A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans. **Performance Quality Analyst I**
**Location:** This role requires associates to be in-office [2] days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. When report to the office this position will be based at PR-San Juan, 654 Ave Munoz Rivera.
_Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._
**Schedule:** This position will work an 8-hour from shift 8:00 am - 5:00 pm (EDT) Monday to Friday. Additional hours may be necessary based on company needs.
The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries.
**How you will make an impact.**
Primary duties may include, but are not limited to:
+ Assists higher level auditor/lead on field work as assigned, including performing special audits and targeted audits as requested by internal management.
+ Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process.
+ Analyzes and interprets data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize our exposure and mitigate those risks.
+ Documents audit results, documents findings, and suggests appropriate remediation.
**Minimum Requirements:**
+ Requires a BS/BA; 2+ years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education and experience, which would provide an equivalent background.
**Preferred Skills, Capabilities, and Experiences:**
+ Fully Bilingual (English & Spanish). Must be able to write, read and speak both languages in a proficiency level is preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$49k-58k yearly est. 18d ago
Looking for a job?
Let Zippia find it for you.
Customer Support Associate
Cegsoft
Remote job in San Juan, PR
Job Description
NOTE: ONLY FOR PUERTO RICO CANDIDATES.
We are building the best workplace for thinkers, experts, service agents, designers, and developers to come together to innovate, grow, and truly make an impact in other peoples' lives through technology.
We are proud creators of:
Expert Tax - tax preparation software for accountants in Puerto Rico
Taxmania - tax preparation software for citizens of Puerto Rico
Edi - a document management software to modernize the digital office
Follow It - case management software
We serve over 150,000 customers every year. It is paramount for us to deliver quality software solutions and provide “above and beyond” customer experiences to ensure the highest level of customer satisfaction.
Our company values ground us and guide us:
Passion
Innovation
Playfulness
Honesty
Customer Satisfaction
Growth
Discernment
If you are passionate about delivering outstanding customer support and would love to work in a fun, team-oriented, and creative environment, we are looking for YOU!"
What will you do?
Respond to customer inquiries with our customer service platforms providing accurate and empathetic support.
Assist in resolving cases related to tax filing, calculations, form validations, or program configuration.
Explain tax concepts to clients in simple and professional terms, ensuring clarity and trust.
Maintain documentation and follow-up for each case to ensure timely and consistent communication.
Identify and document recurring tax or system-related issues, collaborating with QA and Product for validation.
Participate in pre-release testing and validation of new features or tax updates.
Collaborate with the Tax Compliance team to verify calculations, XML generation, and regulatory consistency.
Contribute feedback that enhances product usability and tax accuracy.
Review and validate AI-generated responses to ensure accuracy, tone, and compliance.
Contribute to the creation or improvement of help center articles and internal guides.
Provide insights and recommendations to improve AI performance and client experience.
Our candidate must:
Be available on a full-time basis, from Monday to Friday 9:00am-6:00pm.
Be available to work from home and in San Juan.
1-2 years of experience in customer service, accounting, or software support.
Familiarity with software systems and troubleshooting processes.
Proficiency with CRM system and other customer management tools.
Associate's or Bachelor in Business Administration (BBA), or related fields
Nice to have:
Analytical mindset with curiosity.
Empathy and strong customer communication.
Team collaboration and adaptability.
Organizational and documentation discipline.
Positive and professional attitude toward challenges.
Proficient analytical, documentation, and communication skills preferred (Spanish and English).
Basic understanding of tax preparation concepts and Puerto Rico tax forms (e.g., **************PR, 1040SS, etc.).
What's in it for you?
A very valuable experience on a friendly, flexible and collaborative environment.
The opportunity to work with high level professionals in the software industry.
Perks!: High quality coffee, ping pong table, gym equipment, team activities, hybrid work culture and so much more!
If you believe you can add value to our team, we want to meet YOU!
At CEGsoft we are committed to creating an inclusive environment for all employees. The Company's policy is not to unlawfully discriminate against any applicant or employee on the basis of race, color, sex, religion, sexual orientation, gender identity, gender expression, national origin, age, disability status, genetic information, military or veteran status or any other applicable legally protected considerations made unlawful by federal, state, or local laws.
$17k-29k yearly est. 26d ago
Work From Home Commission Sales Lead Generation Representative
Insurance Protection Specialists
Remote job in San Juan, PR
Insurance Protection Specialists
is dedicated to providing financial solutions to meet the needs and goals of ourclients. Our clients are happily satisfied knowing that their agent is devoted to providing them with professional service and education to make an informed decision for protecting their family's insurable risk and financial interest.
An
InsuranceProtection Specialists
agent receives access to various marketing and lead generation services. These programs provide agents the means to get in front of qualified clients that are seeking the financial products to meet their specific obligations. Insurance Protection Specialists provides a diverse portfolio of insurance companies for agents to meet the needs of their clients.
Job Description
We are currently looking for talented individuals to serve in the capacity of a Lead Generation Representative. This opportunity accommodates various schedules so flexibility and prior experience in telemarketing for lead generation is a must.
Work days are US, Monday - Friday, work shift hour sessions are between 10AM to 10PM EDT, some Saturday's as needed. You will be working out of your home office, so you won't have a commute or spend too much of your life sitting in traffic. We provide the calling scripts, auto-dialer, numbers to be called, and all business is done online. The Lead Generation Representative basically just takes cold calls that are incoming into our call queue to develop into leads.
View the YouTube Video to learn more about what we do:
*********************************************************
Interested individuals MUST HAVE:
• Excellent English skills, both written and spoken.
• DSL or Cable internet access with a Computer Headset.
• XLite 5 Softphone, free download available at
(************************************************ Or
Zoiper Softphone Classic version, free download available at
(**********************************
• Impressive customer support, communication, and technical skills.
If you're not able to utilize the X-Lite 5 or Zoiper Classic softphone we will not be able to work with you.
Interested individuals must forward an audio recording giving a brief introduction of your experiences and qualifications. If you do not do this we will not consider you for this opportunity. Audio recording must be emailed in mp3 format or wav.
Visit the following link *************************************************** and submit your results for the application process. (You may have to open the link in a new web browsing window).
All selected applicants are required to do a 2 hour skill assessment to see if you have the skill set to deliver on the results required for this position. Eligibility for being hired is based upon successful completion of the skill assessment.
Thank you for your interest and we look forward to talking with you.
Insurance Protection Specialists
**************************************
Qualifications
Lead Generation, Cold Calling, Telemarketing, Appointment Setting
Additional Information
$31k-43k yearly est. 60d+ ago
Global Employment Tax Leader
GE Aerospace 4.8
Remote job in San Juan, PR
We are seeking an experienced and strategic Employment Tax Leader to drive the global employment tax agenda for our organization. This role requires a dynamic professional with deep technical knowledge across employment, mobility, equity awards, bonus compensation and international tax, coupled with the ability to engage and influence across multiple functions and geographies. The successful candidate will lead employment tax strategy and compliance, deliver operational excellence, partner with specialist third parties and represent the company in policy and regulatory matters.
