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Work From Home Puerto Real, PR jobs - 77 jobs

  • Associate Rx Customer Service Specialist

    Abarca Health

    Work from home job in San Juan, PR

    What you'll do In a few words… Abarca is igniting a revolution in healthcare. We built our company on the belief that with smarter technology we are redefining pharmacy benefits, but this is just the beginning… As the Associate Rx Customer Service Specialist, you will serve at the front line of all incoming and outgoing communication (calls, emails, and faxes) with pharmacies, beneficiaries, and prescribers. You will use Rx Platform and other resources as necessary to resolve caller's needs. The fundamentals for the job… Manage all incoming calls, emails, faxes and web-generated requests from pharmacies, beneficiaries, and prescribers. Provide service-level standards set by CMS or by client; 80% of calls should fall within service level, less than 5% abandon rate and speed to answer should be less than 30 seconds. Rejection support, including overrides. Provide Coverage Determination status to clients including exceptions and appeals. Administrative PAs- Document PA request inquiries, issues, status, and resolution in accordance with federal and department and company policies and guidelines. Answer questions and recommend corrective services to address customer complaints, payment status, manual reversal requests, benefit and eligibility support, provider portal support and response to price appeals. Report identified issues to the appropriate department, for investigation and correction, following the established procedure. What we expect of you The bold requirements… Associate's Degree in Pharmacy Technician (in lieu of a degree, equivalent, relevant work experience may be considered). 1+ years of experience working in a Pharmacy or Member Services Call Center, Retail or Hospital Pharmacy Setting. Excellent oral and written communication skills, bilingual fluency in Spanish and English is required. To work remotely, must have a stable, secure, and efficient internet connection. Dedicated workspace observing HIPAA and PHI protocols. Must be available to work 40 hours per week, Monday through Sunday-including holidays-with flexibility to work any 8-hour shift within our standard business hours of 8:00 AM to 8:00 PM AST. Nice to haves… Active Pharmacy Technician License is preferred. Experience in PBM, Medicare Part D, Commercial/Employer Plans, Insurance, Pharmacy, and / or healthcare. Physical requirements… Must be able to access and navigate each department at the organization's facilities. Sedentary work that primarily involves sitting/standing. At Abarca we value and celebrate diversity. Diversity, equity, inclusion, and belonging are guiding principles of Abarca and ensure Abarca's workforce reflects the communities it serves. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Abarca Health LLC is an equal employment opportunity employer and participates in E-Verify. “Applicant must be a United States' citizen. Abarca Health LLC does not sponsor employment visas at this time” The above description is not intended to limit the scope of the job or to exclude other duties not mentioned. It is not a final set of specifications for the position. It's simply meant to give readers an idea of what the role entails. #LI-TA1 #LI-HYBRID
    $20k-26k yearly est. Auto-Apply 26d ago
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  • Performance Quality Analyst I (US)

    Elevance Health

    Work from home job in San Juan, PR

    A proud member of the Elevance Health family of companies, Carelon Global Solutions, formerly Legato Health Technologies is a managed service delivery organization, providing information technology and business operations services for health plans. **Performance Quality Analyst I** **Location:** This role requires associates to be in-office [2] days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. When report to the office this position will be based at PR-San Juan, 654 Ave Munoz Rivera. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ **Schedule:** This position will work an 8-hour from shift 8:00 am - 5:00 pm (EDT) Monday to Friday. Additional hours may be necessary based on company needs. The **Performance Quality Analyst I** is responsible for driving service quality excellence by evaluating the quality of services and interactions provided by organizations within the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How you will make an impact.** Primary duties may include, but are not limited to: + Assists higher level auditor/lead on field work as assigned, including performing special audits and targeted audits as requested by internal management. + Participates in pre and post implementation audits of providers, claims processing and payment, benefit coding, member and provider inquiries, enrollment & billing transactions and the corrective action plan process. + Analyzes and interprets data and makes recommendations for change based on judgment and experience, applies audit policy, and assesses risks to minimize our exposure and mitigate those risks. + Documents audit results, documents findings, and suggests appropriate remediation. **Minimum Requirements:** + Requires a BS/BA; 2+ years related experience in an enrollment and billing, claims and/or customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Fully Bilingual (English & Spanish). Must be able to write, read and speak both languages in a proficiency level is preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $49k-58k yearly est. 18d ago
  • Work With Us

    ContÁCtica

    Work from home job in San Juan, PR

    ABOUT US Contáctica is the leading Martech Creative Agency in Puerto Rico, a strong challenger in Latin America, and a dynamic catalyst for growth in the U.S. mainland. For over 20 years we have challenged the status quo and accelerated the evolution of visionary companies and their teams by delivering pioneering knowledge, transformative Martech Solutions, and full-spectrum Marketing Agency Services. With headquarters in Puerto Rico and Colombia, and a closely integrated team working from across ten countries, we are uniquely positioned to serve key industries such as Banking, Insurance, and Consumer Packaged Goods (CPGs), while tackling the most complex brand, product, and business challenges of today and tomorrow. In 2025, as we enter a new era of Hyper-Evolution, we are passionately committed to drive growth and innovation by leveraging the Power of Humanity + Artificial Intelligence. Our unwavering focus remains untouched: to provide exceptional business outcomes through Strategic-Thinking, Creativity, and Deep Client Insight, augmented by Cutting-Edge Technologies. If you share our Beliefs-and are committed to Act on them fully-we invite you to read the requirements of this position and consider applying. START THE JOURNEY If you share our beliefs-and are committed to act on them fully-we invite you to apply to join our team and experience the thrill of working in a fast-paced, cutting-edge, mostly remote environment. Apply here and start the journey. Please include a personal letter with your application explaining why you're the best person for this journey. _________________________________________________________________________________________________________________ We are Contáctica, a technology and creativity company tackling the most complex brand, product, and business challenges of today and tomorrow while serving key industries such as banking, insurance, and consumer packaged goods (CPGs).
    $25k-29k yearly est. 60d+ ago
  • Program Engagement Representative - Remote

