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
Customer Success
Teaching.com 4.6
Work from home job in San Juan, PR
Full-Time in Puerto Rico
Who You Are & What You'll Do
We are looking for a highly motivated, tech-savvy, and organized customer service agent who thrives in fast-paced environments to facilitate better engagement for teachers and students. We need someone annoyed by unnecessarily verbose copy and poor grammar, capable of communicating through annotated screenshots, screen-recorded GIFs, and screencasts. Your natural desire is to help, and you seek to truly understand before responding.
Skills & Background
Exceptional written and verbal communication skills in English, particularly written (as a remote company, we value clear and concise communication across all departments)
Experience providing customer service for software products
Passionately learns the ins-and-outs of tools for maximal understanding and leverage
Strategic thinker capable of creating user-friendly technical documentation, making feature suggestions and identifying business and product optimization opportunities
Able to meet deadlines in a fast-paced quickly changing environment
Approaches problem-solving proactively with strong decision-making skills
Positive attitude and entrepreneurial spirit
Bonus Points
Experience working in the school system
Compensation, Benefits & Perks
$35-40k
Fully-vested 401k with matching contributions
Annual cash profit sharing
Medical and dental benefits
Flexible office hours
Ongoing education assistance
Flexible PTO
Remote office hardware reimbursement
Company-owned laptop
Monthly meal adventure
Annual company retreat
Everyone at Teaching.com is empowered to move quickly, make decisions, and get things done so we can continue to make learning accessible to our growing community of more than 75 million students and teachers internationally.
Join the fully-remote team at Teaching.com to create, develop, and deliver fun and engaging games for students and educators!
Sorry, we will not transfer or sponsor visas.
We are an Equal Opportunity Employer.
We care deeply about the culture at Teaching.com and have put together a manifesto outlining our values, communication, and product management strategies. Prospective employees will learn a great deal about what it's like to work here by reviewing it.
$35k-40k yearly 60d+ ago
Work From Home Commission Sales Lead Generation Representative
Insurance Protection Specialists
Work from home job in San Juan, PR
Insurance Protection Specialists
is dedicated to providing financial solutions to meet the needs and goals of ourclients. Our clients are happily satisfied knowing that their agent is devoted to providing them with professional service and education to make an informed decision for protecting their family's insurable risk and financial interest.
An
InsuranceProtection Specialists
agent receives access to various marketing and lead generation services. These programs provide agents the means to get in front of qualified clients that are seeking the financial products to meet their specific obligations. Insurance Protection Specialists provides a diverse portfolio of insurance companies for agents to meet the needs of their clients.
Job Description
We are currently looking for talented individuals to serve in the capacity of a Lead Generation Representative. This opportunity accommodates various schedules so flexibility and prior experience in telemarketing for lead generation is a must.
Work days are US, Monday - Friday, work shift hour sessions are between 10AM to 10PM EDT, some Saturday's as needed. You will be working out of your home office, so you won't have a commute or spend too much of your life sitting in traffic. We provide the calling scripts, auto-dialer, numbers to be called, and all business is done online. The Lead Generation Representative basically just takes cold calls that are incoming into our call queue to develop into leads.
View the YouTube Video to learn more about what we do:
*********************************************************
Interested individuals MUST HAVE:
• Excellent English skills, both written and spoken.
• DSL or Cable internet access with a Computer Headset.
• XLite 5 Softphone, free download available at
(************************************************ Or
Zoiper Softphone Classic version, free download available at
(**********************************
• Impressive customer support, communication, and technical skills.
If you're not able to utilize the X-Lite 5 or Zoiper Classic softphone we will not be able to work with you.
Interested individuals must forward an audio recording giving a brief introduction of your experiences and qualifications. If you do not do this we will not consider you for this opportunity. Audio recording must be emailed in mp3 format or wav.
Visit the following link *************************************************** and submit your results for the application process. (You may have to open the link in a new web browsing window).
All selected applicants are required to do a 2 hour skill assessment to see if you have the skill set to deliver on the results required for this position. Eligibility for being hired is based upon successful completion of the skill assessment.
Thank you for your interest and we look forward to talking with you.