**Job Description**
**Essential Responsibilities:**
+ Define and implement the global employment tax strategy, ensuring alignment with evolving business models, legislation, risk appetite, and technology developments. Lead employment tax aspects of corporate transactions, including business separations, reorganizations, and expansions.
+ Oversee compliance and reporting for employment tax obligations across multiple jurisdictions, including Americas, EMEA, and APAC
+ Partner with Payroll, HR, Compensation, Benefits, Corporate Tax, Legal, and Finance to ensure cohesive execution of employment tax policies.
+ Manage International, US Federal and US state employment tax audits, resolve disputes with tax authorities, and address post-filing notice inquiries.
+ Act as a trusted advisor to internal stakeholders, including Boards of Directors, senior leadership, and global enabling functions.
+ Partner with local Payroll Leaders to provide guidance, coaching and support on employment tax matters.
+ Drive employment tax considerations into HR, pension, sourcing, and compensation processes.
+ Develop critical relationships with employment tax service providers and manage these vendors to ensure performance and value delivery.
+ Innovate through the use of technology, including AI, to enhance compliance, efficiency, and data insight.
+ Represent the organization in external regulatory, legal and tax forum
+ Monitor and influence changes in employment tax legislation and policy that impact the business.
**Qualifications/ Requirements:**
+ Bachelor's degree from an accredited university or college in related area (or a high school graduate/GED or equivalent with at least 4 years of relevant work experience)
+ Minimum of five years of experience in employment, mobility, and international tax, with a mix of in-house and accounting or law firm experience.
+ Proven experience leading employment tax strategy and operations for large, multinational organizations..
+ Deep understanding of tax risk, compliance frameworks, and global payroll operations.
**Desired Characteristics:**
+ Tax Advisor or equivalent qualification preferred.
+ Minimum of ten year experience in employment, mobility, and international tax, with a mix of in-house and accounting or law firm experience.
+ Experience with multijurisdictional withholding, reciprocal jurisdictions, and day-counts
+ Track record of managing high-impact projects, including separation and stand-up of complex business entities.
+ Technically adept, with ongoing interest in digital transformation (AI in tax, automation, etc.).
+ Pragmatic and solutions-oriented with strong communication and stakeholder management skills.
+ Proven ability to navigate ambiguity and drive outcomes in complex, cross-functional environments; proven ability to operate successfully across a complex, matrix environment
+ Articulate, adaptable, with excellent inter-personal and cross-cultural skills
+ Skilled in assimilating and interpreting complex concepts and adapting and presenting them to a range of stakeholders
+ Experience influencing at senior levels and across regulatory forums.
+ Strong leadership skills with experience managing teams and third-party providers.
**Pay and Benefits:**
+ The base pay range for this position is $152,300 - 205,000. The specific pay offered may be influenced by a variety of factors, including the candidate's experience, education, and skill set. This position is also eligible for an annual discretionary bonus based on a percentage of your base salary/ commission based on the plan. This posting is expected to close on October 10th, 2025.
+ GE Aerospace offers comprehensive benefits and programs to support your health and, along with programs like HealthAhead, your physical,emotional, financial and social wellbeing. Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to aHealth Coach from GE Aerospace; and the Employee Assistance Program, which provides 24/7 confidential assessment, counseling andreferral services. Retirement benefits include the GE Aerospace Retirement Savings Plan, a 401(k) savings plan with company matchingcontributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits includetuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness. GE Aerospace (General Electric Company or the Company) and its affiliates each sponsor certain employee benefit plans or programs (i.e., isa "Sponsor"). Each Sponsor reserves the right to terminate, amend, suspend, replace or modify its benefit plans and programs at any time andfor any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor's welfare benefit plan or program. Thisdocument does not create a contract of employment with any individual.
**Additional Information**
GE Aerospace offers a great work environment, professional development, challenging careers, and competitive compensation. GE Aerospace is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE Aerospace will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
**Relocation Assistance Provided:** No
\#LI-Remote - This is a remote position
GE Aerospace is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
$152.3k-205k yearly 60d+ ago
Head of Payment Operations
Arival Pte Ltd.
Remote job in San Juan, PR
Position Overview:The role will involve close collaboration with other departments, including Product Operations, Compliance, Legal, to enhance processes and support the launch of new payment products. Additionally, the Head of Payment Operations will establish and maintain robust relationships with foreign and correspondent banking partners.
Key Responsibilities:Oversee and expand the Payments Program to handle a wide range of domestic and international payment systems, including SWIFT, International ACH origination, SEPA, FPS, RTP , and emerging solutions like digital assets.
Provide strategic leadership and guidance to the Payment Operations team, ensuring operational efficiency and excellence.
Lead and manage all aspects of wire and ACH operations, including input, verification, OFAC compliance, travel rules adherence, and issue resolution for returns, repairs, recalls, and service messages.
Develop team capabilities through training, mentorship, and performance evaluations, ensuring a high-performing workforce.
Address internal and external inquiries related to payment processing, ensuring timely and effective resolutions.
Direct the preparation, coordination, and processing of ACH, domestic/international, and FX wire operations.
Oversee investigations related to domestic, international, and FX wire discrepancies, ensuring full regulatory compliance.
Act as the primary point of communication for internal and external stakeholders regarding payment processing matters.
Stay current with applicable laws, regulations, and industry standards, adapting policies and operations as required.
Provide cross-functional backup support within the team when needed.
Qualifications:Minimum of 5 years of experience in payments operations, financial messaging, or treasury services, with a focus on cross-border payments and SWIFT connectivity.
Experience working in fintech, small startups, or BaaS (Banking as a Service) companies.
Deep expertise in SWIFT infrastructure, messaging standards, and security protocols.
Comprehensive understanding of ISO messaging standards (ISO 8583, ISO 15022, ISO 20022 preferred).
Extensive knowledge of wire transfer and ACH processing (Nacha rules), regulatory compliance, and risk management practices.
Experience integrating digital assets into payment strategies (e.
g.
, cryptocurrencies, stablecoins).
Proven track record of managing large teams and achieving operational excellence in a dynamic environment.
Strong problem-solving, organizational, and communication skills, with a commitment to superior stakeholder service.
What We Offer:Medical & vision insurance Dental insurance 401 (k) with employer match Computer setup of your choice Remote work from anywhere you want Competitive job pay
$45k-98k yearly est. 40d ago
Program Management Lead, Offshore Coding Operations
Centerwell
Remote job in San Juan, PR
**Become a part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial.
The **Program Management Lead, Offshore Coding Operations** optimizes the effectiveness of the offshore coding (post-visit) team. The lead analyzes the performance of the offshore coding team and creates strategies to maximize associate output. The **Program Management Lead, Offshore Coding Operations** works on problems of diverse scope and complexity ranging from moderate to substantial.
**Relationship Building:**
+ Cultivate relationships with onshore and offshore coding teams including leaders.
+ Serve as liaison and primary point of contact with the offshore (vendor) leaders.
+ Strategy: Advises coding leaders to develop functional strategies (often segment specific) on matters of significance.
+ In partnership with Coding Operational Excellence and Regional Coding Leaders, develop strategies for continuous improvement of offshore coding processes and quality.
+ Post-Visit/Offshore Coding Collaboration:
+ Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling methodology to be determined).