    Sharecare 4.4company rating

    Work from home job in San Juan, PR

    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** . **Start Date:** February 2nd, 2026 **Pay:** $15.50/hour (not negotiable) **Shift:** Monday-Friday: 11:30 AM - 8:00 PM CST. It is required to work every 4th Saturday from 8:00 AM - 4:30 PM CST. Shifts are subject to change based on business needs. **Training:** 1 week from 8am - 4:30pm CST. **Job Summary:** Under the general supervision of a Customer Service Manager, the Program Engagement Representative has the primary responsibility of making outbound calls and receiving inbound calls to enroll and schedule members in the telephonic lifestyle management or clinical coaching. Additionally, Engagement Specialists will explain platform features and services available to members based on their employer-sponsored health program. Provides assistance to the program team members and performs clerical work as required. The position requires excellent communication, customer service, and sales skills, as well as the ability to build trust and credibility while working independently, exercising sound judgment and initiative. **Expectations during any given client interaction include:** + Offer the program to the member as well as answer any questions related to the enrollment + Rebut any objections the member may have about participating + Collect all necessary data to complete the enrollment + Schedule the member for a coaching call + Document the interaction in the appropriate systems **Essential Functions:** + Engage with clients telephonically using clear communication skills, a friendly attitude and the ability to utilize a variety of scripting with confidence. Demonstrate active listening skills, ability to think on one's feet, and demonstrating empathy are key qualities for success in this role. + Solid knowledge of programs and services, including appropriate contract-specific greetings. + Proper documentation of interactions. + Follow HIPPA guidelines to ensure confidentiality. + Engage with fellow team members via Microsoft Teams + Follow a structured schedule and meet or exceed predetermined metrics. + This position requires a responsive, committed individual who recognizes the impact of the health care delivery system on the clinical and financial outcomes to the member population. **Qualification** **s:** + GED or High School diploma supplemented by technical medical knowledge, and/or computer courses. + College course work is desirable. + A minimum of three years' experience in the customer service and sales driven environment and/or customer service in a related healthcare field preferred. + Possesses computer competencies to include word processing, spreadsheet, graphics, and database management. + Strong computer skills and ability to navigate through multiple programs, comfortable working with dual screens, learning proprietary programs, and solid understanding of Microsoft Office programs (Outlook, Teams, Word, etc). + Language Skills: Ability to communicate with members, colleagues, physicians, and plan representatives. + Effective oral, listening, and written communication skills. + Math Ability: Ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals. + Reasoning Ability: Ability to solve practical problems and deal with a variety of variables while re-directing to appropriate resources. Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
    $15.5 hourly 8d ago
  • Head of Payment Operations

    Arival Pte Ltd.

    Work from home job in San Juan, PR

    Position Overview:The role will involve close collaboration with other departments, including Product Operations, Compliance, Legal, to enhance processes and support the launch of new payment products. Additionally, the Head of Payment Operations will establish and maintain robust relationships with foreign and correspondent banking partners. Key Responsibilities:Oversee and expand the Payments Program to handle a wide range of domestic and international payment systems, including SWIFT, International ACH origination, SEPA, FPS, RTP , and emerging solutions like digital assets. Provide strategic leadership and guidance to the Payment Operations team, ensuring operational efficiency and excellence. Lead and manage all aspects of wire and ACH operations, including input, verification, OFAC compliance, travel rules adherence, and issue resolution for returns, repairs, recalls, and service messages. Develop team capabilities through training, mentorship, and performance evaluations, ensuring a high-performing workforce. Address internal and external inquiries related to payment processing, ensuring timely and effective resolutions. Direct the preparation, coordination, and processing of ACH, domestic/international, and FX wire operations. Oversee investigations related to domestic, international, and FX wire discrepancies, ensuring full regulatory compliance. Act as the primary point of communication for internal and external stakeholders regarding payment processing matters. Stay current with applicable laws, regulations, and industry standards, adapting policies and operations as required. Provide cross-functional backup support within the team when needed. Qualifications:Minimum of 5 years of experience in payments operations, financial messaging, or treasury services, with a focus on cross-border payments and SWIFT connectivity. Experience working in fintech, small startups, or BaaS (Banking as a Service) companies. Deep expertise in SWIFT infrastructure, messaging standards, and security protocols. Comprehensive understanding of ISO messaging standards (ISO 8583, ISO 15022, ISO 20022 preferred). Extensive knowledge of wire transfer and ACH processing (Nacha rules), regulatory compliance, and risk management practices. Experience integrating digital assets into payment strategies (e. g. , cryptocurrencies, stablecoins). Proven track record of managing large teams and achieving operational excellence in a dynamic environment. Strong problem-solving, organizational, and communication skills, with a commitment to superior stakeholder service. What We Offer:Medical & vision insurance Dental insurance 401 (k) with employer match Computer setup of your choice Remote work from anywhere you want Competitive job pay
    $45k-98k yearly est. 40d ago
  • CDQI Nurse Specialist - Part Time - Remote

    Datavant

    Work from home 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
  • (Remote) Strategic Origination Associate, M&A

