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Remote Medical Claims Analyst Jobs in Puerto Rico

Kelly Services

Senior Validations Engineer

Juncos, PR · On-site +1

$45/hr

Administrative shift (support a 24/7 manufacturing operations, some remote work is possible) Why ... Proficient in data analysis and strong technical writing skills in English and Spanish. The Senior ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

DaVita

Regional Operations Director (ROD)

San Juan, PR · Remote

This is a field-based/remote position. Candidates can reside in Newport News, Hampton, Norfolk ... Review, analyze, and address gaps in service excellence, policies, and/or procedures proactively ...

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All JobsMedical Claims Analyst JobsRemote Medical Claims Analyst JobsRemote Medical Claims Analyst Jobs in Puerto Rico

Remote Medical Claims Analyst information

What is a remote medical claims analyst?

A Remote Medical Claims Analyst is a professional who reviews, processes, and evaluates healthcare insurance claims from a remote location, often working from home. Their primary responsibilities include verifying the accuracy of medical billing codes, ensuring claims comply with insurance policies and regulations, and identifying discrepancies or fraudulent activities. They collaborate with healthcare providers, insurance companies, and sometimes patients to resolve claim issues efficiently. Strong analytical skills, attention to detail, and knowledge of medical terminology and billing codes are essential for this role.

What are the key skills and qualifications needed to thrive as a remote medical claims analyst?

To thrive as a Remote Medical Claims Analyst, you need a solid understanding of medical terminology, insurance policies, and claims processing, usually supported by a relevant degree or experience in healthcare administration. Familiarity with claims management software, ICD-10/CPT coding systems, and sometimes certifications like CPC or CPB are typically required. Strong attention to detail, analytical thinking, and effective written communication set top performers apart in this role. These skills ensure accurate and timely claims adjudication, minimize errors, and support both customer satisfaction and regulatory compliance.

What are some common challenges faced by remote medical claims analysts, and how can they be addressed?

Remote Medical Claims Analysts often encounter challenges such as interpreting complex medical documentation, staying updated with ever-changing insurance regulations, and managing high volumes of claims efficiently. To address these, it's important to develop strong attention to detail, maintain ongoing education on coding and compliance, and leverage digital tools for workflow management. Collaboration with team members and clear communication with providers and insurers can also help resolve discrepancies more effectively and ensure accurate claims processing.

What are popular job titles related to Remote Medical Claims Analyst jobs in Puerto Rico?

For Remote Medical Claims Analyst jobs in Puerto Rico, the most frequently searched job titles are:

What job categories do people searching Remote Medical Claims Analyst jobs in Puerto Rico look for?

The top searched job categories for Remote Medical Claims Analyst jobs in Puerto Rico are:

What cities in Puerto Rico are hiring for Remote Medical Claims Analyst jobs?

Cities in Puerto Rico with the most Remote Medical Claims Analyst job openings:

Remote Medical Claims Analyst jobs near you

Senior Validations Engineer

Kelly Services

Juncos, PR • On-site, Remote

$45/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Key responsibilities

  • Develop and implement the overall Commissioning & Qualification strategy aligned with project and regulatory requirements.

  • Oversee and/or execute commissioning activities including FAT, SAT, and field commissioning.

  • Author, review, and approve qualification protocols (IQ, OQ, PQ).

Job description

At Kelly® Engineering  we’re passionate about helping you find a job that works for you. How about this one?
We’re seeking Senior Validations Engineer to work for one of our top Biotechnology Industry client at Juncos, PR. 
Salary: $45.00 hr - W2
Shift: Administrative shift (support a 24/7 manufacturing operations, some remote work is possible)
Why you should apply to be Senior Validations Engineer
  • Competitive pay with biweekly direct deposit (W-2)
  • Hands-on experience supporting critical manufacturing and quality systems in a leading biotechnology environment
  • Collaborative, fast-paced, and dynamic workplace with growth opportunities
  • Access to extensive training resources and career guidance
  • Paid vacation, sick leave, holidays, and eligibility for a Christmas bonus (Must comply with minimum established requirements to qualify.)
This job might be an outstanding fit if you have the following requirements: 
  • MS degree  in Engineering and 2 years of directly related experience OR BS degree in Engineering and 4 years of directly related experience in pharmaceutical, biotechnology, or other regulated manufacturing industrie
  • Experience leading Commissioning & Qualification (C&Q) strategies, planning, scheduling, and resource management in GMP environments.
  • Strong expertise in FAT, SAT, startup, field commissioning, and IQ/OQ/PQ execution.
  • Knowledge of ASTM E2500, ISPE guidance, risk assessments, and qualification lifecycle management.
  • Experience authoring, reviewing, and approving qualification protocols, validation reports, and technical documentation.
  • Strong understanding of GMP, FDA/EMA regulations, Data Integrity (ALCOA+), Change Controls, Deviations, and CAPA. 
  • Experience developing and executing process characterization studies, with strong technical writing, leadership, and project management skills.
  • Proficient in data analysis and strong technical writing skills in English and Spanish.
The Senior Validations Engineer will be responsible for; C&Q Strategy & Planning: Develop and implement the overall Commissioning & Qualification strategy aligned with project and regulatory requirements. Commissioning Activities: Oversee and/or execute commissioning activities including FAT, SAT, and field commissioning. Qualification Execution (IQ/OQ/PQ): Author, review, and approve qualification protocols (IQ, OQ, PQ). Documentation & Compliance: Ensure all C&Q documentation complies with GMP, FDA, EMA, and internal company standards. Risk Management & Change Control: Lead and document risk assessments related to system qualification. Evaluate and manage change controls impacting validated systems. Assess impact of deviations and implement corrective and preventive actions (CAPA). Cross-functional Coordination: Collaborate with Engineering, Validation, Quality Assurance (QA), Manufacturing, and Supply Chain teams. Characterization Process: Develop the characterization protocols. Execute the characterization activities. Develop and review the characterization reports

Helping you discover what’s next in your career is what we’re all about, so let’s get to work.
Apply to be Senior Validations Engineer today!
Recruiter: Lilly Abouomar 9395454792 
#SETTPuertoRico
 


As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Please note: The following benefits reflect Kelly's general offerings. Eligibility may vary by assignment, location, and job type. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

Why Kelly® Engineering?

Your engineering skills are in demand, but how do you find the right fit? Easy. At Kelly Engineering, our team creates expert talent solutions to solve the world’s most critical challenges. We connect you with leading organizations where you can collaborate on innovative projects, work with cutting-edge technologies and accelerate your growth. Whether you prefer the variety and flexibility of short-term projects or are looking for a long-term opportunity, we’re here to guide you to the next step in your engineering career.

About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year.
Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.
Kelly may use AI-powered tools during the recruitment and hiring process. For full details, including how Kelly uses AI, your rights, and how to request a reasonable accommodation, visit the Recruitment Artificial Intelligence Notice.