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
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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
CDQI Nurse Specialist - Part Time - Remote
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 Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication with providers to enhance documentation clarity, completeness, and overall medical record quality. By ensuring accurate and comprehensive physician documentation, you will be at the forefront of influencing the precision of code assignment, making a tangible difference in the accuracy of healthcare data. Join us in this critical role where your efforts will have a direct and meaningful impact on the quality and effectiveness of patient care.
**What You Will Do:**
+ Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation.
+ Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients.
+ Demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and procedure impact on DRG.
+ Improve coding specificity by educating physicians and caregivers on the importance of clear documentation throughout a patient's stay.
+ Follow AHA guidelines and coding clinics for accurate coding and required documentation to ensure compliance.
+ Query physicians regarding missing, unclear, or conflicting health record documentation to obtain necessary details.
+ Maintain daily production logs for evaluation, tracking cases reviewed, queries placed/responded, etc.
+ Perform follow-up reviews to confirm recorded points of clarification in the patient's medical record.
+ Ensure confidentiality of all files, documents, and records.
+ Meet or exceed production and quality metrics.
**What You Need to Succeed:**
+ 3+ years of CDI experience
+ 3+ years of clinical experience in an academic medical center
+ Registered Nurse license, Bachelor's degree in Nursing
+ CCDS or CDIP certification required
+ Must pass a CDI skills competency assessment
+ Must be able to accommodate a min of 15 hours per week
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:
$40-$47 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 (**************************************** .
$34k-39k yearly est. 50d 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
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
Solar Install Supervisor
Freedom Forever
Remote job in Ponce, PR
at Freedom Forever
Pago competitivo (según experiencia) + Beneficios (Required Bilingual- English & Spanish) • Medical Insurance • Dental Insurance • Vision Care Insurance • $50K Life Insurance • 401K • Medical Reimbursement Accounts (HSA & FSA)
• Employee Assistance Program
• Paid Time-Off
***Solar Residencial***
Por qué libertad para siempre? Únete a un equipo pionero dedicado a la energía renovable y la inclusividad. En Freedom Forever, valoramos perspectivas diversas y brindamos formación integral, compensación competitiva y un entorno laboral de apoyo. Contribuye a un futuro sostenible mientras avanzas en tu carrera.
POSITION SUMMARY: The Production Manager reports to the Branch Manager and is responsible for organizing and leading the branch installations team. The Production Manager will be accountable for key performance metrics by managing a team of installers, ensuring that all projects are installed according to company standards. Responsible for scheduling and overseeing the installation of solar projects and a smooth handoff between the inspection department. Ensures adherence to contract specifications and established policies and procedures. Familiar with a variety of the field's concepts, practices, and procedures. Works closely with Branch Coordinator, Project Manager and Field Manager. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
Plan and coordinate installations of photovoltaic (PV) solar systems to ensure conformance to codes and Freedom Forever standards.
Manage, motivate, and mentor all personnel involved in installing solar projects including Crew Lead(s), Roof Lead(s), and Installer(s).
Evaluate and manage the resources and processes required for the successful completion of a high volume of residential and small commercial solar projects.
Drive continuous improvement in Safety, Quality, Customer Service, and Productivity throughout the installation process.
Ensure that every member of the installation team receives the proper safety training and equipment applicable to their position and follows Standard Operating Procedures for Safety.
Ensure that “Best Practices” are being consistently applied throughout the install operations.
Remotely assess potential solar installation sites to determine feasibility and design requirements.
Assess system performance or functionality at the system, subsystem, and component levels.
Remotely monitor work of subcontractors to ensure projects conform to specifications, schedules, or budgets.
Provide technical assistance to installers, technicians, or other solar professionals in areas such as solar electric systems, solar thermal systems, electrical systems, and mechanical systems.
Prepare solar installation project proposals, quotes, budgets, or schedules.
Estimate materials, equipment, and personnel needed for residential or commercial solar installation projects.
Identify means to reduce costs, minimize risks, or increase efficiency of solar installation projects.
Assures the quality of work produced is acceptable to company standards and specifications.
Work closely with the Branch Manager and the Branch Coordinator to provide accurate installation forecasts and branch performance reporting.
Work to ensure that we are delivering an excellent customer experience and escalate customer concerns as necessary.