    Harris Computer Systems 4.4company rating

    Work from home job in Florida, PR

    Strategic Origination Associate, M&A Harris Computer, the largest operating group of Constellation Software Inc. (TSX:CSU), is seeking a Strategic Origination Associate to join our mergers and acquisitions (M&A) team. This position is focused on cultivating and managing relationships with investment banks, advisors, and other intermediaries to ensure Harris has a strong pipeline of acquisition opportunities. This role is a full-time, remote, work from home position. We will consider candidates from anywhere in North America. As a member of the Harris M&A team, you will report to the Director of the Deal Origination team. This role requires travel of up to 10% in North America, and a valid passport is required. In this role, you will be responsible for identifying and managing banker-led deal flow, supporting capital deployment initiatives, and strengthening Harris' presence across the investment banking and advisory community. You will be successful if you thrive on building long-term professional relationships, have strong business acumen, and enjoy connecting with dealmakers to uncover opportunities. Prior investment banking, corporate development, business development, or financial services experience is highly valued. What your impact will be: * Build and maintain relationships with investment banks, M&A advisors, brokers, and other intermediaries across North America. * Act as the primary point of contact for Harris' intermediary network within your coverage area. * Source and evaluate banker-led acquisition opportunities and ensure timely movement through the M&A pipeline. * Represent Harris' investment philosophy and acquisition strategy with professionalism and clarity in all external interactions. * Partner with internal M&A teams to qualify opportunities and support transaction execution. * Use Salesforce to track banker coverage, deal flow, and reporting metrics. * Regularly communicate market and banker insights to senior M&A leadership. What we are looking for: * 5+ years of related business experience; backgrounds in investment banking, corporate development, private equity, M&A advisory, or financial services are highly regarded. * A strong relationship-builder with proven networking and communication skills. * Solid understanding of M&A processes, deal flow dynamics, and investment banking practices. * Self-starter with excellent organizational skills, able to prioritize multiple opportunities simultaneously. * Interest in technology and vertical market software businesses. * Curiosity, initiative, and adaptability, a mindset that thrives in a dynamic, fast-paced environment. What we can offer: * Attractive compensation package consisting of base salary, quarterly and annual variable bonus incentives. * Comprehensive Medical, Dental and Vision coverage from your first day of employment. * Flexible, remote work. About Harris Harris Computer - based in Ottawa, Ontario - acquires vertical market software businesses, manages them using industry best practices, and builds them for the future. Through acquisitions, Harris has grown extensively from its roots in the utilities, local government, education, and healthcare sectors to operate over 200 businesses globally across more than twenty industries. Harris is the largest operating group of Constellation Software Inc. (TSX: CSU), the most effective acquirer of Software business globally. #LI-DNI
    $40k-45k yearly est. Auto-Apply 60d+ ago
  • Credentialing Professional - Variable Staffing Pool

    Centerwell

    Work from home job in San Juan, PR

    **Become a part of our caring community and help us put health first** The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The Credentialing Professional work assignments are often straightforward and of moderate complexity. The Credentialing Professional reviews the applicant's education, training, clinical privileges, experience, licensure, accreditation, certifications, professional liability insurance, malpractice history and professional competence. Reviews the information and documentation collected, as well as verification that the information is accurate and complete. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Equal work will be in the Facility Licensing Area. Responsible for assisting with initial, renewal, relocation and termination applications for AHCA, CLIA, Biomedical, HCCE applications. Will assist with Level 2 prints and license and certification verifications and expirables. ****** **Temporary role; 4 month duration is estimated.** **Use your skills to make an impact** **Required Qualifications:** + Associate's degree or related experience + A minimum of two years of credentialing experience in healthcare + Ability to learn credentialing software; ability to complete reporting + Ability to prioritize workload to ensure deadlines are met + Excellent written and oral communication skills required. + Excellent PC skills (including MS Word, Excel and Access) required. **Preferred Qualifications** + Bachelor degree in Business, Health Administration, Accounting or related field required. + Familiar with CAQH + Bilingual; English & Spanish + Experience in managed care or health care administration desired **Additional Information** + **Temporary role; 4 month duration is estimated.** + Remote Role + Standard working hours required; 8:00 am - 5:00 pm; Central or Eastern Time Zones **Work at Home Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $48,900 - $66,200 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. Application Deadline: 01-02-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
    $48.9k-66.2k yearly 28d ago
  • Sr. Program Delivery Professional, IHWA - Performance

    Humana 4.8company rating

    Work from home job in San Juan, PR

    **Become a part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Program Delivery Professional for IHWA is responsible for overseeing and advancing key initiatives that drive organic provider capture following an IHWA visit. This position plays a vital role in enhancing organic performance, supporting improved member care outcomes, and ensuring thorough and accurate documentation. Key responsibilities include monitoring program activities, leading efforts to optimize provider participation, and applying expertise in causal analysis and provider office workflows. The role requires collaboration with department leaders to review, interpret, and communicate program results, as well as to inform and influence departmental strategy. The successful candidate demonstrates the ability to make independent decisions on moderately complex to complex technical matters related to project components. The position is characterized by a high degree of autonomy, allowing for significant discretion in determining objectives and methods for assignments. **Key Responsibilities:** + Prioritizing member care outcomes by identifying opportunities to share member data with various provider types to drive complete and accurate documentation by addressing conditions identified during IHWA visits. + Analyze performance and claims data to monitor and inform strategic decisions. + Generate innovative ideas and solutions to increase provider engagement and drive organic performance. + Collaborate with cross-functional teams to advance provider insights into IHWA visit and diagnosis data. + Leverage experience with provider front end and backend operations, workflows, and systems to inform best practices and effective delivery. + Strong cause and effect analytical skills to monitor results, identify trends, and recommend actionable advancements. + Take initiative as a self-starter and proactively seek opportunities to improve program effectiveness. **Use your skills to make an impact** **Required Qualifications:** + Minimum three, (3) years of experience in root cause analysis, inner working of provider office and systems, or risk adjustment. + Proven ability to compare, read, and report on claims data. + Proven ability to conduct causal analysis and apply findings for program monitoring and improvement. + Passion for continuous learning and process excellence. + Excellent collaboration, communication, and stakeholder management abilities. + Experience with managing and monitoring successful and impactful projects. + Futuristic and broad thinker with attention to detail and downstream impacts. **Preferred Qualifications:** + Bachelor's or advanced degree in Healthcare Administration or related field. + Python, SQL, Databricks, or Power BI experience. + Risk adjustment background or knowledge. + Experience in provider office environments and familiarity with provider systems (e.g., Epic, Compass). + Strong understanding of provider networks, contracting, and service fund. **Workstyle** : Open for Hybrid or Remote Work at Home **Location:** U.S. **Schedule:** 8:00 AM - 5:00 PM Eastern Time Monday through Friday **Travel:** occasional onsite as business needs require. **Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 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: 01-08-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **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. 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 ***************************************************************************
    $86.3k-118.7k yearly Easy Apply 5d ago
  • Executive Leadership Opportunities - Vertical Market Software (VMS)