**Qualitative and Quantitative Analyses:**
+ Analyze trends and share results with coding leaders/teams.
+ Monitor quality and address performance gaps.
+ Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues.
+ May participate in coder education programs on coding compliance.
+ Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records.
**Mergers and Acquisitions:**
+ Partner with coding teams (consultative coders) on the special handling of Mergers & Acquisitions:
+ Other Duties:
+ Lead Special Projects for onshore and offshore coding teams.
+ Participate in chart reviews to identify educational opportunities.
+ Conduct research as needed.
+ Participate in Payer calls/chart reviews.
+ May participate in provider education programs on coding compliance.
+ Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Use your skills to make an impact**
**Proposed Requirements:**
+ Bachelor's degree in a relevant field (e.g., Health Information Management, Business Administration, Healthcare Administration)
+ Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC
+ Minimum 5 years' progressive experience in medical coding operations
+ Minimum of 3 years' direct experience managing or optimizing offshore coding teams and vendor partnerships
+ Demonstrated success leading cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations
+ Experience collaborating with analytics, training, and operational excellence teams to drive quality and efficiency in coding workflows
+ Prior exposure to supporting mergers & acquisitions in a coding operations context preferred
**Preferred Qualifications**
+ Master's degree preferred.
**Knowledge, Skills, and Abilities**
+ Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements
+ Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and relevant coding/audit software
+ Strong business acumen with proven strategic and critical thinking skills
+ Ability to analyze complex quantitative and qualitative data, synthesize findings, and communicate actionable insights to leadership
+ Outstanding verbal and written communication skills, with the ability to present to and influence diverse stakeholder groups
+ Effective relationship-building skills with both onshore and offshore teams, including vendor management and leadership liaison
+ Proven ability to work successfully in a fast-paced, dynamic, and matrixed environment
+ Commitment to continuous improvement, operational excellence, and collaborative problem-solving
+ Public speaking and group presentation experience required
+ Demonstrated ability to educate and mentor staff on coding compliance and best practices
**Additional Information**
+ Preferred work hours: EST
+ Up to 20% travel nationally within CenterWell markets
**Work at Home Requirements**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$104,000 - $143,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-02-2026
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$39k-62k yearly est. 60d+ ago
Reimbursement Coordinator
Cardinal Health 4.4
Remote job in San Juan, PR
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ First point of contact on inbound calls and determines needs and handles accordingly.
+ Creates and completes accurate applications for enrollment with a sense of urgency.
+ Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database.
+ Conducts outbound correspondence when necessary to help support the needs of the patient and/or program.
+ Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance.
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry.
+ Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information.
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance.
+ Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing.
+ Working alongside teammates to best support the needs of the patient population .
+ Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted.
+ Track any payer/plan issues and report any changes, updates, or trends to management
+ Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
+ Handle all escalations based upon region and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve issues swiftly
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED, or equivalent work experience, preferred
+ Patient Support Service experience, preferred
+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payer policies and guidelines for coverage, preferred
+ Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred
+ Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred
+ 1-2 years experience with Prior Authorization and Appeal submissions, preferred
+ Ability to work with high volume production teams with an emphasis on quality
+ Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities
+ Previous medical experience is preferred
+ Adaptable and Flexible, preferred
+ Self-Motivated and Dependable, preferred
+ Strong ability to problem solve, preferred
+ Bilingual is preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:**
+ Your new hire training will take place 8:00am-5:00pm CST the first week of employment, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work a scheduled shift of Monday-Friday, 8:00am- 5:00pm CST.
**REMOTE DETAILS:**
**You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:**
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.**
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.40 per hour - $30.60 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/12/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate.
Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$21.4-30.6 hourly 15d ago
ProFee Audit Specialist PRN- 1,000 Sign on Bonus
Datavant
Remote job in San Juan, PR
Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**What We're Looking For:**
As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. In this role, you will offer meaningful information tailored to exceed customer expectations, actively identifying and presenting solutions for customer issues. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace!
********Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings********
**What You Will Do:**
+ Performs Professional Fee coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment.
+ Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
+ Keeps abreast of regulatory changes
+ Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
+ Provides coder education via the auditing process
+ Function in a professional, efficient and positive manner
+ Adhere to the American Health Information Management Association (AHIMA)'s code of ethics
+ Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
+ High complexity of work function and decision making
+ Strong organizational, teamwork, and leadership skills
********Seeking a profee auditor proficient in multi-specialty including procedure and E/M coding in multiple settings********
**What You Need to Succeed:**
+ 5+ years of Professional Fee coding and/or auditing
+ CPC (required)
+ CPMA (preferred)
+ Maintain 95% accuracy rate
+ Experience with various software including Epic, Cerner, and other prevalent EMRs
**What We Offer:**
+ Benefits for Full-Time employees: Medical, Dental, Vision, 401k Savings Plan w/match, 2 weeks of paid time off, and Paid Holidays, Floating Holidays
+ Free CEUs every year
+ Stipend provided to assist with education and professional dues (AHIMA/AAPC) If Applicable
+ Equipment: monitor, laptop, mouse, headset, and keyboard
+ Comprehensive training led by a credentialed professional coding manager
+ Exceptional service-style management and mentorship (we're in this together!)
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is: $35 - $45 an Hour
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$35-$45 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
$28k-43k yearly est. 49d ago
Supplier Quality Engineer
Western Digital 4.4
Remote job in San Juan, PR
** At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that-our technology helped people put a man on the moon and capture the first-ever picture of a black hole.
We offer an expansive portfolio of technologies, HDDs, and platforms for business, creative professionals, and consumers alike under our Western Digital , WD , WD_BLACK, and SanDisk Professional brands.
We are a key partner to some of the largest and highest-growth organizations in the world. From enabling systems to make cities safer and more connected, to powering the data centers behind many of the world's biggest companies and hyperscale cloud providers, to meeting the massive and ever-growing data storage needs of the AI era, Western Digital is fueling a brighter, smarter future.
Today's exceptional challenges require your unique skills. Together, we can build the future of data storage.
**Job Description**
**ESSENTIAL DUTIES AND RESPONSIBILITIES:**
Looking for qualified energetic person for opportunity within Western Digital Supplier Quality Engineering electronic component team. This job will allow the candidate to build relationships with internal and external customers, team members, design engineers, and commodity business management.