Follows the safety program established specifically for all installations.
Manage warehouse facilities as necessary & other duties as assigned.
QUALIFICATION REQUIREMENTS: Education & Certifications:
High school diploma or general education degree (GED
Experience:
Must have a minimum of 3+ years' experience
Knowledge, Skills & Abilities:
Good computer skills with Microsoft Office Suite, experience with Company's CRM and ERP systems is a plus
Possess good communication skills that will enhance vendor and supplier relationships, as well as with the installation team
Possess strong organizational skills and capable of making decisions without constant supervision
Ability to read and interpret job orders, understands specifications and to read a tape measure
Possess a wide range of carpentry skills to provide accurate remote job assessment
Capable of learning new skills as needed
Have knowledge of materials and processes that relate to the company's products
Must have a valid driving license and a clean driving record
Ability to work in a fast-paced environment
PHYSICAL DEMANDS AND ABILITIES
Regularly spend long hours sitting and using office equipment and computers
Regularly spend long hours answering phone calls and emails
Regularly move from sitting to standing positions effortlessly
Regularly spend long hours in intense concentration reviewing and entering information into a computer
Regularly use hands and fingers to handle, control or feel objects
Regularly see details of objects that are less than a few feet away
Regularly speak clearly so listeners can understand
Regularly understand the speech of another person
Frequently work in on projects that require deadlines
Frequently bend to file and maintain files
Occasionally lift 5-10 pounds
Occasionally working in field
Use their hands to handle, control, or feel objects, tools, or controls
Stand for long periods of time
Walk or run for long periods of time
Climb ladders, scaffolds, or poles
Kneel, stoop, crouch, or crawl
Bend, stretch, twist, or reach out
Repeat the same movements
Determine the distance between objects
Use fingers to grasp, move, or assemble very small objects
Make quick, precise adjustments to machine controls
Hold the arm and hand in one position or hold the hand steady while moving the arm
Use one or two hands to grasp, move, or assemble objects
Understand the speech of another person
Use muscles to lift, push, pull, or carry heavy objects
See differences between colors, shades, and brightness
Move two or more limbs together (for example, two arms, two legs, or one leg and one arm) while remaining in place
Use stomach and lower back muscles to support the body for long periods without getting tired
Keep or regain the body's balance or stay upright when in an unstable position
React quickly using hands, fingers, or feet
While looking forward, see objects or movements that are off to the side
Lift 50+ pounds
TRAVEL REQUIREMENTS (Employee is required to travel for business purposes, not including commute to and from work.) Si es necesario viajar, debe tener una licencia de conducir/seguro válidos y la capacidad de conducir un vehículo personal a diferentes sitios.Debido a la naturaleza de este puesto, los antecedentes penales pueden tener una relación directa, adversa y negativa con cada una de las funciones enumeradas, lo que podría dar lugar a la retirada de una oferta condicional de empleo.
Freedom Forever es un empleador que ofrece igualdad de oportunidades. De acuerdo con la ley aplicable, prohibimos la discriminación contra cualquier solicitante o empleado por cualquier motivo legalmente reconocido, que incluye, entre otros: condición de veterano, condición de miembro del servicio uniformado, raza, color, religión, sexo, orientación sexual, identidad de género, edad (40 años o más), embarazo (incluido el parto, la lactancia y las afecciones médicas relacionadas), origen nacional o ascendencia, condición de ciudadanía, discapacidad física o mental, información genética (incluidas las pruebas y las características) o cualquier otra consideración protegida por la ley federal, estatal o local. Nuestro compromiso con la igualdad de oportunidades en el empleo se aplica a todas las personas involucradas en nuestras operaciones y prohíbe la discriminación ilegal por parte de cualquier empleado, incluidos los supervisores y compañeros de trabajo.
$51k-59k yearly est. Auto-Apply 60d+ 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
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
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
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
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
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
District Manager
Disclosure, Consent, Acknowledgment and Agreement
Remote job in Carolina, PR
District Manager - (25005372) Description GENERAL PURPOSE:Accountable for all phases of district operations. Manages and controls the operation of an assigned district to ensure consistency with Company standards and expectations. Responsible for conducting Store Visits focused on people, customer service, store contribution, and adherence to shrink reduction initiatives.