    Harris Computer Systems 4.4company rating

    Work from home job in Florida, PR

    As an Executive Leader within our organization, you will play a pivotal role in shaping the strategic direction and driving the success of a business unit serving the Utilities and Telecommunications sectors. You will lead a multidisciplinary organization spanning Sales, Support, Product Development, and Professional Services, fostering a culture of collaboration, innovation, and accountability. We are building a pipeline of proven Vertical Market Software (VMS) executives who are passionate about growth, operational excellence, and people leadership. With the expansion of our portfolio through acquisition, we are seeking forward-thinking leaders who can translate strategic vision into measurable results. Please note that this job posting is for an evergreen position and does not represent an active or current vacancy within our organization. We continuously accept applications for this role to build a talent pool for future opportunities. While there may not be an immediate opening, we encourage qualified candidates to submit their resumes for consideration when a suitable position becomes available. Base salary range: $175,000 to $200,000, plus TTC based on new revenue generated and an additional performance bonus. What your impact will be: * Set the long-term strategic and technology direction for your business unit * Lead, coach, and inspire an executive team to achieve growth and profitability targets * Drive operational excellence across all functions to deliver exceptional customer outcomes * Manage full P&L responsibility with focus on sustainable revenue and EBITDA growth * Build leadership capability across the organization through mentorship and development * Represent your business to senior corporate leaders, providing strategic and financial updates What we are looking for: * 10+ years of senior leadership experience within a VMS organization * Deep understanding of Utilities and/or Telecommunications industries preferred * Demonstrated success leading large, multi-functional teams (25+ employees) * Proven track record managing $10M+ P&L and delivering sustained growth * Strong communication, strategic thinking, and customer partnership skills * A passion for sales and a growth-oriented, hands-on leadership style What we can offer: * 3 weeks' vacation and 5 personal days * Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment * Employee stock ownership and RRSP/401k matching programs * Lifestyle rewards * Remote work and more! About Harris: Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment - both in the people and products that we offer and making investments in acquiring new businesses. #LI-remote
    $56k-74k yearly est. Auto-Apply 60d+ ago
  • Representative II, Customer Care Order Placement

    Cardinal Health 4.4company rating

    Work from home job in San Juan, PR

    **SHIFT:** Your new hire training will take place Monday-Friday, 8:00am-5pm EST, mandatory attendance is required. Once you have completed new hire training, you will take part in a shift bid to determine your schedule. Shift bid schedule is based on business need. Must be open & flexible to work any hours 8am EST to 9:00pm EST & will also involve Saturday hours. **_What Customer Service Operations contributes to Cardinal Health_** Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. **_Job Summary_** Responsible for answering inbound calls from customers to place orders or reorders of medical supplies. Agents will act as a liaison, problem-solving order issues, researching accounts and providing resolutions in a high-volume call center. The Representative II, Customer Service Operations processes orders for distribution centers and other internal customers in accordance with scheduling, demand planning and inventory. The Representative II administers orders in internal systems and responds to customer questions, clearly communicating delays, issues and resolutions. This job also processes non-routine orders, such as product samples, and ensures that special requirements are included in an order. **_Responsibilities_** The Customer Care Representative operates as a "Universal Agent", who is able to meet the needs of our customers throughout the entire order placement lifecycle. Ultimately, qualified candidates, will be responsible for providing customer assistance, including, but not limited to, order placement, product information, order status, order discrepancies, and customer complaints for approximately ~60-80 incoming calls per day. + Answer incoming phone calls from customers, caregivers, and applicable referral sources regarding various medical supplies while having sincere interest in the speaker + Ability to handle high call volumes consistently throughout the workday that range in complexity and sensitivity while maintaining composure with customers + Process orders for new and existing customers, collecting necessary information for insurance billing; collect payment as needed + Operate company provided hardware and navigate multiple computer programs throughout the day to address customer's concerns + Consults with Supervisor or Team Lead on complex and unusual problems + Adhere to business processes to ensure all work is being done compliantly and in accordance with regulatory standards + Navigate multiple systems and consult with internal resources to provide order status updates to achieve first time call resolution + Interpret the meaning of insurance terminology, plans and documentation and explain what it means in an easy-to-understand way + Explain our products and offerings to our customers to ensure compatible with customer conditions + Identify and communicate appropriate next steps and expectations to customers based upon system messaging, insurance requirements, and order placement process + Maintain a positive, empathetic, and professional attitude toward customers and co-workers at all times **_Qualifications_** + High school diploma, GED or equivalent, or equivalent work experience, preferred + 2-4 years' experience in high volume call center preferred where communication and active listening skills have been utilized + Previous experience working in a remote/work from home setting is preferred + Prior experience working with Microsoft Office is preferred + Prior experience working with order placement systems and tools preferred + Customer service experience in prior healthcare industry preferred + Root cause analysis experience preferred + Familiarity with call-center phone systems preferred + Excellent Phone Skills with a focus on quality + Previous experience being able to achieve daily call center metrics including but not limited to average handle time, adherence, average speed to answer, QA **_What is expected of you and others at this level_** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **REMOTE DETAILS:** You will work from home, full-time. _As a work from home employee, the expectation is that you have your camera on when participating in your onboarding/training activities. Please note that work from home is not a substitute for childcare or eldercare, arrangements must be made ahead of your start date. You will be required to have a dedicated, quiet, private, distraction free environment with access to 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, WIFI extenders, Cellular/Hot Spot connections are **_NOT_** acceptable. + _If having connectivity issues and our IT dept. suspects connectivity issues are due to your ISP or your current set up, we will request that you change providers or rework your set up to not disrupt your daily productivity._ Download speed of (25Mbps - Minimum) but (50Mbps - Recommended) if nobody else at home streaming. Upload speed of (10Mbps - Recommended) Ping Rate Maximum of 30ms (milliseconds) Hardwired to the router Surge protector with Network Line Protection for CAH issued equipment **WHO WE ARE:** Cardinal Health, Inc. (NYSE: CAH) is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With 50 years of experience, approximately 48,000 employees and operations in more than 40 countries, Cardinal Health seizes the opportunity to address healthcare's most complicated challenges - now, and in the future. **Anticipated hourly range:** $15.75/hr. - $18.50/hr. **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:** 1/19/2025 *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 (***************************************************************************************************************************
    $15.8-18.5 hourly 11d ago
  • Mobile & QA Engineer - Healthcare Applications