+ Develop in a technical environment addressing component manufacturing, reliability, and quality issues impacting WDC business
+ Perform supplier Quality on process and products
+ Provide technical assistance to other engineers and team
**Qualifications**
**REQUIRED:**
+ Bachelor's degree in **Electrical Engineering or Physics**
+ Data Analytics knowledge. Develop data pipelines, ensure data quality, and collaborate with senior engineers on technical solutions
+ Willing to travel when job requires
**PREFERRED:**
+ Multiple years (3-7) of experience in electrical component company or electronics industry
+ Experiences with semiconductor manufacturing, semiconductor process engineering, quality engineering, or electrical devices/ICs design engineering
+ Failure analysis for electrical devices, semiconductor
+ Attended classes or seminars in semiconductor physics, design, process, or test
**SKILLS:**
+ Analytical skills, problem-solving
+ Experience in data analysis tools such as Power BI, Spotfire, SQL, Python, Tableau, Excel
+ Fluent in communicating in English
+ Collaboration with teams
**Additional Information**
Western Digital is committed to providing equal opportunities to all applicants and employees and will not discriminate against any applicant or employee based on their race, color, ancestry, religion (including religious dress and grooming standards), sex (including pregnancy, childbirth or related medical conditions, breastfeeding or related medical conditions), gender (including a person's gender identity, gender expression, and gender-related appearance and behavior, whether or not stereotypically associated with the person's assigned sex at birth), age, national origin, sexual orientation, medical condition, marital status (including domestic partnership status), physical disability, mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or other legally protected characteristics. We also prohibit harassment of any individual on any of the characteristics listed above. Our non-discrimination policy applies to all aspects of employment. We comply with the laws and regulations set forth in the "Know Your Rights: Workplace Discrimination is Illegal (************************************************************************************** " poster. Our pay transparency policy is available here (****************************************************** .
Western Digital thrives on the power and potential of diversity. As a global company, we believe the most effective way to embrace the diversity of our customers and communities is to mirror it from within. We believe the fusion of various perspectives results in the best outcomes for our employees, our company, our customers, and the world around us. We are committed to an inclusive environment where every individual can thrive through a sense of belonging, respect and contribution.
Western Digital is committed to offering opportunities to applicants with disabilities and ensuring all candidates can successfully navigate our careers website and our hiring process. Please contact us at jobs.accommodations@wdc.com to advise us of your accommodation request. In your email, please include a description of the specific accommodation you are requesting as well as the job title and requisition number of the position for which you are applying.
Based on our experience, we anticipate that the application deadline will be 2/7/2026 (3 months from posting), although we reserve the right to close the application process sooner if we hire an applicant for this position before the application deadline. If we are not able to hire someone from this role before the application deadline, we will update this posting with a new anticipated application
\#LI-RR1
**Compensation & Benefits Details**
+ An employee's pay position within the salary range may be based on several factors including but not limited to (1) relevant education; qualifications; certifications; and experience; (2) skills, ability, knowledge of the job; (3) performance, contribution and results; (4) geographic location; (5) shift; (6) internal and external equity; and (7) business and organizational needs.
+ The salary range is what we believe to be the range of possible compensation for this role at the time of this posting. We may ultimately pay more or less than the posted range and this range is only applicable for jobs to be performed in California, Colorado, New York or remote jobs that can be performed in California, Colorado and New York. This range may be modified in the future.
+ If your position is non-exempt, you are eligible for overtime pay pursuant to company policy and applicable laws. You may also be eligible for shift differential pay, depending on the shift to which you are assigned.
+ You will be eligible to be considered for bonuses under **either** Western Digital's Short Term Incentive Plan ("STI Plan") or the Sales Incentive Plan ("SIP") which provides incentive awards based on Company and individual performance, depending on your role and your performance. You may be eligible to participate in our annual Long-Term Incentive (LTI) program, which consists of restricted stock units (RSUs) or cash equivalents, pursuant to the terms of the LTI plan. Please note that not all roles are eligible to participate in the LTI program, and not all roles are eligible for equity under the LTI plan. RSU awards are also available to eligible new hires, subject to Western Digital's Standard Terms and Conditions for Restricted Stock Unit Awards.
+ We offer a comprehensive package of benefits including paid vacation time; paid sick leave; medical/dental/vision insurance; life, accident and disability insurance; tax-advantaged flexible spending and health savings accounts; employee assistance program; other voluntary benefit programs such as supplemental life and AD&D, legal plan, pet insurance, critical illness, accident and hospital indemnity; tuition reimbursement; transit; the Applause Program; employee stock purchase plan; and the Western Digital Savings 401(k) Plan.
+ **Note:** No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
**Notice To Candidates:** Please be aware that Western Digital and its subsidiaries will never request payment as a condition for applying for a position or receiving an offer of employment. Should you encounter any such requests, please report it immediately to Western Digital Ethics Helpline (******************************************************************** or email ****************** .
$62k-76k yearly est. Easy Apply 26d ago
Psychologist - Telemedicine
Vivo Healthstaff
Remote job in San Juan, PR
Job Description
Vivo HealthStaff is recruiting a licensed telemedicine Psychologist for a group practice in California. Our client is willing to help obtain licensure in California. Must be licensed in Puerto Rico.
We are seeking a dedicated and compassionate Licensed Psychologist to join our team and provide telemedicine services to patients in California. This remote position allows you to work from Puerto Rico while making a meaningful impact on the lives of individuals and families through virtual therapy sessions.
Key Responsibilities:
- Provide individual, group, and family therapy sessions via telemedicine to patients located in California.
- Conduct initial assessments, develop treatment plans, and provide ongoing therapy to clients.
- Utilize evidence-based practices and therapeutic interventions to address a wide range of mental health issues, including anxiety, depression, trauma, and substance abuse.
- Maintain accurate and timely clinical documentation in compliance with state and federal regulations.
- Collaborate with other healthcare providers, case managers, and support staff to ensure comprehensive patient care.
- Participate in regular supervision, team meetings, and continuing education opportunities to stay current with best practices and professional development.
Qualifications:
- Master's degree or Doctorate in Psychology from an accredited institution.
- Current Psyd license in Puerto Rico and eligibility to obtain California licensure
- Minimum of 1 year of clinical experience, preferably in a telehealth setting.
- Strong communication, interpersonal, and organizational skills.
- Ability to work independently and manage a flexible schedule.
- Proficiency in using telemedicine platforms and electronic health record (EHR) systems.
Benefits:
- Competitive compensation package.
- Health, dental, and vision insurance for employees working 30 hours per week or more.
- Paid time off and holidays.
- Continuing education and professional development opportunities.
- Flexible work schedule to promote work-life balance.
- Supportive and collaborative team environment.
$56k-90k yearly est. 27d ago
Record Retriever
Rob Levine Legal Solutions
Remote job in San Juan, PR
We are hiring for our Records Department. This is an entry-level position in which you must show great attention to detail and possess strong phone and computer skills. The position requires a heavy emphasis on the phone with medical providers, great organizational skills are a must!
We are seeking bilingual (Spanish and English) speakers. The company will provide in-depth training to the right candidates. We are here to help you succeed and will reward you as you grow within our team!
This position is fully remote. Please submit your resume in English.
Responsibilities
Requesting and collecting medical records and bills from health care providers, such as a Physician's office or hospital.
Following up on the request sent weekly. Once received, perform data entry services to place the relevant information in a secure database.
Manage large amounts of incoming and outbound calls. Identify and assess customers' needs to archive satisfaction.
Build sustainable relationships and trust with customer accounts through open and interactive communication. Provide accurate, valid, and complete information by using the right methods/tools.
Handle customer complaints and provide appropriate solutions and alternatives within the time limits: follow up to ensure resolution. Follow communication procedures, guidelines, and policies.