Insurance Protection Specialists
**************************************
Qualifications
Lead Generation, Cold Calling, Telemarketing, Appointment Setting
Additional Information
$31k-43k yearly est. 60d+ ago
Global Employment Tax Leader
GE Aerospace 4.8
Work from home job in San Juan, PR
We are seeking an experienced and strategic Employment Tax Leader to drive the global employment tax agenda for our organization. This role requires a dynamic professional with deep technical knowledge across employment, mobility, equity awards, bonus compensation and international tax, coupled with the ability to engage and influence across multiple functions and geographies. The successful candidate will lead employment tax strategy and compliance, deliver operational excellence, partner with specialist third parties and represent the company in policy and regulatory matters.
**Job Description**
**Essential Responsibilities:**
+ Define and implement the global employment tax strategy, ensuring alignment with evolving business models, legislation, risk appetite, and technology developments. Lead employment tax aspects of corporate transactions, including business separations, reorganizations, and expansions.
+ Oversee compliance and reporting for employment tax obligations across multiple jurisdictions, including Americas, EMEA, and APAC
+ Partner with Payroll, HR, Compensation, Benefits, Corporate Tax, Legal, and Finance to ensure cohesive execution of employment tax policies.
+ Manage International, US Federal and US state employment tax audits, resolve disputes with tax authorities, and address post-filing notice inquiries.
+ Act as a trusted advisor to internal stakeholders, including Boards of Directors, senior leadership, and global enabling functions.
+ Partner with local Payroll Leaders to provide guidance, coaching and support on employment tax matters.
+ Drive employment tax considerations into HR, pension, sourcing, and compensation processes.
+ Develop critical relationships with employment tax service providers and manage these vendors to ensure performance and value delivery.
+ Innovate through the use of technology, including AI, to enhance compliance, efficiency, and data insight.
+ Represent the organization in external regulatory, legal and tax forum
+ Monitor and influence changes in employment tax legislation and policy that impact the business.
**Qualifications/ Requirements:**
+ Bachelor's degree from an accredited university or college in related area (or a high school graduate/GED or equivalent with at least 4 years of relevant work experience)
+ Minimum of five years of experience in employment, mobility, and international tax, with a mix of in-house and accounting or law firm experience.
+ Proven experience leading employment tax strategy and operations for large, multinational organizations..
+ Deep understanding of tax risk, compliance frameworks, and global payroll operations.
**Desired Characteristics:**
+ Tax Advisor or equivalent qualification preferred.
+ Minimum of ten year experience in employment, mobility, and international tax, with a mix of in-house and accounting or law firm experience.
+ Experience with multijurisdictional withholding, reciprocal jurisdictions, and day-counts
+ Track record of managing high-impact projects, including separation and stand-up of complex business entities.
+ Technically adept, with ongoing interest in digital transformation (AI in tax, automation, etc.).
+ Pragmatic and solutions-oriented with strong communication and stakeholder management skills.
+ Proven ability to navigate ambiguity and drive outcomes in complex, cross-functional environments; proven ability to operate successfully across a complex, matrix environment
+ Articulate, adaptable, with excellent inter-personal and cross-cultural skills
+ Skilled in assimilating and interpreting complex concepts and adapting and presenting them to a range of stakeholders
+ Experience influencing at senior levels and across regulatory forums.
+ Strong leadership skills with experience managing teams and third-party providers.
**Pay and Benefits:**
+ The base pay range for this position is $152,300 - 205,000. The specific pay offered may be influenced by a variety of factors, including the candidate's experience, education, and skill set. This position is also eligible for an annual discretionary bonus based on a percentage of your base salary/ commission based on the plan. This posting is expected to close on October 10th, 2025.
+ GE Aerospace offers comprehensive benefits and programs to support your health and, along with programs like HealthAhead, your physical,emotional, financial and social wellbeing. Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to aHealth Coach from GE Aerospace; and the Employee Assistance Program, which provides 24/7 confidential assessment, counseling andreferral services. Retirement benefits include the GE Aerospace Retirement Savings Plan, a 401(k) savings plan with company matchingcontributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits includetuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness. GE Aerospace (General Electric Company or the Company) and its affiliates each sponsor certain employee benefit plans or programs (i.e., isa "Sponsor"). Each Sponsor reserves the right to terminate, amend, suspend, replace or modify its benefit plans and programs at any time andfor any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor's welfare benefit plan or program. Thisdocument does not create a contract of employment with any individual.
**Additional Information**
GE Aerospace offers a great work environment, professional development, challenging careers, and competitive compensation. GE Aerospace is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE Aerospace will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
**Relocation Assistance Provided:** No
\#LI-Remote - This is a remote position
GE Aerospace is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
$152.3k-205k yearly 60d+ ago
Data Analyst
Tpis
Work from home job in San Juan, PR
We're looking for a Business Intelligence Analyst who can support us in the Sales & Marketing Department. If you are passionate about data collection, cleaning, manipulation and visualization, and also have a background in Sales, this opportunity is for you!