This includes the administration, tracking and follow-up for all visits.
Ensures all Company standards and best practices are executed with excellence in all assigned locations.
Leverage all available data to understand, problem solve and proactively support business trends.
Provides leadership and guidance to stores in order to ensure that district sales and profit goals are achieved while meeting Customer Service goals.
Responsible for recruiting, training and developing store management teams.
ESSENTIAL FUNCTIONS:Great/Exceptional People• Recruit and select highly talented people and build succession plans designed to meet Brand and Company growth goals.
Collaborate with peers to develop a company-wide talent pipeline.
• Ensure consistent application of performance management practices including but not limited to annual performance appraisals, progressive counseling activities and development plans.
• Ensures compliance of Ross HR policies and procedures.
• Handles Employee Relations issues, ensuring partnership with HR and LP organizations.
• Maintains adherence to Company safety policies and ensures the safety of Associates and Customers.
True Customer Service• Serves as a point of contact for Customer Service issues in the district.
• Responds quickly and effectively to all Customer inquiries.
• Ensures that an excellent level of Customer Service is provided in all assigned locations.
Drive Contribution• Responsible for the management of and continuous monitoring of all actual expenditures to be within budget.
• Controls payroll hours to plan, as the primary controllable expense, as well as adjusting to current business trends.
• Ensures a safe, accident-free environment for all Customers and Associates.
Maintains compliance to all state, local and federal regulations.
Reduce Shrink• Demonstrates and drives Loss Prevention initiatives and awareness programs.
• Meets Company shrink goals.
Deliver the Treasure/Dealz• Ensures proper merchandising presentation and organization by adhering to the Company's merchandising philosophy and processes.
• Assesses and escalates any inventory level discrepancies.
COMPETENCIES:• Building Effective Teams • Ensures Accountability & Execution• Developing Talent • Manages Conflict• Collaboration • Business Acumen• Leading by Example • Plans, Aligns & PrioritizesQUALIFICATIONS AND SPECIAL SKILLS REQUIRED:• Excellent verbal and written communication skills• Proficiency with Microsoft Office Suite• Proven ability to adapt quickly to ambiguity and allocate time to execute multiple tasks and changing priorities• High School Degree or equivalent required, bachelor's degree in related field preferred • 5 or more years of retail management or operations experience• Valid Driver's License required• Travel required PHYSICAL REQUIREMENTS/ADA:Job requires ability to work in an office environment, primarily on a computer.
Requires sitting, standing, walking, hearing, talking on the telephone, attending in-person meetings, typing, and working with paper/files, etc.
Consistent timeliness and regular attendance.
Vision requirements: Ability to see information in print and/or electronically.
For hybrid: This role requires regular in-office presence, including to engage in in-person team interaction, meetings and collaboration, client support, mentoring, coaching, and/or feedback.
However, this role can perform duties effectively using a combination of in-office and remote work.
#LI-HYBRIDSUPERVISORY RESPONSIBILITIES:Store ManagersDISCLAIMERThis job description is a summary of the primary duties and responsibilities of the job and position.
It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities.
Contents are subject to change at management's discretion.
Ross is an equal employment opportunity employer.
We consider individuals for employment or promotion according to their skills, abilities and experience.
We believe that it is an essential part of the Company's overall commitment to attract, hire and develop a strong, talented and diverse workforce.
Ross is committed to complying with all applicable laws prohibiting discrimination based on race, color, religious creed, age, national origin, ancestry, physical, mental or developmental disability, sex (which includes pregnancy, childbirth, breastfeeding and medical conditions related to pregnancy, childbirth or breastfeeding), veteran status, military status, marital or registered domestic partnership status, medical condition (including cancer or genetic characteristics), genetic information, gender, gender identity, gender expression, sexual orientation, as well as any other category protected by federal, state or local laws.
Primary Location: Puerto Rico-Carolina-Carolina-Los Colobos Shopping Center PRWork Locations: Los Colobos Shopping Center PR Ave.