Qualifications
Proficiency in Microsoft Office and Adobe
Great grammar and speaking skills
Medical record review experience (preferred)
Strong communication skills with the ability to interpret data
Please send your resume in English
Critical thinking/ problem solving
$23k-27k yearly est. Auto-Apply 60d+ ago
Remote Call Center Representative - Puerto Rico
The Mailroom Associate Role
Remote job in Guaynabo, PR
Remote Customer Service Representative - Puerto Rico
Must be proficient in English.
Must reside in Puerto Rico to be considered.
Are you passionate about helping others and delivering exceptional service? Join our dynamic team where you become the first point of contact for our client's customers. With paid training, competitive pay at $11/hr, and a range of incentives and benefits, you'll be empowered to make a real impact every day.
What We Offer:
Work From Home
Full-Time Employment: Reliable schedule and stability.
Competitive Pay: $11/hour starting on day one.
Pay is $11/hour which may be below your state's minimum wage. Please take tis into consideration when applying.
Shift differential: $1.10 extra per hour if working Monday-Friday between 6:00PM to 6:00AM.
Weekend Shift Differential: $1.00 extra per hour if working on Saturdays and Sundays.
Paid Training: Get the training you need to excel.
Incentive Plan: Potential to earn up to an additional $350 per month after training by meeting performance metrics.
Career Growth: Opportunities to advance your career in a supportive, innovative environment.
Full Benefits: Comprehensive benefit options and a great work environment that values your success.
What You'll Do:
Efficiently manage a high volume of inbound calls in a fast-paced environment.
Access cardholder accounts to provide information about payments and benefits deposited by state or federal agencies.
Assist cardholders with inquiries regarding transactions and account statuses.
Listen actively to understand customer needs and offer clear, accurate information.
Process transactions efficiently via web-based applications and handle research requests with precision.
Maintain in-depth knowledge of company and client programs, policies, and technology.
Communicate in a warm, empathetic manner while ensuring confidentiality and compliance with all regulations.
Support team operations during peak times or absences to help maintain seamless service.
What We're Looking For:
An effective communicator who can clearly explain complex information.
A dedicated professional with a strong work ethic and problem-solving skills.
A customer service enthusiast who excels in navigating multiple screens and applications while guiding customers to the best solution.
Ready to commit to 100% attendance during our three-to-five-week paid training period.
Requirements:
Must be at least 18 years old and possess a High School Diploma or equivalent.
Must have 6 months of Customer Service, Call Center or Dispatch experience.
Proficient in English.
Complete a background check, credit check, and security fingerprinting.
Internet Service: Must have a verified, secure, reliable, and high-speed internet connection to support business needs.
Work Area: Must have an established, dedicated work area equipped with a desk, chair, electrical outlet, and direct LAN connection.
Equipment: The company will provide all necessary computer equipment
Internet Speed Test: Must complete an internet speed test and achieve a minimum of 50 Mbps upload and 20 Mbps download.
Reside in Puerto Rico with legal authorization to work permanently in the United States.
Preferred Qualification:
1+ years of previous call center experience
Take the next step in your career and join a team that values quality service and continuous growth. Apply today to become a vital part of our customer service team in Guaynabo!
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated hourly rate for this role is $11.00 per hour.
$11 hourly Auto-Apply 30d ago
Executive Director, US Access Strategy & Marketing, CNS
Otsuka America Pharmaceutical Inc. 4.9
Remote job in San Juan, PR
The Executive Director, US Access Strategy & Marketing, CNS leads the Access Strategy and Marketing team responsible for the development of U.S. market access strategies and corresponding marketing materials for Otsuka's CNS portfolio of medicines in the United States. This individual will lead the evolution of the brand/portfolio value proposition to U.S. payer and channel customers.
This role is based in Princeton with remote work placement as an option and reports to the Vice President, CNS Business & Customer Engagement Operations business unit.
****
+ Lead a team responsible for developing access strategies and access marketing materials for Otsuka's CNS portfolio in the United States, for both in-line and pipeline products
+ Lead the development and alignment process for the U.S. brand access strategic and operating plans in close collaboration with business and brand leadership as well as market access leadership teams
+ Accountable for enterprise-wide access strategy and policy shaping in partnership with BU counterpart
+ Create an environment of constant growth for the access strategy and marketing team that maximizes engagement and effectiveness, ensuring that the team is staffed with top talent within the industry
+ Lead a team to define the strategies to achieve access goals, including how to message, position, and leverage Medical, Value and Evidence, advocacy & evidence assessments, advocacy groups, and a product's clinical value proposition to compete and secure access for patients
+ Identify evidence generation needs based on market access events and coordinating with brand team, HEOR/Medical teams to inform the development of value propositions
+ Work closely with the global product team and U.S. brand team to integrate the U.S. Market access perspective into key development programs for in-line and pipeline medicines ensure alignment around delivery against access goals at each stage of a product's lifecycle
+ Work closely with the U.S and global business development teams ensuring U.S. market access perspectives are reflected in acquisition deals that may be under consideration
+ Keep a pulse on upcoming legislative actions that impact patient access to Otsuka's CNS portfolio and shape a cross-functional team to build a response strategy in partnership with the government affairs team.
+ Set strategy and support development of pricing and contracting in collaboration with the Pricing & Contracting team.
+ Leads strategic transformation initiatives that may cross multiple therapeutic areas
+ Lead market access channel assessments, including direct brand-specific payer/advocacy market research activities and build recommendations on the best way to approach our existing channels
+ Ensure Market Access is updated on the latest market dynamics, changes and trends, and that key insights are incorporated into business plan and strategy
+ Work closely with the brand marketing team for the creation of Market Access specific collateral and pull-through materials for specific clients and customer relevant campaigns
+ Recognized as a key advisor and thought partner for US access strategy and marketing
+ Travel expected up to 30%
**Qualifications**
Required
+ Bachelor of Arts (BA) or Bachelor of Science (BS) degree from an accredited four-year college or university (or the equivalent if education obtained outside of the United States)
+ 12+ years of demonstrated success in market access, pricing, contracting, reimbursement strategy, and payer marketing
+ Strong understanding of the complex and rapidly evolving factors influencing US market access, including reimbursement trends, payer concerns and healthcare policy
+ Strong understanding of the US payer environment, payer market dynamics, payer marketing principles and how healthcare players make decisions across private & public channels
+ Proven track record of developing and executing strategic plans, particularly in the pharma or healthcare sector
+ Experience in marketing, product launches, and lifecycle management
+ Experience working closely with other functions such as Pricing & Contracting, Marketing, Sales, Medical Affairs, and Government Affairs to ensure alignment in market access strategies
+ Demonstrated ability to lead direct team members and cross-functional teams that drive results in a dynamic environment
+ Strong communication skills, both verbal and written
Preferred
+ MBA or master's degree preferred
+ In-depth knowledge of and experience in CNS preferred
**Competencies**
**Accountability for Results -** Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change.
**Strategic Thinking & Problem Solving -** Make decisions considering the long-term impact to customers, patients, employees, and the business.
**Patient & Customer Centricity -** Maintain an ongoing focus on the needs of our customers and/or key stakeholders.
**Impactful Communication -** Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka.
**Respectful Collaboration -** Seek and value others' perspectives and strive for diverse partnerships to enhance work toward common goals.
**Empowered Development -** Play an active role in professional development as a business imperative.
Minimum $245,454.00 - Maximum $381,110.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate's job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws.