Job Responsibilities:
Execute recurring reporting projects, including sales,princing, inventory and employee performance analysis.
Analyze data and identify trends, patterns, or other notable information to identify emerging issues or opportunities for improvement.
Perform recurring data analyses including data comparisons and Salesforce quality control reporting.
Interpret data and develop reports and presentations to communicate and share findings to management and high executives.
Communicate with various departments to ensure all sales, pricing, and inventory data is sent on a regular basis and verify the accuracy of such data, working with the department's supervisors.
Work with consultants to develop enhanced reporting on the performance.
Analyzing and interpreting data from multiple sources to identify potential problems and make recommendations for improvement in operations.
Work on ad hoc reporting and analysis requests as assigned by management.
Extract data and reports from our platform.
Participate with internal and external teams on other projects.
Job Requirements:
Expert in Microsoft Excel, including pivot tables, formulas, LOOKUP's, and merging/consolidating data from multiple sources into a single report.
Knowledge in business intelligence tools and applications (i.e. Power BI, Tableau)
Ability to summarize and present large amounts of data in an organized fashion.
Process thinker and highly analytical with willingness to iterate and find solutions.
Ability to work in a structured manner, including logically working through a project plan or defined set of steps.
Fluent in English - both oral and written.
BS or BA degree in math, computer sciences, accounting, statistics, finance, or related fields
Ability to work remotely.
TPIS is an equal opportunity employer (EEO Employer / Affirmative Action for Women / Disabled / Veterans). We comply with all federal, local, and state laws regarding non-discrimination.
Monday to Friday - 8:00am - 5:00pm or 9:00am - 6:00pm
$37k-56k yearly est. Auto-Apply 60d+ ago
Telemedicine Psychiatrist
Vivo Healthstaff
Work from home job in San Juan, PR
Job Description
Vivo HealthStaff is hiring a Telemedicine Psychiatrist with active licensure in
Puerto Rico
. This position supports a large therapy group with providing medication management services for their patients.
Details:
Work from home; Telecommute
20 hours per week
Provide psychiatric medication management via telemedicine to a Native American Tribal Health Center
12pm Puerto Rico Time - 8pm Puerto Rico time
1 year contract
Benefits:
Competitive Hourly
Weekly payments via direct deposit
Medical Malpractice provided
Completely digital onboarding process
Requirements:
Active Physician License in Puerto Rico
Active and unrestricted DEA license
Board Eligible or Board Certified in Psychiatry
$111k-207k yearly est. 16d ago
Program Management Lead, Offshore Coding Operations
Centerwell
Work from home job in San Juan, PR
**Become a part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial.
The **Program Management Lead, Offshore Coding Operations** optimizes the effectiveness of the offshore coding (post-visit) team. The lead analyzes the performance of the offshore coding team and creates strategies to maximize associate output. The **Program Management Lead, Offshore Coding Operations** works on problems of diverse scope and complexity ranging from moderate to substantial.
**Relationship Building:**
+ Cultivate relationships with onshore and offshore coding teams including leaders.
+ Serve as liaison and primary point of contact with the offshore (vendor) leaders.
+ Strategy: Advises coding leaders to develop functional strategies (often segment specific) on matters of significance.
+ In partnership with Coding Operational Excellence and Regional Coding Leaders, develop strategies for continuous improvement of offshore coding processes and quality.
+ Post-Visit/Offshore Coding Collaboration:
+ Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling methodology to be determined).
**Qualitative and Quantitative Analyses:**
+ Analyze trends and share results with coding leaders/teams.
+ Monitor quality and address performance gaps.
+ Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues.
+ May participate in coder education programs on coding compliance.
+ Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records.
**Mergers and Acquisitions:**
+ Partner with coding teams (consultative coders) on the special handling of Mergers & Acquisitions:
+ Other Duties:
+ Lead Special Projects for onshore and offshore coding teams.
+ Participate in chart reviews to identify educational opportunities.
+ Conduct research as needed.
+ Participate in Payer calls/chart reviews.
+ May participate in provider education programs on coding compliance.
+ Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action.
