- Oriental Bank (San Juan, PR)
- The Operational Accounting Associate supports the Accounts Payable and General Accounting functions, ensuring timely and accurate processing of financial ... assisting with month-end closing activities. The position also involves resolving payment -related inquiries from vendors and internal stakeholders, while adhering to… more
- Humana (San Juan, PR)
- …reduction, by increasing the accuracy of provider contract payments in our payer systems , and by ensuring correct claims payment . Begins to influence ... CAS, CISpro and CIS + Experience with provider contract payment analysis and knowledge of payer systems ....environment. + Experience in a fast paced, metric driven operational setting **Additional Information** As part of our hiring… more
- Humana (San Juan, PR)
- …to ensure optimal outcomes from clinical reviews + Development and maintenance of operational workflows, processes, use of technology and systems + Drive ... development of new and upcoming systems to complement the operational process and increase productivity + Support clinical quality improvement by championing… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Associate Director, Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role is ... crucial in driving operational excellence and innovation within our Global Medical Affairs...to streamline GMA operations worldwide + Implement and optimize systems and tools to enhance productivity and data management… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Associate Director, Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and tactical ... outcomes through deep scientific understanding and collaborative partnerships. The Associate Director partners closely with global and regional cross-functional… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- ** Associate Director, Field Strategy, Nephrology/Immunology** **Position overview:** The ** Associate Director, Field Strategy** plays a critical role in enabling ... are turned into action. Rather than creating new tools, data, or systems , this individual **orchestrates the seamless integration and application** of existing… more
- Evolent (San Juan, PR)
- …clinical/ operational change + Strong understanding of value-based care, healthcare delivery systems , and payment models + Proven ability to develop and ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and… more
- Otsuka America Pharmaceutical Inc. (San Juan, PR)
- The Manager, Medical Core Content is a team-level operational role responsible for the development, maintenance, and day-to-day quality assurance of all core ... and external regulations. This position reports directly to the Associate Director, CNS Scientific Communications. **Job Description** **Key Responsibilities… more
- Humana (San Juan, PR)
- …etc.) + Analyzing and interpreting CMS Regulatory documentation for Medicare Prospective Payment Systems (ie final and proposed rules, transmittals, manuals, ... for:** + Researching and maintaining expertise in Medicare Outpatient Prospective Payment System reimbursement methodologies (OPPS, ASC, FQHC, etc.) + Demonstrating… more
- Humana (San Juan, PR)
- …service design strategy across enterprise initiatives, connecting member needs to operational capabilities. + ** Systems Thinking:** Create service blueprints, ... and lead post-launch evaluations to ensure services deliver measurable value. + ** Operational Integration:** Collaborate with process and operational teams to… more