    Eliassen Group 4.7company rating

    Work from home job in San Juan, PR

    **Anywhere** **Type:** Contract **Category:** Quality Assurance (QA) **Industry:** Healthcare **Workplace Type:** Remote **Reference ID:** JN -112025-104334 **Shortcut:** ********************************** + Description + Recommended Jobs **Description:** **This is a fully remote role** We are seeking a highly skilled and detail-oriented Senior Mobile & QA Engineer to join our team focused on delivering high-quality healthcare applications. This role is ideal for someone with deep experience in testing web and mobile applications, strong Java and Python skills, and a solid understanding of healthcare compliance and infrastructure. _We can facilitate w2 and corp-to-corp consultants. For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision benefits, 401k with company matching, and life insurance. W2 Rate $55-$63/hr_ **Responsibilities:** **Key Responsibilities:** + **Testing & QA:** + Design and implement test plans using **Jira Xray** for both web and mobile applications. + Conduct **regression testing** and ensure stability across releases. + Test internally deployed **iPad applications** used in clinical settings. + Perform **web-based browser app testing** , including tracking issues via browser developer tools. + **Development & Deployment:** + Work with **Core Java** for application upgrades and deployments. + Collaborate on backend systems using **PostgreSQL, MongoDB, and Redis clusters** . + Support **Java version upgrades** and ensure compatibility across environments. + **AI & Automation:** + Leverage **AI tools and Python** for test automation and data analysis. + Build intelligent QA solutions to streamline testing processes. + **Healthcare Domain Expertise:** + Understand the nuances between **private practice** and **ambulatory/hospital environments** . + Ensure applications meet **healthcare compliance standards** (HIPAA, HITRUST, etc.). + Collaborate with stakeholders to align testing with clinical workflows. **Experience Requirements:** **Required Skills:** + Strong experience with **Core Java** and **SQL** (must know SQL inside and out). + Hands-on experience with **Jira Xray** , **web and mobile app testing** , and **browser-based debugging** . + Familiarity with **PostgreSQL** , **MongoDB** , and **Redis clusters** . + Experience with **Python** and AI tools for automation and analysis. + Deep understanding of **healthcare compliance** and regulatory requirements. + Ability to distinguish between **private practice** and **ambulatory care** workflows. **Preferred Qualifications:** + Experience in a healthcare technology company or clinical IT environment. + Familiarity with internal app deployment processes (especially on iPads). + Strong communication skills and ability to work cross-functionally. _Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range._ _W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality._ _Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact ********************._ _About Eliassen Group:_ _Eliassen Group is a leading strategic consulting company for human-powered solutions. For over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen provides a local community presence, balanced with international reach. Eliassen Group strives to positively impact the lives of their employees, clients, consultants, and the communities in which they operate._ _Eliassen Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status._ _Don't miss out on our referral program! If we hire a candidate that you refer us to then you can be eligible for a $1,000 referral check!_
    $55-63 hourly 12d ago
  • District Manager

    Disclosure, Consent, Acknowledgment and Agreement

    Work from home 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 39m ago
  • Field Service Specialist III

    Copeland 3.9company rating

    Work from home 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.
    $25k-36k yearly est. 54d ago
  • Permit Coordinator - REMOTE