65 De Infanteria, Pr #3 Km 14 Carolina 00987Job: Field LeadershipSchedule: Regular Full-time Job Posting: Nov 21, 2025
$50k-61k yearly est. Auto-Apply 35m ago
Pharmacy Tech III (US)
Elevance Health
Remote job in Puerto Rico
Be Part of an Extraordinary Team
Carelon is a proud member of the Elevance Health family of companies providing unparalleled level of service in pharmacy benefits. By leveraging the power of new technologies, our strong, clinical-first lens and deep pharmacy expertise, we are actively defining our innovative role in the industry.
Pharmacy Technician III
Location: This role requires associates to be in-office [3] 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. This position will be based on PR-SAN JUAN, 1001 SAN ROBERTO ST, STE 101, 401 & 501.
Schedule: This position will work an 8-hour from shift 8:00 am - 6:00 pm (AST) Monday to Friday. Additional hours may be necessary based on company needs.
The Pharmacy Technician III is responsible for interpretation and data entry of complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. Reviews requests by mail, telephone, or electronically and responds to inquiries and interprets requests to determine the most effective response.
How you will make an impact.
Primary duties may include, but are not limited to:
Verifies member and provider information and inputs data for the pharmacists and other clinicians to review.
Processes prior authorization requests from physicians' offices and ensures compliance with all Medicaid, Commercial, and Medicare requirements; informs relevant parties of all prior authorization determinations.
Managing inbound and outbound communications, triaging and problem-solving pharmacy inquiries, ensuring any related patient and prescriber communication is completed and resolving all related open cases across patient services tool and pharmacy processing system, and managing prescription queue workflow.
Manage and support more complex inquiries and support other lower level pharm techs.
Provides resolution to grievances and appeals issues.
Responds to inquiries from physicians, sales team, and members related to formulary and prescription benefits.
Manages escalations and analyzing data and results of any process improvements.
Generates reports related to necessary data for respective department, as well as other ad hoc reports as needed.
Works in applicable queues, supporting clinicians and operations leadership with inbound requests in all lines of business.
Acting as a subject matter expert in all respective areas and lines of business and maintains knowledge of new tasks to ensure continued education and support.
Mentors and trains lower-level pharmacy technicians as needed.
Minimum Requirements:
Requires H.S. diploma or equivalent and minimum of 5 years of pharmacy experience.
Requires an active, valid, current and unrestricted state Pharmacy Technician license or national license based on applicable state(s) requirements to practice as a Pharmacy Technician within the scope of practice in a state or territory of the United States.
Multi-state certification is required if this individual is providing services in multiple states.
For URAC accredited areas, the following professional competencies strongly preferred: strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Certified Pharmacy Technician preferred.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Licensed/Registered Pharmacist/Pharmacy Technician
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.
$20k-27k yearly est. Auto-Apply 6d ago
Field Service Specialist III
Copeland 3.9
Remote job in San Juan, PR
**About Us** We are a global climate technologies company engineered for sustainability. We create sustainable and efficient residential, commercial and industrial spaces through HVACR technologies. We protect temperature-sensitive goods throughout the cold chain. And we bring comfort to people globally. Best-in-class engineering, design and manufacturing combined with category-leading brands in compression, controls, software and monitoring solutions result in next-generation climate technology that is built for the needs of the world ahead.
Whether you are a professional looking for a career change, an undergraduate student exploring your first opportunity, or recent graduate with an advanced degree, we have opportunities that will allow you to innovate, be challenged and make an impact. Join our team and start your journey today!
**Job Description**
The Field Service Specialist III is a senior technical expert and field leader responsible for advanced commissioning, integration, and mentoring within Copeland Professional Field Services. This individual functions as a subject matter expert on refrigeration, CO₂ systems, HVAC controls, and complex system architectures. They lead on-site efforts, coach other specialists, and represent Copeland with high-profile customers and large-scale rollouts. Field work will be required with extensive overnight travel. The Field Services Specialist III is required to establish, promote and maintain excellent rapport and communications with all customers, co-workers, sales representatives, and others as appropriate.
**AS A FIELD SERVICE SPECIALIST III, YOU WILL: **
+ Perform expert-level commissioning and optimization of complex refrigeration and building automation systems.
+ Create control programs and logic sequences from detailed specifications or Sequences of Operations.
+ Provide advanced troubleshooting of control systems, refrigeration racks, HVAC, and BMS integrations.
+ Lead on-site teams, coordinate contractor efforts, and ensure adherence to design specifications.
