| Human Resources Representative - (Ver detalles de Oferta) |
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| MCS HEALTHCARE HOLDINGS, LLC | San Juan, San Juan, pr | 2026-04-11 - |
| Human Resources Representative.Responsible for assisting and providing administrative support to the Recruitment Unit in managing operational processes of the Recruitment Unit following guidelines, policies, and procedures established by Medical Card System, Inc.Maintain and update the Applicant Tra - MCS HEALTHCARE HOLDINGS, LLC |
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| Healthcare Claims Investigator - San Juan, PR2346040 | San Juan, San Juan - (Ver detalles de Oferta) |
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| UnitedHealth Group | San Juan, San Juan, pr | 2026-04-11 - |
| Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). Experience in healthcare claims investigations. - UnitedHealth Group |
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| Beneficiary Value Program Analyst - (Ver detalles de Oferta) |
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| MCS HEALTHCARE HOLDINGS, LLC | San Juan, San Juan, pr | 2026-04-02 - |
| Beneficiary Value Program Analyst.Responsible for handling, validating, and completing requests and reconciliations related to the Beneficiary Value Program.Assess program reconciliation and collaboration with cross-functional teams to enhance overall program performance to ensure that the Beneficia - MCS HEALTHCARE HOLDINGS, LLC |
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| Healthcare Claims Investigator - San Juan, PR - (Ver detalles de Oferta) |
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| UMR | San Juan, San Juan, pr | 2026-04-04 - |
| Experience in healthcare claims investigations. Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). - UMR |
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| Benefits Coordination Specialist - (Ver detalles de Oferta) |
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| MCS HEALTHCARE HOLDINGS, LLC | San Juan, San Juan, pr | 2026-04-10 - |
| Education and Experience: Bachelor's Degree in Healthcare Administration, Business Administration, or related fields. Knowledge of medical coding systems such as International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM), Tenth Revision (ICD-10), Current Procedural Te - MCS HEALTHCARE HOLDINGS, LLC |
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| Healthcare Claims Investigator - San Juan, PR2346040 | San Juan, San Juan - (Ver detalles de Oferta) |
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| UnitedHealthcare At Home | San Juan, San Juan, pr | 2026-04-02 - |
| Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). Experience in healthcare claims investigations. - UnitedHealthcare At Home |
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| Grievances & Appeals Senior Specialist - (Ver detalles de Oferta) |
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| MCS HEALTHCARE HOLDINGS, LLC | San Juan, San Juan, pr | 2026-04-04 - |
| At least four (4) years of experience in the areas of Research, Auditing, or Client/Provider Service, preferred in the Healthcare Insurance Industry. Other: Knowledge of the following systems is preferred: HPMS, PMHS, Beacon Healthcare System, and TruCare. - MCS HEALTHCARE HOLDINGS, LLC |
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| Healthcare Claims Investigator - San Juan, PR2346040 | San Juan, San Juan - (Ver detalles de Oferta) |
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| Genoa Telepsychiatry | San Juan, San Juan, pr | 2026-04-03 - |
| Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). Experience in healthcare claims investigations. - Genoa Telepsychiatry |
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| Healthcare Claims Investigator - San Juan, PR - (Ver detalles de Oferta) |
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| UnitedHealthcare | San Juan, San Juan, pr | 2026-04-03 - |
| Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). Experience in healthcare claims investigations. - UnitedHealthcare |
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| Claims Analyst II - (Ver detalles de Oferta) |
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| MCS HEALTHCARE HOLDINGS, LLC | San Juan, San Juan, pr | 2026-04-11 - |
| Other: Knowledge of payment rules, medical terminology, and standardized healthcare coding systems. Proficiency in managing and interpreting the Current Procedural Terminology, Fourth Edition (CPT-4), International Classification of Diseases, Tenth Revision (ICD-10), and Healthcare Common Procedure - MCS HEALTHCARE HOLDINGS, LLC |
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| Healthcare Claims Investigator - San Juan, PR - (Ver detalles de Oferta) |
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| Reliant Medical Group | San Juan, San Juan, pr | 2026-04-09 - |
| Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). Experience in healthcare claims investigations. - Reliant Medical Group |
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| Healthcare Claims Investigator - San Juan, PR - (Ver detalles de Oferta) |
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| divvyDOSE | San Juan, San Juan, pr | 2026-04-03 - |
| Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). Experience in healthcare claims investigations. - divvyDOSE |
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| Grievances & Appeals Specialist - (Ver detalles de Oferta) |
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| MCS HEALTHCARE HOLDINGS, LLC | San Juan, San Juan, pr | 2026-04-04 - |
| Grievances & Appeals Specialist.Analyzes, investigates, supports, and answers Grievances, Dental Pre-Service, and Payment Appeals filed by members, insureds, Providers, and/or Non-Part Providers within the time stipulated contractually for both Lines of Business (LOB) and following the terms stated - MCS HEALTHCARE HOLDINGS, LLC |
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| Healthcare Claims Investigator - San Juan, PR - (Ver detalles de Oferta) |
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| UMR | San Juan, San Juan, pr | 2026-04-04 - |
| Employees are responsible for triaging, investigating and resolving instances of healthcare fraud and/or abusive conduct by medical professionals. Accredited Healthcare Fraud Investigator (AHFI). Experience in healthcare claims investigations. - UMR |
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| Account Analyst - (Ver detalles de Oferta) |
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| MCS HEALTHCARE HOLDINGS, LLC | San Juan, San Juan, pr | 2026-04-04 - |
| Responsible for analyzing, reconciling, and collecting the outstanding balances of the accounts.Maintains communication with the other departments to clarify collection procedures and payment method changes.Analyzes and investigates cases referred from the Grievances area for the different products - MCS HEALTHCARE HOLDINGS, LLC |
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