    Ryder System 4.4company rating

    Work from home job in San Juan, PR

    The position is responsible for data entry of driver trip records and processing of suspended trips in the trip record imaging system. This position backs up the permit desk several times a week as well as the suspended process for GPS trips. The position works directly with state agencies, the SSC, various positions in the field and other employees in the department. **ESSENTIAL FUNCTIONS** Data entry experience is required for the keying of paper documents and imaged trips. Must be able to properly communicate with our partners in India (WNS) via email and conference calls to provide feedback on the data entry process performed in India. Must be able to run and work specific reports related to duplicate trips and duplicate fuel. Must be flexible and work well with the others as a team to accomplish department monthly goals. Will work directly with the person responsible for the daily permit functions and must learn this roll in an effort to serve as backup which requires communication with field and state agencies. **ADDITIONAL RESPONSIBILITIES** This person will be responsible for the daily and yearly bulk fuel process Work with the permit renewal process **EDUCATION** H.S. diploma/GED Basic Financial Accounting course or equivalent. **EXPERIENCE** One (1) year or more experience with proficient data entry and intermediate excel. **SKILLS** Strong verbal and written communication skills. Demonstrates problem solving skills. Ability to work within tight timeframes and meet strict deadlines. Ability to create and maintain professional relationships within all levels of the organization (peers, work groups, customers, supervisors). Ability to work independently and as a member of a team. Flexibility to operate and self-driven to excel in a fast-paced environment. Capable of multi-tasking, highly organized, with excellent time management skills. Detail oriented with excellent follow-up practices **KNOWLEDGE** Intermediate Excel, Access, and Word skills.; intermediate level. **Job Category:** Tax **Compensation Information** : The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. The position may also be eligible to receive an annual bonus, commission, and/or long-term incentive plan based on the level and/or type. Compensation ranges for the position are below: **Pay Type** : Hourly Minimum Pay Range: $20.00 Maximum Pay Range: $21.00 **Benefits Information** : **For all Full-time positions only** : Ryder offers comprehensive health and welfare benefits, to include medical, prescription, dental, vision, life insurance and disability insurance options, as well as paid time off for vacation, illness, bereavement, family and parental leave, and a tax-advantaged 401(k) retirement savings plan. For more information about benefits, click here (********************************************************************************************************** to download the comprehensive benefits summary. Ryder is proud to be an Equal Opportunity Employer and Drug Free workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with disability. **Important Note** **:** Some positions require additional screening that may include employment and education verification; motor vehicle records check and a road test; and/or badging or background requirements of the customer to which you are assigned. Security Notice for Applicants: Ryder will only communicate with an applicant directly from a [@ryder.com] email address and will never conduct an interview online through a chat type forum, messaging app (such as WhatsApp or Telegram), or via an online questionnaire. During an interview, Ryder will never ask for any form of payment or banking details and will never solicit personal information outside of the formal submitted application through ********************* . Should you have any questions regarding the application process or to verify the legitimacy of an interview or Ryder representative, please contact Ryder at ***************** or ************. **Current Employees** **:** If you are a current employee at Ryder, please click here (*************************************************** to log in to Workday to apply using the internal application process. _Job Seekers can review the Job Applicant Privacy Policy by clicking here (********************************************** ._ \#wd
    $20-21 hourly Easy Apply 11d ago
  • Customer Support Associate

    Cegsoft

    Work from home job in San Juan, PR

    Job Description NOTE: ONLY FOR PUERTO RICO CANDIDATES. We are building the best workplace for thinkers, experts, service agents, designers, and developers to come together to innovate, grow, and truly make an impact in other peoples' lives through technology. We are proud creators of: Expert Tax - tax preparation software for accountants in Puerto Rico Taxmania - tax preparation software for citizens of Puerto Rico Edi - a document management software to modernize the digital office Follow It - case management software We serve over 150,000 customers every year. It is paramount for us to deliver quality software solutions and provide “above and beyond” customer experiences to ensure the highest level of customer satisfaction. Our company values ground us and guide us: Passion Innovation Playfulness Honesty Customer Satisfaction Growth Discernment If you are passionate about delivering outstanding customer support and would love to work in a fun, team-oriented, and creative environment, we are looking for YOU!" What will you do? Respond to customer inquiries with our customer service platforms providing accurate and empathetic support. Assist in resolving cases related to tax filing, calculations, form validations, or program configuration. Explain tax concepts to clients in simple and professional terms, ensuring clarity and trust. Maintain documentation and follow-up for each case to ensure timely and consistent communication. Identify and document recurring tax or system-related issues, collaborating with QA and Product for validation. Participate in pre-release testing and validation of new features or tax updates. Collaborate with the Tax Compliance team to verify calculations, XML generation, and regulatory consistency. Contribute feedback that enhances product usability and tax accuracy. Review and validate AI-generated responses to ensure accuracy, tone, and compliance. Contribute to the creation or improvement of help center articles and internal guides. Provide insights and recommendations to improve AI performance and client experience. Our candidate must: Be available on a full-time basis, from Monday to Friday 9:00am-6:00pm. Be available to work from home and in San Juan. 1-2 years of experience in customer service, accounting, or software support. Familiarity with software systems and troubleshooting processes. Proficiency with CRM system and other customer management tools. Associate's or Bachelor in Business Administration (BBA), or related fields Nice to have: Analytical mindset with curiosity. Empathy and strong customer communication. Team collaboration and adaptability. Organizational and documentation discipline. Positive and professional attitude toward challenges. Proficient analytical, documentation, and communication skills preferred (Spanish and English). Basic understanding of tax preparation concepts and Puerto Rico tax forms (e.g., **************PR, 1040SS, etc.). What's in it for you? A very valuable experience on a friendly, flexible and collaborative environment. The opportunity to work with high level professionals in the software industry. Perks!: High quality coffee, ping pong table, gym equipment, team activities, hybrid work culture and so much more! If you believe you can add value to our team, we want to meet YOU! At CEGsoft we are committed to creating an inclusive environment for all employees. The Company's policy is not to unlawfully discriminate against any applicant or employee on the basis of race, color, sex, religion, sexual orientation, gender identity, gender expression, national origin, age, disability status, genetic information, military or veteran status or any other applicable legally protected considerations made unlawful by federal, state, or local laws.
    $17k-29k yearly est. 26d ago
  • Business Change Lead - Crop

