Medicaid Manager Jobs in Puerto Rico (NOW HIRING)

Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers * Demonstrates cultural sensitivity * Maintains ...

Casualty Manager Company: Triple-S Propiedad Job Location (Short): Guaynabo, PR Posting Start Date ... We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid ...

Required Qualifications: * 1 years of experience in an office environment managing time-sensitive deadlines * 1 years of direct experience with Medicaid and Medicare provider enrollment

The Project Portfolio Manager is responsible for organizing, managing, and governing a portfolio of ... Medicaid/Medicare programs. * Experience in healthcare or insurance environments. Soft Skills:

Tracks quarterly CMS (Centers for Medicare & Medicaid Services) service code changes to ... Analyzes and manages medical appeals in accordance with DRG (Diagnosis-Related Group) reimbursement ...

JOB SUMMARY Responsible for effectively promoting our managed care products designed for individuals eligible for Medicare and Medicaid. Responsible for participating in marketing events ...

JOB SUMMARY Responsible for effectively promoting our managed care products designed for individuals eligible for Medicare and Medicaid. Responsible for participating in marketing events ...

... Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. * And all other duties assigned by the manager and/or supervisor. Education: * Bachelor's degree in Health ...

... and Medicaid (CMS) and guidelines set forth by other regulatory agencies, where applicable. 8. In addition, all other duties assigned by the manager and/or supervisor. Education: * Pharmacy ...

We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid ... Manage and review complex and, or difficult claims or issues to determine best outcome. * Prepares ...

Integrate applicable CMS, Medicare, Medicaid, HIPAA, federal, and local requirements into workforce and quality management practices. * Partner with call center leaders and cross-functional teams to ...

We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid ... Manages Ambiguity * Collaborates It is company policy to seek for the qualified applicants for ...

This involves managing the billing and collections process, resolving any billing issues, and ... Medicaid). * 4. Analytical Skills: Ability to analyze financial data, identify trends, and make ...

Triple-S Management Job Location (Short): San Juan, PR Posting Start Date: 8/18/26 At Triple-S, we ... We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid ...

Proven knowledge of Medicaid/Medicare Reimbursement methodologies * Proven working knowledge of the healthcare insurance/managed care industry * Proven working knowledge of medical terminology and ...

We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid ... Assists the Supervisor, Manager, Director in meetings, preparation of reports, audits or any other ...

... Advantage, Medicaid, Comercial, Vida y Propiedad & Contingencia. Construyamos comunidades ... Track and document provider cases through resolution within CRM or tracking systems. * Support ...

We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid ... Manages Ambiguity * Instills Trust * Collaborates * Customer Delight * Action Oriented It is ...

... Medicaid, Commercial, Life and Property & Casualty Businesses. Let's build healthier communities together, join now! JOB SUMMARY Responsible for effectively promoting our managed care products ...

Triple-S Management Ubicaciones de puesto (breve): San Juan, PR Fecha de inicio de publicación: 02 ... Advantage, Medicaid, Comercial, Vida y Propiedad & Contingencia. Construyamos comunidades ...