**Application Deadline** : This will be posted for a minimum of 5 business days.
**Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.
Come discover more about Otsuka and our benefit offerings; ********************************************* .
**Disclaimer:**
This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic.
If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting Accommodation Request (EEAccommodations@otsuka-us.com) .
**Statement Regarding Job Recruiting Fraud Scams**
At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives. They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf.
Please understand, Otsuka will **never** ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment.
Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters.
To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website ******************************************************* .
Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ************. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: ******************* , or your local authorities.
Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. ("Otsuka") does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka's application portal without a valid written search agreement in place for the position will be considered Otsuka's sole property. No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
$86k-107k yearly est. 47d ago
Sr Coordinator, Individualized Care (Reimbursement Coordinator)
Cardinal Health 4.4
Remote job in San Juan, PR
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**_Responsibilities_**
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
+ Proactive follow-up with various contacts to ensure patient access to therapy
+ Demonstrate superior customer support talents
+ Prioritize multiple, concurrent assignments and work with a sense of urgency
+ Must communicate clearly and effectively in both a written and verbal format
+ Must demonstrate a superior willingness to help external and internal customers
+ Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Must self-audit intake activities to ensure accuracy and efficiency for the program
+ Make outbound calls to patient and/or provider to discuss any missing information as applicable
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Documentation must be clear and accurate and stored in the appropriate sections of the database
+ Must track any payer/plan issues and report any changes, updates, or trends to management
+ Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome
+ Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
+ Support team with call overflow and intake when needed
+ Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED or technical certification in related field or equivalent experience preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.50 per hour - $30.70 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/11/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$21.5-30.7 hourly 18d ago
Mechanical Design Engineer II (Hybrid-Puerto Rico)
RTX
Remote job in San Antonio, PR
Country:
United States of America Hybrid
U.S. Citizen, U.S. Person, or Immigration Status Requirements:
U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Security Clearance:
None/Not Required
Join Collins Aerospace as a Mechanical Design Engineer and work with Resilient Connectivity Products Engineering division, a Mission Systems organization that helps civilian, military and government customers complete their most complex missions - whatever and wherever they may be.
Our customers depend on us for reliable, secure and intelligent communications. By joining our team, you'll have your own critical part to play in ensuring our customers succeed today while anticipating their needs for tomorrow. Are you up for the challenge? Join our mission today
This position will sit at our Aguadilla, PR location. You must be residing in Puerto Rico at the time of starting employment. Relocation is not offered.
This role is categorized as hybrid, with 3 days onsite and 2 days remote following the schedule assigned by the Manager.
What YOU will do:
Work collaboratively in a multidisciplinary team including Systems Engineers, Electrical and Electronic Engineers, and Software Engineers to design and build complete communications systems and test solutions.
Work collaboratively in an Integrated Product Team (IPT) consisting of various disciplines including Engineering, Operations, and Quality to achieve optimal design solutions.
Design mechanical parts and assemblies in 3D, integrated with electric and electronics components, as part of a communication system or a test solution. Designs must be clear, accurate, complete, and conform to internal standards, procedures, specifications.
Evaluate during the design process different factors such as program requirements, manufacturability, cost, reusability, stiffness, weight, size, heat dissipation, lead time, and other factors. In addition to vibration and thermal conditions during test conditions in manufacturing as part of a test solution.
Identify and evaluate suppliers or methods to fabricate or prototype the designed parts. Request for quotes and start with the procurement process of parts or assemblies. Verify the parts once received, and work with the rest of the team integrating the rest of the system components.
Communicate technical topics and issues in a clear and concise manner to both technical peers as well as non-technical team members.
What YOU will learn:
You will learn about our growing engineering team in Puerto Rico; What we do? Who we support? How we work?
You will learn the technologies of today and tomorrow which we count on to maintain world leadership in the aerospace industry.
You will learn why people enjoy and feel fulfilled by working in our industry.
Qualifications you must have:
Typically requires a degree in Science, Technology, Engineering or Mathematics (STEM) and minimum 2 years prior relevant experience or an Advanced Degree in a related field.
Demonstrated professional experience communicating in English (verbal and written).
U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Qualifications We Prefer:
Experience with 3D CAD software (Solidworks, Creo, CATIA, NX, or similar)
Experience with printed circuit boards (PCB) and printed circuit board assemblies (PCBA) design, testing and integration with other electrical and mechanical components or systems.
Experience in analysis and design of commercial industry standards and military electronics packaging form factors, chassis design, and electromechanical applications.
Practical experience in design and environmental mitigation for electronics packaging designs.
Experience in vibration and Environmental Stress Screening (ESS) testing.
Experience designing to meet and qualifying products for rugged environments.
What We Offer
Some of our competitive benefits package includes:
Medical, dental, and vision insurance
Three weeks of vacation for newly hired employees
Generous 401(k) plan that includes employer matching funds
Participation in the Employee Scholar Program (ESP)
Life insurance and disability coverage
Employee Assistance Plan, including up to 8 free counseling sessions.
And more!
Learn More & Apply Now!
Collins Aerospace, an RTX business, is a leader in technologically advanced and intelligent solutions for the global aerospace and defense industry. Collins Aerospace has the capabilities, comprehensive portfolio, and expertise to solve customers' toughest challenges and to meet the demands of a rapidly evolving global market.
Join our growing engineering team in Puerto Rico, where you will provide critical support to all Collins SBUs, working on exciting programs and projects ranging from the development of the next generation of advanced concept ejection seats to the latest technologies for the U.S. warfighter.
WE ARE REDEFINING AEROSPACE.
* Please consider the following role type definition as you apply for this role.
Hybrid: Employees who are working in Hybrid roles will work regularly both onsite and offsite. Ratio of time working onsite will be determined in partnership with your leader.
At Collins, the paths we pave together lead to limitless possibility. And the bonds we form - with our customers and with each other -- propel us all higher, again and again.
Apply now and be part of the team that's redefining aerospace, every day.
RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act.
Privacy Policy and Terms:
Click on this link to read the Policy and Terms
$49k-57k yearly est. Auto-Apply 24d ago
Credentialing Professional - Variable Staffing Pool
Centerwell
Remote job in San Juan, PR
**Become a part of our caring community and help us put health first** The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The Credentialing Professional work assignments are often straightforward and of moderate complexity.
The Credentialing Professional reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Reviews the information and documentation collected, as well as verification that the information is accurate and complete. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation.
Equal work will be in the Facility Licensing Area. Responsible for assisting with initial, renewal, relocation and termination applications for AHCA, CLIA, Biomedical, HCCE applications. Will assist with Level 2 prints and license and certification verifications and expirables.
****** **Temporary role; 4 month duration is estimated.**
**Use your skills to make an impact**
**Required Qualifications:**
+ Associate's degree or related experience
+ A minimum of two years of credentialing experience in healthcare
+ Ability to learn credentialing software; ability to complete reporting
+ Ability to prioritize workload to ensure deadlines are met
+ Excellent written and oral communication skills required.
+ Excellent PC skills (including MS Word, Excel and Access) required.