    Zurich Na 4.8company rating

    Work from home job in San Juan, PR

    128458 Zurich RCIS provides insurance and superior services through leading agents to protect America's farmers and ranchers. It's been an innovator in crop insurance since the crop insurance business was privatized by the federal government in 1980. Today it's one of the nation's largest crop insurance providers, offering risk management protection in all 50 states through a national network of about 4,000 professionally trained and licensed agents. The **Business Change Lead** will play a key leadership role in designing and delivering strategic initiatives that enhance operational performance, enable growth, and drive innovation across the business. This role requires a strong background in Information Technology (IT) and in Crop insurance, Mobile apps, GIS mapping development, and systems integration You will lead cross-functional transformation initiatives, support operational planning and performance reviews, and help build the platforms, processes, and capabilities required to achieve the company's strategic goals. **Key Responsibilities ** + Lead and execute initiatives aligned with enterprise priorities and long-term goals. + Jointly with the head of market execution drive the implementation of ease of doing business for our agents supported by technology + Identify opportunities to optimize our business model, systems, tools, and service delivery. + Partner with Product, Technology, and Operations teams to align platform capabilities with business strategy. + Influence and collaborate with cross-functional leaders to drive execution of strategic initiatives. + Promote a culture of change leadership, accountability, and continuous improvement. **What Success Looks Like** + High-impact transformation initiatives delivered on time, within scope, and aligned to strategic objectives. + Measurable improvements in operational efficiency and client satisfaction. + Seamless integration of systems and tools that support scalable growth. + Strong cross-functional alignment and a culture of innovation and continuous improvement. **Basic Qualifications** - Bachelors Degree and 7 or more years of experience in the Claims, Consulting, Risk Engineering or Underwriting area OR - High School Diploma or Equivalent and 9 or more years of experience in the Claims, Consulting, Risk Engineering or Underwriting area OR - Zurich Certified Insurance Apprentice, including an Associate Degree and 7 or more years of experience in the Claims, Consulting, Risk Engineering or Underwriting area AND - Experience in Organizational Effectiveness or Change Management - Experience in the application of existing and/or change management methodologies and tools - Project management experience **Preferred Qualifications:** + 8+ years of experience of system design, strategic operations, or enablement roles. + Demonstrated expertise in Information Technology (IT) and Crop insurance is essential. + Deep experience to improve ease of doing business for Agents + Strong analytical, problem-solving, and program management skills. + Proven ability to drive results across complex, cross-functional environments. + Excellent communication, leadership, and stakeholder engagement abilities. ** ** At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere (****************************************** . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary range for this position is $113,100 to $175,100, with short-term incentive bonus eligibility set at 20%. As an insurance company, Zurich is subject to 18 U.S. Code § 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM - Anoka, AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LB1 #LI-HYBRID #LI-DIRECTOR EOE Disability / Veterans
    $47k-57k yearly est. 50d ago
  • Specialist, Admin Complaints, Grievances & Appeals

    Oscar Health Insurance 4.6company rating

    Work from home job in Florida, PR

    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
  • PLM Solution Implementation Specialist (Puerto Rico) (Hybrid)

    RTX

    Work from home job in San Antonio, PR

    Country: United States of America Hybrid U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract. Security Clearance: None/Not Required We are seeking an experienced PLM Solution Implementation Specialist to support the design, deployment, and optimization of Product Lifecycle Management (PLM) solutions with a strategic focus on enabling Digital Thread connectivity across the enterprise. This role will collaborate closely with engineering, manufacturing, quality, supply chain, and IT teams to drive integration of Model-Based Systems Engineering (MBSE), simulation lifecycle management, and digital design reviews into PLM capabilities. The ideal candidate has hands-on experience implementing PLM platforms such as Siemens Teamcenter, Dassault Enovia/3DEXPERIENCE, or similar systems, with a strong focus on enabling seamless connections between tools, data, and processes to support the enterprise's Digital Engineering transformation. ** This is a hybrid position with a preferred location of Santa Isabel.** What YOU will do: Lead full lifecycle PLM implementation activities, including requirements gathering, solution design, configuration, testing, training, and deployment, with a focus on enabling Digital Thread integration. Configure and support core PLM modules to enable connectivity between: MBSE models and associated documentation Bill of Materials (BOM) items (EBOM/MBOM/CBOM) Simulation lifecycle management tools Digital design reviews and their integration into product development workflows CAD/ECAD data and product structures Drive integration between PLM and upstream/downstream systems (e.g., ERP, MES, ALM, QMS) to ensure seamless data flow and process alignment. Collaborate with engineering teams to develop and implement Digital Thread strategies that connect simulation, design, and manufacturing processes through PLM tools. Develop and maintain best practices for simulation lifecycle management and integration of simulation data with PLM to enhance product development decision-making. Support integration of MBSE workflows into PLM systems to enable traceability from systems models to requirements, BOM, and other product data. Create implementation deliverables such as integration specifications, test scripts, UAT plans, training materials, and rollout plans to enable successful deployment of Digital Thread capabilities. Troubleshoot and resolve technical challenges related to Digital Thread integrations and PLM-enabled workflows. Promote the adoption of PLM solutions by addressing user needs, providing training, and aligning with Digital Engineering initiatives. Qualifications YOU Must Have: Must be a U.S. Citizen. Typically requires a University Degree and minimum 8 years prior relevant experience or an Advanced Degree in a related field and minimum 5 years. 3-7 years of hands-on experience implementing or supporting PLM systems (Teamcenter, Enovia, etc.), with a focus on enabling Digital Engineering capabilities. Strong understanding of Digital Thread concepts, including MBSE integration, simulation lifecycle management, and digital design reviews. Experience with PLM integrations, data modeling, and engineering workflows that connect design, simulation, and manufacturing tools. Knowledge of SDLC/Agile methodologies and PLM best practices to deliver scalable and adaptable solutions. Proven ability to translate engineering and Digital Thread requirements into structured PLM system designs. Strong documentation, communication, and problem-solving skills to drive cross-functional collaboration. Qualifications We Prefer: SAFe certification (SAFe Practitioner, SAFe Scrum Master, SAFe PO/PM, or equivalent) to support Agile delivery in enterprise-scale environments. Experience with advanced PLM capabilities such as MBSE integration, simulation data management, and digital manufacturing tools. Understanding of digital twin concepts and their integration into PLM workflows. Hands-on experience with ERP (SAP) and MES/QMS integrations for enhanced process alignment. Background supporting global engineering or manufacturing organizations with a focus on Digital Engineering transformation. What We Offer: Some of our competitive benefits packages include: Medical, dental, and vision insurance Three weeks of vacation for newly hired employees Generous 401(k) plan that includes employer matching funds Participation in the Employee Scholar Program (ESP) Life insurance and disability coverage Employee Assistance Plan, including up to 8 free counseling sessions And more! Learn More & Apply Now! Do you want to be part of a new, exciting initiative to combine foundational IT with new digital technologies? Our Digital Technology team is driving business efficiencies and a better customer experience by connecting technologies, people, information and processes. From making aircraft more electric, intelligent and integrated to building new software platforms such as Internet of Things, big data, artificial intelligence, and blockchain, there's no better place to be right now than in digital. If you're an agile thinker who enjoys utilizing modern technology to make big improvements, then you're a perfect fit for this team. Join Collins Aerospace to help us revolutionize the aerospace industry today! * Please consider the following role type definitions as you apply for this role. Hybrid: Employees who are working in Hybrid roles will work regularly both onsite and offsite. Ratio of time working onsite will be determined in partnership with your leader. Regardless of your role type, collaboration and innovation are critical to our business and all employees will have access to digital tools so they can work with colleagues around the world - and access to Collins sites when their work requires in-person meetings. At Collins, the paths we pave together lead to limitless possibility. And the bonds we form - with our customers and with each other -- propel us all higher, again and again. Apply now and be part of the team that's redefining aerospace, every day. RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act. Privacy Policy and Terms: Click on this link to read the Policy and Terms
    $41k-54k yearly est. Auto-Apply 34d ago
  • Complex Claims Advisor | Commercial GL and Auto | Remote

