Coverage Determination Specialist - San Juan

Conducts audits to assess the adequacy of the Corporation's Fraud Prevention & BSA/AML and Sanctions compliance programs to meet regulatory obligations as well as assess the design and operating effectiveness of the related internal controls. · ...

Serve at the front line of all incoming and outgoing communication with pharmacies, beneficiaries, and prescribers. · ...

The Compliance Specialist plays a key role in supporting the organization's compliance framework by conducting in-depth reviews of customer behavior, analyzing transaction activity, and identifying potential risks.This position provides advanced investigative support, assists wit ...

Plexos Group is currently seeking a URA Specialist to support notice review, sequencing verification, file assembly, ADP compliance checks, · and URA document management. · ...

The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. · ...

The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. · ...

This Sales Specialist role has been designed to primarily work from an onsite HPE office. · ...

As part of the Client Services Department, the SEO Specialist plays a key role in the expansion and growth of the division. · ...

Abarca is igniting a revolution in healthcare. As the Associate Rx Customer Service Specialist, you will serve at the front line of all incoming and outgoing communication with pharmacies, beneficiaries, and prescribers. · ...

The Commercial Loans and Deposits Services Manager is responsible for managing and coordinating the CLDS activities to provide commercial customers with credit services and deposit services to support their respective businesses. · ...

What We Can Achieve Together: · The Finance Specialist provides highly specialized finance, accounting, and private award -related support to programs of the Caribbean Division. They provide specialized services in accounting, financial management and reporting, private grants ad ...

The Color & Curl Concierge / Colour & Curl Specialist is our steward to the industry. · Create increased customer retention and loyalty · Build lasting relationships and driving behaviors that grow brand awareness and hair color market share. · ...

The Clinical Specialist I supports the Clinical Supervisor by reviewing and making decisions on pharmacy benefit coverage requests.This position helps ensure rational drug use, supports disease management, and contributes to reducing overall healthcare costs. · ...

As a Senior Procurement Specialist for our Life Sciences Division, you will drive strategic supply chain management and procurement excellence across our LATAM portfolio of pharmaceutical, medical device, and GMP-regulated facilities. · ...

IEM is seeking a Full-Time Senior Environmental Compliance Lead to provide technical oversight and leadership of environmental review records statutory compliance documentation and mitigation tracking activities. · ...

The Case Review Specialist ensures that case documentation is provided by the provider for accurate and timely determinations and communicates with clinical and non-clinical staff to facilitate case discussions.About OncoHealth · OncoHealth is a leading digital health company ded ...

We're challenging today to reinvent tomorrow by solving the world's most critical problems for thriving cities, · resilient environments and mission-critical outcomes. · As a Walkdown/Turnover Specialist you'll be responsible for coordinating and facilitating the field verificati ...

The ServiceNow SIAM Business Analyst is a client-facing expert responsible for designing, implementing, and optimizing Service Integration and Management (SIAM) frameworks using the ServiceNow platform. · This role combines deep knowledge of SIAM operating models and ServiceNow c ...

The ServiceNow Business Analyst (BA) plays a critical role in bridging business needs with technical capabilities on the ServiceNow platform. · Gathering requirements · Facilitating workshops · Translating business logic into technical specifications, · ...

The Commissioning and Qualification (C&Q) Specialist for Laboratory Systems in QC is responsible for ensuring the successful implementation, validation, and qualification of laboratory systems used in Quality Control environments. · ...