+ Execute and oversee new store commissioning and remodel commissioning projects.
+ Identify and qualify contractors to support field, project, and commissioning services.
+ Mentor and train junior field specialists to build team capability and consistency.
+ Serve as the primary technical point of contact for major customers and large commissioning projects.
+ Maintain expert knowledge of Copeland, competitor control systems (Danfoss, Carel, Novar, Honeywell, etc.), and third-party integrations.
+ Document, report, and communicate findings clearly to project and leadership teams.
**REQUIRED EDUCATION, EXPERIENCE, & SKILLS:**
+ 7+ years of experience in refrigeration controls, field commissioning, or system integration.
+ Advanced knowledge of refrigeration system design, pressure/temperature relationships, and CO₂ system control.
+ Demonstrated expertise in controller programming and network integration.
+ Proven leadership and mentoring ability in field environments.
+ Strong customer communication and organizational skills.
+ Computer skills including word processing, spreadsheets, database, Internet software, E-mail, Windows.
+ Ability to manage multiple high-impact projects and provide strategic field insights.
+ Ability to travel up to 85-90%.
+ Legal work authorization in the United States - Sponsorship will not be provided for this role
**Remote Work Arrangement:** ** **
This role is fully remote. As a remote colleague, you may be required to travel to a Copeland site regularly to collaborate with your team or customers as needed. Copeland is committed to fostering a productive and connected culture, so you will have the opportunity to work with your team and leader to understand your team operating principles to collaborate effectively **.**
Our compensation philosophy is simple: we pay a competitive base salary, within the local market in which we operate, and reward performance during our annual merit review process. In accordance with Colorado EPEWA, the salary/pay range for this role is **$100,000-$120,000** **annually** , commensurate with the skills, talent, capabilities, and experience each candidate brings to a role.
**Working Conditions:** ** **
While performing the duties of this job, the employee is frequently exposed to moving mechanical parts, outside weather conditions, extreme cold, extreme heat, and risk of electrical shock. The employee is occasionally exposed to wet and/or humid conditions, high precarious places, fumes or airborne particles, and vibration.
\#LI-KP1 #LI-Remote
**Our Commitment to Our People**
Across the globe, we are united by a singular Purpose: Sustainability is no small ambition. That's why everything we do is geared toward a sustainable future-for our generation and all those to come. Through groundbreaking innovations, HVACR technology and cold chain solutions, we are reducing carbon emissions and improving energy efficiency in spaces of all sizes, from residential to commercial to industrial.
Our employees are our greatest strength. We believe that our culture of passion, openness, and collaboration empowers us to work toward the same goal - to make the world a better place. We invest in the end-to-end development of our people, beginning at onboarding and through senior leadership, so they can thrive personally and professionally.
Flexible and competitive benefits plans offer the right options to meet your individual/family needs: medical insurance plans, dental and vision coverage, 401(k) and more. We provide employees with flexible time off plans, including paid parental leave, vacation and holiday leave.
Together, we have the opportunity - and the power - to continue to revolutionize the technology behind air conditioning, heating and refrigeration, and cultivate a better future. Learn more about us and how you can join our team!
**Our Commitment to Inclusion & Belonging**
At Copeland, we cultivate a strong sense of inclusion and belonging where individuals of all backgrounds, and with diverse perspectives, are embraced and treated fairly to enable a stronger workforce. Our employee resource groups play an important role in culture and community building at Copeland.
**Work Authorization**
Copeland will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas such as E, F-1 with OPT or CPT, H-1, H-2, L-1, B, J or TN, or who need sponsorship for work authorization now or in the future, are not eligible for hire.
**Equal Opportunity Employer**
Copeland is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, race, color, religion, national origin, age, marital status, political affiliation, sexual orientation, gender identity, genetic information, disability or protected veteran status. We are committed to providing a workplace free of any discrimination or harassment.
If you have a disability and are having difficulty accessing or using this website to apply for a position, please contact: *****************************
With $5B of global revenue, Copeland is a leading provider of compression products, electronics, software, and solutions across many applications within Heating, Ventilation, Air Conditioning, and Refrigeration (HVACR), where macro and regulatory trends towards environmental sustainability, leads to changes in HVACR technology. Other products include other heating applications, food service and retail, transportation, and healthcare/life sciences. This new business also has a solution portfolio that manages, monitors, and controls refrigeration units in the commercial setting, as well as software solutions that measure and monitor temperature conditions of refrigerated goods in transit, where there is a greater emphasis on energy management/sustainability solutions globally.