    Sedgwick 4.4company rating

    Work from home job in San Juan, PR

    By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor | Commercial GL and Auto | Remote Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? + Enjoy flexibility and autonomy in your daily work, your location, and your career path. + Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. **ARE YOU AN IDEAL CANDIDATE?** Are you an experienced attorney or examiner with a strong background in insurance coverage analysis? We're seeking an experienced attorney or senior level examiner with a strong background in insurance coverage analysis to support insurance carriers by evaluating claims and loss complaints, interpreting policy language, and drafting Reservation of Rights and disclaimer letters. This role offers the opportunity to apply your expertise in commercial general liability and auto policies, endorsements, exclusions, and litigation support, while delivering clear, actionable coverage opinions and collaborating with claims professionals and managers. If you thrive in a detail-oriented, analytical environment and have a passion for coverage law, we'd love to hear from you. Experience in claims handling or underwriting is a strong plus. **PRIMARY PURPOSE** **:** To develop targeted solutions and provide added technical guidance and oversight. To evaluate insurance claims and loss complaints for coverage applicability, draft Reservation of Rights and disclaimer letters, and provide expert coverage opinions to insurance carriers. This role supports litigation and policy interpretation ensuring accurate and timely guidance on complex coverage issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Proactively and strategically manages a complex claim inventory by assessing complex claims issues, utilizing jurisdictional expertise to provide oversight, and directs the handling to achieve the best possible resolution. + Acts as the organizational subject matter expert for line of business and key jurisdictions on complex claim issues. + Uses knowledge of all aspects of claims handling in evaluating exposure; recommends and directs action plans for issue or case resolution. + Articulates and documents clear and concise file notes to allow stakeholders to understand the issues and path to resolution. + Ability to clearly and effectively communicate complex coverage analyses to clients, claim examiners, and managers, translating technical policy language into actionable insights. + Exceptional written communication skills with demonstratedexpertise in drafting clear, accurate coverage disclaimers and Reservation of Rights letters. + Facilitates roundtables with groups/teams; engages appropriate internal and external resources as needed. + Provides technical leadership on and maintains co-ownership of complex claim issues; through further influence creates a culture of continual quality improvement. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travel as required. **QUALIFICATION** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Industry designation(s) preferred. Licenses as required for specific jurisdictions. **Experience** Eight (8) years of casualty claims experience or equivalent combination of education and experience required to include three (3) to five (5) years of experience handling complex claims and experience in negotiation, mediation, arbitration or ADR skills on higher value complex claims. Supervisory experience a plus. Specific jurisdictional expertise preferred. **Skills & Knowledge** + Subject matter expertise in worker's compensation claims and/or liability claims processing + Ability to obtain and maintainappropriate licensing + Ability to manage claims across multiple jurisdictions + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Excellent analytical and interpretive skills + Strong organizational skills + Ability to work in a team environment + Ability to meet or exceed Service Expectations **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** ** ** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** ** ** Computer keyboarding, travel as required **Auditory/Visual** **:** ** ** Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $100,000 - $110,000 USD annual salary. A comprehensive benefits package is offered including, but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits _._ Always accepting applications. **The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. ** **Management retains the discretion to add or to change the duties of the position at any time.** \#LI-REMOTE Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
    $32k-37k yearly est. 60d+ ago

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