- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services… more
- Humana (San Juan, PR)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and ... components, and work is performed without direction. The Behavioral Health Medical Director actively uses...quality management, utilization management, case management, discharge planning and/or home health or post acute services such… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. ... quality management, utilization management, case management, discharge planning and/or home health or post-acute services (such as...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Intermountain Health (San Juan, PR)
- …we encourage health for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more than a well-working body: ... and forests, all within hours of where you'll call home . Becoming a part of the Intermountain team means...are paid out based on attainment of selected Intermountain Health Board-approved goals. As the Director of… more
- Evolent Health (San Juan, PR)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve… more
- CenterWell (San Juan, PR)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** The National Director , Clinical Pharmacy...Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +… more
- Cardinal Health (San Juan, PR)
- … Director , Strategic Channel Development - Diabetes Technologies for Cardinal Health 's at- Home Solutions is responsible for providing enhanced relationship ... term impact on work processes, outcomes and customers for at- Home Solutions business unit, in addition to broader Cardinal...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Humana (San Juan, PR)
- **Become a part of our caring community and help us put health first** The Associate Director , STARS Improvement develops, implements, and manages oversight of ... Directs all STARS quality improvement programs and initiatives. The Associate Director , STARS Improvement requires a solid understanding of how organization… more
- CenterWell (San Juan, PR)
- …largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is ... part of our caring community and help us put health first** **National** ** Director of Transitional Care...appropriateness of care across settings (ie, inpatient, ambulatory, and home ). **Use your skills to make an impact** **Required… more
- Humana (San Juan, PR)
- …us put health first** Humana Healthy Horizons is seeking a Director , Long-Term Supports and Services (LTSS) Strategy who will oversee day-to-day operations of ... and executes LTSS strategies to drive sustainable and profitable growth and improve health outcomes. + Support strategic goals and turn those goals into specific… more
- Randstad US (San Juan, PR)
- …leave, a health and dependent care flexible spending account, Metlife home and auto insurance offerings, a Metlife legal plan offering, and offers discounts ... leading partner for talent, is investing in an Account Director for our Randstad Digital specialty. As a Randstad...Competitive salary + bonus + Excellent benefits package - medical , dental, vision + Generous PTO policy earned from… more
- SHI (San Juan, PR)
- **Job Summary** The Associate Creative Director position at SHI is an opportunity for a talented and visionary design and copy leader who can craft and execute ... leadership. You will work closely with the Creative Services Director , Vice President of Marketing, and other senior stakeholders...will be hybrid office-based (enjoying two days' working from home per week) or remote, depending on the successful… more
- Marriott (San Juan, PR)
- …to receive minimum of 7 holidays annually. All locations offer coverage for medical , dental, vision, health care flexible spending account, dependent care ... profit opportunities. Serves as a demand expert to the Director /Manager of Group Strategy and Director /Manager of...the usual, our guests see a chance to bring home a great story. And so do we. We're… more
- RTX Corporation (Santa Isabel, PR)
- …Park, Santa Isabel, PR, 00757 USA Position Role Type: Onsite The Associate Director , HR Partner will own the execution of long-term strategy (eg, more than ... meetings. Some of our competitive benefits package includes: + Medical , dental, and vision insurance + Three weeks of...coverage + Optional coverages you can buy: pet insurance, home and auto insurance, additional life and accident insurance,… more
- Evolent Health (San Juan, PR)
- …training per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...utilization management while working in conjunction with the Senior Medical Director . May assist the Senior … more
- Evolent Health (San Juan, PR)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- InnovaCare (San Juan, PR)
- …process as required to meet member's needs.15. Performs authorizations determined by Medical Director , coordination, and utilization of the cases that requires ... round clinics discussion with Multidisciplinary team such as program medical director as well as other disciplines,...dialysis nursing, case management, acute care or ambulatory settings, home health care, or managed care setting.… more
- Mathematica (San Juan, PR)
- …director , deputy director for programs, chief finance officer, chief medical officer, chief public health official, state epidemiologist, or similar ... actionable information to guide decisions in wide-ranging policy areas, from health , education, early childhood, and family support to nutrition, employment,… more
- American Red Cross (PR)
- …have amazing possibilities at the American Red Cross to advance the learn. * Medical , Dental Vision plans * Health Spending Accounts & Flexible Spending Accounts ... use Google Chrome or Mozilla Firefox when accessing Candidate Home .** **_By joining the American Red Cross you will...part of our mobile staff which requires meeting strict medical and security clearances prior to employment. In this… more