**Use your skills to make an impact**
**Proposed Requirements:**
+ Bachelor's degree in a relevant field (e.g., Health Information Management, Business Administration, Healthcare Administration)
+ Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC
+ Minimum 5 years' progressive experience in medical coding operations
+ Minimum of 3 years' direct experience managing or optimizing offshore coding teams and vendor partnerships
+ Demonstrated success leading cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations
+ Experience collaborating with analytics, training, and operational excellence teams to drive quality and efficiency in coding workflows
+ Prior exposure to supporting mergers & acquisitions in a coding operations context preferred
**Preferred Qualifications**
+ Master's degree preferred.
**Knowledge, Skills, and Abilities**
+ Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements
+ Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and relevant coding/audit software
+ Strong business acumen with proven strategic and critical thinking skills
+ Ability to analyze complex quantitative and qualitative data, synthesize findings, and communicate actionable insights to leadership
+ Outstanding verbal and written communication skills, with the ability to present to and influence diverse stakeholder groups
+ Effective relationship-building skills with both onshore and offshore teams, including vendor management and leadership liaison
+ Proven ability to work successfully in a fast-paced, dynamic, and matrixed environment
+ Commitment to continuous improvement, operational excellence, and collaborative problem-solving
+ Public speaking and group presentation experience required
+ Demonstrated ability to educate and mentor staff on coding compliance and best practices
**Additional Information**
+ Preferred work hours: EST
+ Up to 20% travel nationally within CenterWell markets
**Work at Home Requirements**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
+ Satellite, cellular and microwave connection can be used only if approved by leadership
+ Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$104,000 - $143,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 01-02-2026
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
Skip the “entry-level grunt-work,” and start making a real impact on Day 1. As part of the Red Ventures Launch program internship, you'll find unparalleled opportunities to gain exposure to the role and learn what it's like to work at RV over the 10-week summer internship period with the goal of getting a full-time return offer for the following summer.
You'll start with a large cohort of interns who will be your community as you navigate the RV internship environment together. You will experience in-depth onboarding and extended training to help you learn the ropes, accelerate your growth, and further hone your skills. After getting ramped up, you will join your assigned RV team, meet your manager and mentor, and gain hands-on industry experience to invest in your career growth.
The Launch Program internship is NOT a chance to sit on the sidelines to learn how we do things. It's your chance to dive in headfirst and take advantage of a 10-week vision into the work we do, learn from our top mentors, and get a jump start into your Red Ventures career while still in school.
This role will be based out of our San Juan, Puerto Rico location Monday-Thursday, with remote work on Fridays.
What You'll Do:
Associate Product Designers create
responsive and complex web sites for globally-recognized brands in multiple high-growth industries.
At Red Ventures, we marry data and design - hooking our creative into powerful user behavior technology that helps us build better connections between brands and consumers. Our designers work directly with data scientists and business analysts to understand user behavior, build highly personalized digital experiences, and collect feedback in near-real-time. The lessons we learn inform new designs - producing websites unlock enormous growth, inspire action in consumers…and look amazing in the process. In this role, you will:
Contribute to the creation of product designs for massive digital brands through the use of design systems, standards and industry best practices
Explore various solutions through whiteboarding sessions with the broader creative team
Design from concept to execution, creating wireframes as well as high-fidelity visuals
Create interactive prototypes to be used in usability testing
Demonstrate skill in design strategy, layout, typography, illustration, and visual hierarchy.
Help conduct research through competitive analysis and usability testing to gain design insights
Identify data-driven opportunities to innovate on-site, while sticking to deadlines
Iterate on existing designs to improve usability and performance
Collaborate with cross-functional teams throughout the design process.
What We're Looking For:
Graduating Winter 2026 or Summer 2027 with a relevant Bachelors.
Summer June 2026 start date in our Santurce, Puerto Rico office
Foundational design skills and Figma proficiency, including basic UX/UI principles, wireframes, flows, and visual hierarchy.
Curiosity and willingness to learn, especially around design systems, research, and team processes.
Collaborative and proactive mindset, working well with others, taking initiative, and exploring solutions independently.
Experience with graphic design
Passion for your craft, with an appetite to stay on the cutting edge of new trends
Desire to grow with a flexible skillset - leaning into writing content, visual design, and user research.
Solid interpersonal and communication skills
Team player with no ego, a competitive spirit, and great sense of humor
Passionate about working in a dynamic, fast-paced, performance-driven environment
A strong desire and commitment to get better every day
Great sense of humor
(yes, it's worth saying twice)
Pro-tip: include some samples of your work! Link to your portfolio, wireframes, publications, whatever represents what you do best.