Hi, we're Oscar. We're hiring a Specialist, Admin Complaints, Grievances & Appeals to join our Complaints, Grievances & Appeals team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.
About the role:
You will be responsible for the comprehensive management and resolution of complex administrative member and/or provider grievances and appeals. You will serve as a subject matter expert on non-clinical case resolution, focusing on sensitive member issues such as claims concerns, access barriers, benefits concerns and complex service inquiries. You will drive the resolution process to meet regulatory standards set by the health plan's governing bodies, while championing member satisfaction and retention.
You will report into the Associate Director, Member & Provider Escalations.
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. #LI-Remote
Pay Transparency: The hourly rate for this role is: $24.00 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year.
Responsibilities:
* Follow established workflows to acknowledge, log, and perform initial triage on complex or escalated administrative grievances from members and/or providers
* Conduct thorough, multi-faceted investigations by gathering and analyzing internal data, call logs, correspondence, etc.
* Use workflows to reconstruct complex event timelines involving prior authorizations, claims processing, and system-based adjudication edits to accurately determine the root cause of member and/or provider issues.
* Liaise with internal departments, such as Member Services, Eligibility & Benefits, and Claims, to obtain necessary information for complete case resolution.
* Based on investigative findings, determine a resolution strategy that is both fair and compliant with company and regulatory guidelines, utilizing established workflows.
* Escalate the issue to leadership for further guidance on resolution strategy, as needed
* Draft clear, accurate, complete resolution letters, ensuring all required regulatory elements are included
* Maintain meticulous and comprehensive case files in the case management system to ensure a clear and complete audit trail for each case
* Monitor and manage case timelines to ensure strict adherence to all federal and state mandated deadlines
* Compliance with all applicable laws and regulations
* Other duties as assigned
Requirements:
* 1+ years of professional experience in a regulated industry, such as healthcare, insurance
* 1+ years of experience independently managing a demanding caseload with multi-step workflows, from initial intake through investigation, resolution, and final documentation, while meeting competing priorities.
* 1+ years of experience with directly managing escalated customer, member or provider cases
* 1+ years of experience with drafting and issuing formal written communication to member or providers
* 1+ years of experience working in a highly structured, workflow driven, environment
Bonus points:
* Bilingual in Spanish (reading and writing)
* Bachelor's degree
* Experience in health care administration.
* Involvement in departmental or cross-functional process improvement or quality initiatives.
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
$24 hourly Auto-Apply 6d ago
RCM/Accounts Receivable Home Health Manager
Centerwell
Remote job in San Juan, PR
**Become a part of our caring community and help us put health first** As the **RCM/Accounts Receivable Home Health Manager** , you will: + Manage the collection and billing operations and develop credit/collection strategies to maximize profits and minimize loss.
+ Ensure that maintenance strategies of accounts receivable past due balances are within stated objectives.
+ Interpret to customers and field personnel Company policies/practices/procedures related to billing processes, accounts receivables, and financial issues regarding non-clinical processes and clinical specifications impacting accounts receivable.
+ Manage the analyses/report preparation of trends of consolidated account receivables. Report information to appropriate line management.
+ Assume responsibilities of Director, as assigned, during Director's absence.
+ Prepare departmental budget and monitor expenses to ensure compliance with approved budgetary constraints.
+ Develop department tools and training programs, along with the Training Specialist, to encourage growth and development. Analyze/monitors their implementation.
**Use your skills to make an impact**
**Required Qualifications**
+ Bachelor's Degree preferred
+ A minimum of five years healthcare related billing/collection experience
+ At least three years in a management role generally required
+ Strong knowledge of accounts receivables procedures and general accounting principles required
+ Excellent organizational and verbal/written communication skills
**Additional Information:**
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.
+ Home or Hybrid Home/Office employees will be provided 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.
CenterWell Home Health offers a variety of benefits to promote the best health and well-being of our employees and their families. Our competitive and flexible benefits surround you with support the same way you do for our patients and members, including:
+ Health benefits effective day 1
+ Paid time off, holidays, and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
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.
