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Optum Healthcare Jobs in Puerto Rico (NOW HIRING)

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Department Manager - Barceloneta

Barceloneta, PR · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

You will also enjoy benefits like employee discounts, healthcare, paid time off and education ... Access to support through Optum Employee Assistance Program at no cost for you and your family

All JobsOptum Healthcare JobsOptum Healthcare Jobs in Puerto Rico

Optum Healthcare information

What are the key skills and qualifications needed to thrive as an Optum Healthcare professional?

To thrive as an Optum Healthcare professional, you typically need a healthcare-related degree, relevant licensure or certification, and strong knowledge of clinical practices or healthcare administration. Familiarity with electronic health record (EHR) systems, claims processing software, and telehealth platforms is often required. Exceptional communication, problem-solving abilities, and a patient-focused mindset are key soft skills that set top performers apart. These skills and qualifications are essential for delivering high-quality, efficient care and ensuring positive patient outcomes in a dynamic, technology-driven healthcare environment.

What is the difference between Optum Healthcare vs Medical Assistant?

AspectOptum HealthcareMedical Assistant
Required CertificationsVaries; often includes healthcare-related certifications or trainingCertified Medical Assistant (CMA) or Registered Medical Assistant (RMA)
Work EnvironmentHealthcare facilities, clinics, hospitals, insurance companiesClinics, outpatient settings, hospitals
Employer & Industry UsageMajor healthcare providers, insurance companies, healthcare servicesMedical clinics, hospitals, outpatient centers
Job ResponsibilitiesCare coordination, administrative support, patient communicationPatient intake, vital signs, assisting physicians

Optum Healthcare and Medical Assistants both work within healthcare environments, but Optum Healthcare often involves broader roles including care coordination and administrative tasks across various healthcare settings. Medical Assistants focus more on direct patient care and clinical support. While certifications overlap, the scope and employer types differ, making each role unique within the healthcare industry.

What opportunities for career growth are available within Optum Healthcare roles?

Optum Healthcare offers a variety of career advancement paths, including opportunities to move into leadership, specialized clinical roles, or project management positions. Employees are encouraged to pursue professional development through in-house training programs, tuition assistance, and mentorship initiatives. The organization values internal mobility, so high-performing individuals often find opportunities to transition to new departments or take on more responsibility within their teams. Collaborative work environments and cross-functional projects also allow staff to gain diverse experience and expand their skill sets.

What is Optum Healthcare?

Optum Healthcare is a division of UnitedHealth Group that provides healthcare services, technology, and information to help improve patient care and system efficiency. Optum offers a wide range of services, including health management, pharmacy care services, data analytics, and medical care delivery. Their focus is on integrating care and using data-driven insights to support providers, employers, and patients. Optum works with a vast network of healthcare professionals and organizations to streamline processes and improve patient outcomes.

What job categories do people searching Optum Healthcare jobs in Puerto Rico look for?

The top searched job categories for Optum Healthcare jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Optum Healthcare jobs?

Cities in Puerto Rico with the most Optum Healthcare job openings:

Optum Healthcare jobs near you
Infographic showing various Optum Healthcare job openings in Puerto Rico as of August 2026, with employment types broken down into 2% As Needed, 69% Full Time, 15% Part Time, 2% Temporary, and 12% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Healthcare Services Coordinator (Determination Letters) - San Juan, PR

UnitedHealth Group

San Juan, PR • On-site

$19 - $25.50/hr

Full-time

Re-posted 10 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

190th of 887 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. 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. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. 

The Clinical Administrative Coordinator (CAC) is a multi-faceted role within Optum Health Risk Operations that encompasses different levels of administrative support. The Clinical Administrative Coordinator serves as a bridge, allowing for a seamless transition for members and providers moving through the continuum of care. This role can include initial triage of members for possible transition to clinical staff, managing admission and discharge census information, serving as a point of contact for facilities and clinical teams, telephonic engagement with our members and providers, providing information on available network services, managing the referral process to connect members with all available resources, management of prior authorizations, and generation of written determination notifications. 

The National Letter Team Letter Coordinator is responsible for drafting Notice of Action (NOA) and Notice of Extension (NOE) letters for government and commercial specific clients that adhere to the state and federal regulatory requirements. The Letter Coordinator also completes outbound calls to client-specific customers requesting the return of specific letters. 

Major Responsibilities:

  • Drafts NOA and NOE letters for government and commercial specific clients.

  • Makes outbound calls to client specific customers to initiate letter retrieval.

  • Adherence to client, regulatory and accreditation requirements for letter documentation.  

  • Demonstrate product knowledge by identifying the appropriate letter template based on the services and action within the case.

  • Consistently meet established productivity, adherence, and quality standards.

  • Other duties as assigned by manager and/or director.


*** ENGLISH PROFICIENT ASSESSMENT WILL BE REQUIRED AFTER APPLICATION ***


You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • 1 years of professional experience in an office setting using the telephone and computer as the primary instruments to perform the job duties OR customer service experience analyzing and solving customer problems

  • Healthcare experience

  • Experience working with Microsoft Outlook, Microsoft Word, and Microsoft Excel (ability to create, edit, save and send emails, documents and spreadsheets)

  • Computer experience including, but not limited to, ability to learn new computer system applications

  • Ability to work the hours of 08:00 am - 8:00 pm AST Monday-Friday including availability to work Saturdays from 10:00 am - 8:00 pm AST(It may be necessary, given the business need, to work Holidays, weekends and occasional overtime)

  • Bilingual Proficiency (English and Spanish)

Preferred Qualifications:

  • Experience working within a Hospital, Physician's Office, or Medical Clinical setting, Medical Terminology, ICD - 10 and CPT codes, Medicare and / or Medicaid Services, Call Center environment

  • Professional experience in a Clerical or Administrative support related role


At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.


UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. 

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