**Preferred Qualifications**
+ Bachelor degree in Business, Health Administration, Accounting or related field required.
+ Familiar with CAQH
+ Bilingual; English & Spanish
+ Experience in managed care or health care administration desired
**Additional Information**
+ **Temporary role; 4 month duration is estimated.**
+ Remote Role
+ Standard working hours required; 8:00 am - 5:00 pm; Central or Eastern Time Zones
**Work at Home Statement**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$48,900 - $66,200 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
Application Deadline: 01-02-2026
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
$48.9k-66.2k yearly 28d ago
Assistant Controller, Customer Material Services
GE Aerospace 4.8
Remote job in San Juan, PR
Responsible for driving technical accounting compliance, financial and operational internal controls, process simplification, and operational excellence to deliver accurate actual financial reporting and analysis. Interprets internal and external business challenges and recommends best practices to improve products, processes or services. Utilizes understanding of industry trends to inform decision making process.
**Job Description**
**Roles and Responsibilities**
+ Management of a team of people covering the full range of Digital Accounting Workflows (DAWs) within the Controllership family.
+ Developing expertise within function. Growing reputation within the organization. Includes roles that are experts in their discipline, providing professional or thought leadership. Influences policy and ensures delivery within own function, linking with other functions of the organization.
+ May lead functional teams or projects with moderate resource requirements, risk, and/or complexity. Presents business solutions to leaders in functional area. Communicates complex messages and negotiates mainly internally with others to adopt a different point of view. Influences peers to take action and may negotiate with external partners, vendors, or customers.
+ Has major influence on small business unit, a segment within a larger business unit, a family within a Function or a P&L business segment and has ownership/influence over budgets. The role is guided by functional policy. The role influences policy/operating guidelines about important subjects.
+ Leads others to find creative solutions to address complex problems that may impact the organization. Has the ability to evaluate quality of information received and questions conflicting data for analysis. Uses multiple internal and external resources outside of own function to help arrive at a decision.
**Required Qualifications**
+ Master's degree from an accredited university or college (or a high school diploma with 6 years relevant experience) in Finance & Controllership Management.
+ Strong expertise in managing and analyzing Profit & Loss statements to evaluate financial performance and drive strategic decisions.
+ Strong knowledge of Generally Accepted Accounting Principles (GAAP)and their application in financial reporting, budgeting, and forecasting.
**Desired Characteristics**
+ Strong oral and written communication skills.
+ Strong interpersonal and leadership skills.
+ Demonstrated ability to analyze and resolve problems.
+ Demonstrated ability to lead programs / projects.
+ Ability to document, plan, market, and execute programs.
+ Established project management skills.
+ Demonstrated ability to collaborate across functions to optimize resource allocation and improve cost efficiency.
+ Ability to influence budgets, forecast financial outcomes, and align P&L goals with organizational objectives.
+ Licensed CPA
The base pay range for this position is $152,000.00 - 202,900.00 USD Annual. The specific pay offered may be influenced by a variety of factors, including the candidate's experience, education, and skill set. This position is also eligible for an annual discretionary bonus based on a percentage of your base salary. This posting is expected to close on 1/1/26.
Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged 401(k) savings opportunity with company matching contributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness.
General Electric Company, Ropcor, Inc., their successors, and in some cases their affiliates, each sponsor certain employee benefit plans or programs ( _i.e_ ., is a "Sponsor"). Each Sponsor reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual.
**Additional Information**
GE Aerospace offers a great work environment, professional development, challenging careers, and competitive compensation. GE Aerospace is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE Aerospace will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
**Relocation Assistance Provided:** No
\#LI-Remote - This is a remote position
GE Aerospace is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
$69k-81k yearly est. 34d ago
Per Diem Nurse Navigator - Remote Puerto Rico
Pager Health
Remote job in San Juan, PR
Pager Health is a connected health platform company that enables healthcare enterprises to deliver high-engagement, intelligent health experiences for their patients, members and teams through integrated technology, AI and concierge services. Our solutions help people get the right care at the right time in the right place and stay healthy, while simultaneously reducing system friction and fragmentation, powering engagement, and orchestrating the enterprise. Pager Health partners with leading payers, providers and employers representing more than 28 million individuals across the United States and Latin America.
We believe that healthcare should work for everyone. We believe that it's too important to be as cumbersome and difficult as it is. And we believe that there is a better way to deliver a simplified, more meaningful healthcare experience for all - one that we're determined to enable.
We are looking for a Per Diem (As Needed) Nurse who can commit to 4-30 hours per week. Candidates must be available for one weekend a month and some holidays. Shifts range from 4 to 12 hours, with scheduling based on business needs. Candidates must also be able to complete a 4 week, full-time (M-F 9am-5pm) onboarding period. If you have a flexible schedule and are comfortable picking up both last-minute shifts and pre-planned hours, this role is a great fit for you!
An active compact unencumbered RN license in Puerto Rico is for this position. In addition, licensure in one or more US states is HUGE plus.
The core objective of the Triage RN, Nurse Navigator is to use technology to build trust and triage patients to the right care at the right time while providing an exceptional virtual care experience.
Responsibilities for the Per Diem Triage RN, Nurse Navigator:
Provide exceptional customer service and virtual care by communicating with patients via phone, live messaging, video, and/or email
Document within EMR
Follow and apply clinically validated triage protocols
Ensure the highest quality customer service for patients and providers
Complete basic nursing responsibilities, outpatient testing, medications, etc…
Troubleshoot technology with patients
Work to ensure a seamless patient call center experience
Coordinate lab orders, prescription orders, radiology tests, and any aspect of patient care
Work on projects that will optimize operational efficiency and improve the patient's telemedicine experience
Assist in identifying technology needs that improve patient experience
Additional projects as assigned
Candidate Profile for the Per Diem Triage RN, Nurse Navigator:
Passionate about patient care and triage
Enjoy helping others
Ability to use critical thinking when presented with new and challenging situations
Relish solving problems, seeking out answers, and trying new things
Kind, empathetic and possess a strong social perceptiveness
Positive, energetic, and fun!
Outstanding multitasking skills
Enthusiasm and savviness for new technology
Mastery of oral and written language along with strong typing skills
Ability to assess and communicate with patients via a text-based platform
Flexible and fast learner, comfortable in a fast-paced and changing environment
Eager to challenge the status quo of traditional healthcare
Detail oriented and an organized self-starter with outstanding interpersonal skills
Ability to give and receive actionable feedback
Qualifications:
2+ years of clinical hospital experience
An active unencumbered RN license in Puerto Rico
Minimum of Associate's Degree in Nursing (ADN)
Fluent in spoken and written English and Spanish is required; All applicants must submit a resume in English to be considered
Prior call center experience strongly preferred
Hourly Pay: $17-$19/ hr
At Pager Health, you will work alongside passionate, talented and mission-driven professionals - people who are building scalable platforms, solving critical enterprise-level challenges in health tech and providing concierge services to help individuals access the medical care and wellbeing programs they need.
You will be encouraged to shape your job, stretch your skills and drive the company's future. You will be part of a remote-first, dynamic and tight-knit team that embraces the challenges and opportunities that come with being part of a growth company. Most importantly, you will be an industry innovator who is making a positive impact on people's lives.