$86,300 - $118,700 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: 01-06-2026
**About us**
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
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 *************************************************************
$86.3k-118.7k yearly 5d ago
International Payments Manager
Arival Pte Ltd.
Remote job in San Juan, PR
Position Overview:This role also involves close coordination with Product Operations to support innovation and expansion in payment offerings, as well as building strong relationships with banking and financial partners globally. Key Responsibilities:Support the expansion and operational excellence of the Payments Program across SWIFT, Fedwire, International ACH, SEPA, FPS, RTP , and alternative cross-border methods, including digital asset payments.
Lead and supervise the Payment Operations team in executing daily transactions with accuracy and efficiency.
Oversee processes related to wire and ACH operations, including input, verification, compliance checks (OFAC, travel rules), and resolution of returns, repairs, and recalls.
Train, mentor, and evaluate team members to ensure high performance and professional growth.
Address and resolve internal and external inquiries about payment processing issues, delivering timely solutions.
Coordinate and manage ACH, domestic/international, and FX wire operations.
Investigate discrepancies in domestic, international, and FX wires while ensuring adherence to regulations.
Act as the primary contact for payment-related communications with stakeholders.
Monitor and implement updates to policies and processes in alignment with evolving legal and regulatory requirements.
Provide backup operational support to ensure business continuity.
Qualifications:At least 3 years of experience in international payments, SWIFT messaging, Natcha, or treasury operations.
Experience working in fintech, small startups, or BaaS (Banking as a Service) companies.
Strong understanding of SWIFT systems, including infrastructure, messaging standards, and protocols.
Proficiency in ISO messaging formats (ISO 8583, ISO 15022, ISO 20022 preferred).
Solid knowledge of wire and ACH processing, compliance protocols, and risk management in financial operations.
Familiarity with cross-border payment strategies, including the use of digital assets.
Demonstrated leadership skills with experience managing operational teams in high-pressure environments.
Excellent analytical, problem-solving, and organizational abilities.
Strong interpersonal and communication skills to effectively liaise with diverse stakeholders.
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
$65k-80k yearly est. 40d 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
Military DoD SkillBridge Internship - Multiple Positions Q4 - 2026
GE Aerospace 4.8
Remote job in San Juan, PR
The Military DoD SkillBridge program is an opportunity for Service members to gain valuable civilian work experience through specific industry training, apprenticeships, or internships during the last 180 days of service. SkillBridge connects Service members with industry partners in real-world job experiences under Dept. of Defense Instruction 1322.29. Separating Service members can be granted up to 180 days of permissive duty to focus solely on training full-time with approved industry partners after unit commander (first O-4/Field Grade commander in chain of command) provides written authorization and approval. GE Aviation as a Skill Bridge partner offers real-world training and work experience in in-demand fields of work while having the opportunity to evaluate the Service member's suitability for the work. Military DoD SkillBridge participants are not eligible for compensation from GE Aviation, as they continue to receive military compensation and benefits as active-duty service members.
**Job Description**
**This is a Q4 (Oct - Dec) 2026 posting for starting your SkillBridge internship. Your Internship may last longer than the Quarter depending on your command. Please apply within** **4 months of your anticipated program start date.**
**Essential Functions:**
Candidates for this internship may support any of GE Aviation's business units. Examples include:
+ Engineering
+ Supply Chain
+ Sales and Marketing
+ Avionics
+ Business, General Aviation and Integrated Systems
+ Commercial Engines
+ Digital
+ Finance
Individuals selected for this internship will have the responsibility and authority to carry out all assigned tasks
**Qualifications / Requirements:**
+ Active Military personnel
**Desired Skills / Experience:**
+ Proficient in the use of a personal computer to navigate Online documents, drawings, and instructions.
+ Prior experience working in a team-oriented environment
_This role requires access to U.S. export-controlled information. Therefore, for applicants who are not U.S. lawful permanent residents, U.S. Citizens, or have been granted asylee or refugee status (i.e., not a protected individual under the Immigration and Naturalization Act, 8 U.S.C. 1324b(a)(3), otherwise known as a U.S. Person), employment will be contingent on the ability to obtain authorization for access to U.S. export-controlled information from the U.S. Government._
**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.