Medical
Dental
Vision
Retirement
PTO
Performs clinical study site management/monitoring activities in compliance with ICH-GCP, Sponsor ... non-visit contact reports appropriately in a timely manner.Collects, reviews, and monitors required ...
Medical
Dental
Vision
Retirement
PTO
Performs clinical study site management/monitoring activities in compliance with ICH-GCP, Sponsor ... non-visit contact reports appropriately in a timely manner.Collects, reviews, and monitors required ...
Medical
Dental
Vision
Retirement
PTO
Performs clinical study site management/monitoring activities in compliance with ICH-GCP, Sponsor ... non-visit contact reports appropriately in a timely manner.Collects, reviews, and monitors required ...
Medical
Dental
Vision
Retirement
PTO
Performs clinical study site management/monitoring activities in compliance with ICH-GCP, Sponsor ... non-visit contact reports appropriately in a timely manner.Collects, reviews, and monitors required ...
New
Medical
Dental
Vision
Retirement
PTO
Performs clinical study site management/monitoring activities in compliance with ICH-GCP, Sponsor ... non-visit contact reports appropriately in a timely manner.Collects, reviews, and monitors required ...
New
San Juan, PR · On-site
$240K - $260K/yr
... review, and special projects as required.- Adhere to HIPAA regulations and maintain the ... clinician.- 1-3 years of managed care experience is preferred.- Basic understanding of utilization ...
Quick apply
San Juan, PR · On-site
$240K - $260K/yr
... review, and special projects as required.- Adhere to HIPAA regulations and maintain the ... clinician.- 1-3 years of managed care experience is preferred.- Basic understanding of utilization ...
Florida, PR · On-site
Medical
Dental
Vision
Retirement
PTO
Performs clinical study site management/monitoring activities in compliance with ICH-GCP, Sponsor ... non-visit contact reports appropriately in a timely manner. * Collects, reviews, and monitors ...
Florida, PR · On-site
Medical
Dental
Vision
Retirement
PTO
Performs clinical study site management/monitoring activities in compliance with ICH-GCP, Sponsor ... non-visit contact reports appropriately in a timely manner. * Collects, reviews, and monitors ...
... or non-clinicians. The Supervisor is responsible for ensuring team performance, supporting ... Perform telephonic consultations with members to complete comprehensive medication reviews and ...
... or non-clinicians. The Supervisor is responsible for ensuring team performance, supporting ... Perform telephonic consultations with members to complete comprehensive medication reviews and ...
Guaynabo, PR · On-site +1
Medical
Dental
Life
Retirement
PTO
... clinical management, allocation, recovery, and overall coordination of donor-related actions. The ... Works closely with the Referral Coordinator (RC) in the utilization of available staff and ...
Guaynabo, PR · On-site +1
Medical
Dental
Life
Retirement
PTO
... clinical management, allocation, recovery, and overall coordination of donor-related actions. The ... Works closely with the Referral Coordinator (RC) in the utilization of available staff and ...
Guaynabo, PR · Remote
Medical
Dental
Life
Retirement
PTO
... clinical management, allocation, recovery, and overall coordination of donor-related actions. The ... Works closely with the Referral Coordinator (RC) in the utilization of available staff and ...
Guaynabo, PR · Remote
Medical
Dental
Life
Retirement
PTO
... clinical management, allocation, recovery, and overall coordination of donor-related actions. The ... Works closely with the Referral Coordinator (RC) in the utilization of available staff and ...
Caguas, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Caguas, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Mayaguez, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Mayaguez, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Mayaguez, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Mayaguez, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Caguas, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Caguas, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
San Juan, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
San Juan, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Guaynabo, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Guaynabo, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Guaynabo, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Guaynabo, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Bayamon, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Bayamon, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Bayamon, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Bayamon, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
San Juan, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
San Juan, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Ponce, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
Ponce, PR · On-site
$125K/yr
LBI - Strategic Programs REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILS Qualifications ... utilization, operational risks, and program outcomes; identifying issues and developing ...
$89K - $116K/yr
... clinical volume, reviewing work of employees to assure accuracy and validity of submissions ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
$89K - $116K/yr
... clinical volume, reviewing work of employees to assure accuracy and validity of submissions ... Non-citizens may only be appointed when it is not possible to recruit qualified citizens in ...
| Aspect | Non Clinical Utilization Review | Clinical Utilization Review |
|---|---|---|
| Credentials | Typically requires healthcare administration, insurance, or case management certifications | Requires clinical licenses such as RN, MD, or other healthcare provider credentials |
| Work Environment | Office-based, insurance companies, or healthcare organizations | Hospitals, clinics, or healthcare facilities |
| Employer & Industry Usage | Insurance companies, third-party administrators, healthcare organizations | Hospitals, clinics, healthcare providers |
| Search & Comparison Intent | Understanding administrative and insurance-focused review roles | Understanding clinical decision-making and patient care review roles |
Non Clinical Utilization Review involves assessing healthcare services from an administrative perspective, focusing on insurance policies and coverage. Clinical Utilization Review involves healthcare professionals evaluating patient care and clinical necessity. Both roles are essential in healthcare but differ mainly in credentials, work environment, and focus area.
For Non Clinical Utilization Review jobs in Puerto Rico, the most frequently searched job titles are:
The top searched job categories for Non Clinical Utilization Review jobs in Puerto Rico are:
Cities in Puerto Rico with the most Non Clinical Utilization Review job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 10 days ago
8.0
Based on 51 frontline employees who took The Breakroom Quiz
43rd of 86 rated pharmaceutical
Sourced by ZipRecruiter
Pharmaceutical product wholesalers and pharmaceutical and medicine manufacturing
10,000+ Employees
Rahway, NJ, US