At Pager Health, we value diversity and always treat all employees and job applicants based on merit, qualifications, competence, and talent. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Please be aware that all official communication from Pager Health regarding employment opportunities will originate from email addresses ending in @pager.com. We will never request personal or financial information via email. If you receive an email purporting to be from Pager Health that does not adhere to this format, please do not respond and report it to ******************.
Pager Health is committed to protecting the privacy and security of your personal information
$17-19 hourly Auto-Apply 28d ago
Global Safety Engineer - Contractor and Distributed Workforce
GE Aerospace 4.8
Remote job in San Juan, PR
The GE Aerospace Contractor and Distributed Workforce Safety Leader will work with operations teams to implement world class contractor safety and distributed workforce EHS Programs. The successful candidate will partner with GE Aerospace business unit teams to implement new risk reduction strategies and drive continuous improvement to achieve a reduction in the frequency and severity of EHS events. This role shall serve as the GE Aerospace subject matter expert for contractor safety, distributed workforce, and related EHS programs & requirements.
**Job Description**
**Roles and Responsibilities**
+ Partner with business operations teams to improve and develop GE Aerospace business-specific expectations, tools, resources, & programs for Contractor Safety and Distributed Workforce.
+ Assist GE Aerospace business units in the deployment of new EHS expectations, tools, resources, & programs.
+ Own related EHS programs, which may include fall protection, aerial lifts, confined space, hot work, excavation, and line breaking, but may vary based on business needs.
+ Act as project leader to evaluate the existing contractor prequalification platform and potential transition to a next generation platform. Serve as business contractor safety pre-qualification subject matter expert.
+ Partner with GE Aerospace Global Facilities team to support capital projects & project services.
+ Conduct periodic GE Aerospace facility and customer inspections.
+ Lead & participate in program and regulatory compliance audits.
+ Assist with event investigations & partner with business operations teams to identify root causes & corrective actions for contractor safety & distributed workforce EHS events.
+ Travel to GE Aerospace and customer facilities to evaluate risk, assist with event investigations, & assist with program deployment.
+ Develop, deliver, & deploy EHS training materials on Contractor Safety, Distributed Workforce Safety, and other EHS disciplines.
+ Develop and track program KPIs & scorecards, report progress to senior leadership, and develop plans to correct performance when KPIs are off plan.
+ Lead field trials & evaluations of contractor safety & distributed worker technology such as digital risk assessments & wearable technologies.
+ Perform other EHS-related tasks as assigned.
+ Ability to travel domestically and globally up to 50%
**Minimum Required Qualifications**
+ Bachelor's degree from an accredited university or college
+ Minimum of 5 years of manufacturing/industrial experience in contractor safety management, distributed worker EHS programs, and related EHS programs
**Desired Characteristics and Experiences**
+ Demonstrated experience in safety program implementation, management, & continuous improvement for high-risk programs such as fall protection, aerial lifts, confined space, hot work, excavation, and line breaking.
+ Strong oral/written communication skills & interpersonal/leadership skills
+ Demonstrated ability to analyze and resolve problems
+ Demonstrated ability to lead & manage programs/projects
+ Demonstrated ability to document, plan, market, and execute programs
+ Demonstrated ability to apply lean principles & problem-solving
+ Certified Safety Professional or other professional certifications affiliated with EHS
+ Six Sigma Green Belt
**Pay and Benefits:**
+ The salary range for this position is $ 119,000.00 - 158,000.00 USD Annual. The specific salary offered to a candidate may be influenced by a variety of factors including the candidate's experience, their education, and the work location. In addition, this position is eligible for a performance bonus/variable incentive plan.
+ GE provides a comprehensive benefits package that provides access to plans which support the overall wellbeing of our employees and their dependents. These benefits include, but are not limited to, health care coverage (medical, dental, vision, pharmacy), a retirement plan that includes Company Retirement Savings and a 401K with Company matching, Life Insurance options, Disability coverage, paid time-off, EAP, and more.
Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged 401(k) savings opportunity with company matching contributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness.
General Electric Company, Ropcor, Inc., their successors, and in some cases their affiliates, each sponsor certain employee benefit plans or programs (i.e., is a "Sponsor"). Each Sponsor reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual.
_This role requires access to U.S. export-controlled information. Therefore, employment will be contingent upon the ability to prove that you meet the status of a U.S. Person as one of the following: U.S. lawful permanent resident, U.S. Citizen, have been granted asylee or refugee status (i.e., a protected individual under the Immigration and Naturalization Act, 8 U.S.C. 1324b(a)(3))._
**Additional Information**
GE Aerospace offers a great work environment, professional development, challenging careers, and competitive compensation. GE Aerospace is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE Aerospace will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
**Relocation Assistance Provided:** No
\#LI-Remote - This is a remote position
GE Aerospace is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
$119k-158k yearly 18d ago
Cloud Operating System Automation Engineer (Hybrid)
RTX Corporation
Remote job in Santa Isabel, PR
Country: United States of America Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Security Clearance:
None/Not Required
RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. It comprises three industry-leading businesses - Collins Aerospace Systems, Pratt & Whitney, and Raytheon. Its 185,000 employees enable the company to operate at the edge of known science as they imagine and deliver solutions that push the boundaries in quantum physics, electric propulsion, directed energy, hypersonics, avionics and cybersecurity. The company, formed in 2020 through the combination of Raytheon Company and the United Technologies Corporation aerospace businesses, is headquartered in Arlington, VA.
Summary of Role:
RTX is seeking an experienced and motivated technologist focused on the design and automation of Linux and Windows virtual machines within Microsoft Azure, AWS and Oracle Cloud (OCI) infrastructures. You will work within an Agile product team to develop foundational enterprise integration capabilities, service guardrails, self-service automation, continuous compliance, operational processes, and documentation to comply with all corporate IT policies and regulations.
Qualifications You Must Have:
* Typically requires a degree in Science, Technology, Engineering or Mathematics (STEM) and minimum 8 years prior relevant experience or an Advanced Degree in a related field and minimum 5 years of experience or in absence of a degree, 12 years of relevant experience.
* U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract
* Proficiency in Terraform, Ansible, and Python for infrastructure automation.
* Knowledge of enterprise Active Directory integration and privileged access management.
* Problem-solving skills in diagnosing technical issues and recommending architectural changes.
Qualifications We Prefer:
* Experience supporting government projects, programs, or systems.
* Experience with DoD STIG compliance and creation of "golden" VM images.
* Familiarity with NIST 800-53 and CMMC control frameworks.
* Understanding of ITIL processes for transitioning solutions to steady state.
* Collaborative approach to working within Agile teams and cross-functional stakeholders.
What We Offer:
Whether you're just starting out on your career journey or are an experienced professional, we offer a robust total rewards package with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Some of the benefits we offer include parental (including paternal) leave, flexible work schedules, achievement awards, educational assistance and child/adult backup care.
Employees who are working in Hybrid roles will work regularly both onsite and offsite. Ratio of time working onsite will be determined in partnership with your leader.
RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act.
Privacy Policy and Terms:
Click on this link to read the Policy and Terms