Rico Description The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care...

UM Administration Coordinator 3 - Work at Home, PR - USA-PR-San Juan

Mon, 04 Sep 2023 00:00:00 CDT

Job Information Humana UM Administration Coordinator 3 - Work at Home, PR in San Juan Puerto Rico Description The UM Administration Coordinator 3 contributes to administration of utilization managemen...

Oncology Staff Utilization Management Pharmacist - Full time, Work at Home - USA-PR-San Juan

Tue, 08 Aug 2023 00:00:00 CDT

Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authoriz...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-PR-San Juan

Tue, 15 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

Senior Software Engineer - Medical Records Management (.NET) - USA-PR-San Juan

Wed, 02 Aug 2023 00:00:00 CDT

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where t...

Medical Director - Part Time - USA-PR-San Juan

Mon, 26 Jun 2023 00:00:00 CDT

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 situa...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-PR-San Juan

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Track...

UM Administration Coordinator 1 - USA-PR-San Juan

Mon, 26 Jun 2023 00:00:00 CDT

Description The UM Administration Coordinator 1 contributes to administration of utilization management. The UM Administration Coordinator 1 performs basic administrative/clerical/operational/custome...

Staff Utilization Management Pharmacist (Contract Position) - USA-PR-San Juan

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Nurse Auditor 2/RN Review (US and PR RN Licenses) Fully Bilingual English/Spanish - Work at Home Puerto Rico - USA-PR-San Juan

Thu, 14 Sep 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-PR-San Juan

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in San Juan Puerto Rico Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to...

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-PR-San Juan

Tue, 12 Sep 2023 00:00:00 CDT

Job Information Humana Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) in San Juan Puerto Rico Description Do you thrive on working on the cutting edge technology s...

M&A Integration Technology Lead - USA-PR-San Juan

Tue, 29 Aug 2023 00:00:00 CDT

Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all ...

Manager, Site Reliability Engineering (REMOTE) - USA-PR-San Juan

Thu, 13 Jul 2023 00:00:00 CDT

Job Information ******* Manager, Site Reliability Engineering (REMOTE) in San Juan Puerto Rico Manager, Site Reliability Engineering (REMOTE) Date: Apr 12, 2022 Location: Remote, US Company: ****...

Manager, Go-To-Market Engineering (REMOTE) - USA-PR-San Juan

Thu, 14 Sep 2023 00:00:00 CDT

Manager, Go-To-Market Engineering (REMOTE) Date: Apr 15, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that l...

Senior Integration Specialist - Cloud - USA-PR-San Juan

Fri, 08 Sep 2023 00:00:00 CDT

Job Information Humana Senior Integration Specialist - Cloud in San Juan Puerto Rico Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by elimin...

Manager, FP&A - Sports Marketing (Remote) - USA-PR-San Juan

Fri, 01 Sep 2023 00:00:00 CDT

Manager, FP&A - Sports Marketing (Remote) Date: Aug 19, 2022 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that li...

Sr. Manager, FP&A - USA-PR-San Juan

Wed, 13 Sep 2023 00:00:00 CDT

Sr. Manager, FP&A Date: May 17, 2023 Location: Remote, US Company: Under Armour Under Armour has one mission: to make you better. We have a commitment to innovation that lies at the heart of every...

Mid-level Litigation Associate Attorney - USA-PR-San Juan

Wed, 01 May 2024 00:00:00 CDT

A law firm in San Juan, PR, is seeking a Mid-Level Litigation Associate Attorney to join their team. The ideal candidate will have 3+ years of litigation experience, preferably gained at an AmLaw 1...

Litigation Of Counsel - USA-PR-San Juan

Wed, 01 May 2024 00:00:00 CDT

A law firm in New York City, NY, is seeking a Litigation Of Counsel with primary responsibilities involving client communication, supervision of associates, collaboration with experts, assistance i...