Who We Are
Founded in 2000, Red Ventures (RV) is home to a diverse portfolio of industry-leading brands and businesses, strategic partnerships and proprietary technology, including Bankrate, Lonely Planet, The Points Guy, BestColleges and more. Together, RV helps millions of people worldwide make life's most important decisions, accelerates digital adaptation, and innovates the online consumer experience by improving every step of the consumer journey from first discovery of information, throughout the decision-making process, to transactions. Headquartered south of Charlotte, NC, Red Ventures employs thousands of people across the US and Puerto Rico, with international offices in the UK and Brazil. For more information, visit *********************** and follow @RedVentures on social platforms.
At Red Ventures, we believe diverse, inclusive teams are better. To help you better understand our core values and beliefs, we encourage you to watch this brief YouTube video: Our Belief Statements. This will give you insight into the principles that guide our work and our commitment to fostering an inclusive environment.
We offer competitive salaries and a comprehensive benefits program for full-time employees, including medical, dental and vision coverage, paid time off, life insurance, disability coverage, employee assistance program, 401(k) plan and a paid parental leave program.
Red Ventures is an equal opportunity employer that does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or any other basis protected by law. Employment at Red Ventures is based solely on a person's merit and qualifications.
We are committed to providing equal employment opportunities to qualified individuals with disabilities. This includes providing reasonable accommodation where appropriate. Should you require a reasonable accommodation to apply or participate in the job application or interview process, please contact accommodation@redventures.com.
If you are based in California, we encourage you to read this important information for California residents linked here.
#LI
Click here for more details regarding the employee privacy policy: *******************************************************
Questions about this Privacy Notice can be directed to ******************************. Alternatively, you may raise any questions or concerns to your manager, HR Business Partner, or through the Privacy Team.
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
Do you want to be a part of something bigger? A team whose impact stretches across the world, and even beyond? At Collins Aerospace, our Mission Systems team helps civilian, military and government customers complete their most complex missions - whatever and wherever they may be.
Our customers depend on us for intelligent and secure communications, missionized systems for specialized aircraft and spacecraft and collaborative space solutions. By joining our team, you'll have your own critical part to play in ensuring our customer succeeds today while anticipating their needs for tomorrow. Are you up for the challenge? Join our mission today.
This position will sit at our Aguadilla, PR location. You must be residing in Puerto Rico at the time of starting employment. Relocation is not offered.
This role is categorized as hybrid, with 3 days onsite and 2 days remote following the schedule assigned by the Manager.
What YOU will do:
Communicate technical topics and issues in a clear and concise manner to both technical peers as well as non-technical team members.
Conduct and provide constructive feedback during peer reviews. Mentor and document knowledge to provide technical guidance to both members of own team and beyond.
Work proactively and in a self-driven manner with an integrated product team (IPT) to manage project scope and budget, as well as identify risks and opportunities.
Participate in and lead investigations into highly complex, open-ended tasks. Search for and identify root cause of issues.
Create military compliant designs that incorporate custom machined/sheet metal parts with a selection of commercial off the shelf items as required.
Perform structural analysis of aerospace components including static, dynamic, thermal, fatigue life, fracture mechanics predictions and damage tolerance analyses to ensure such requirements as sizing, strength, and dynamic load are met throughout the design life-cycle.
Design new products and processes, and improves and maintains existing products. Investigates pertinent design factors such as cost, ease of manufacture, tolerancing, availability and compatibility of materials and equipment, interchangeability, maintainability, strength-weight efficiency, and contractual specification requirements.
Create 3D product models, outlines, and layouts Support product design reviews and coordinate work with project, engineering, and manufacturing teams
What YOU will learn:
You will learn about our growing engineering team in Puerto Rico; What we do? Who we support? How we work?
You will learn the technologies of today and tomorrow which we count on to maintain world leadership in the aerospace industry.
You will learn why people enjoy and feel fulfilled by working in our industry.
Qualifications you must have:
Typically requires a degree in Science, Technology, Engineering or Mathematics (STEM) and minimum 5 years prior relevant experience or an Advanced Degree in a related field and minimum 3 years of experience.
Demonstrated professional experience communicating in English (verbal and written).
U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.
Qualifications We Prefer:
Experience with finite element analysis software for structural and/or thermal considerations (NX NASTRAN, ANSYS tools, FlowTherm and/or ABAQUS FEA software)
Experience with the calculation and documentation of modal analysis, internal stress loading, fatigue, and margins of safety.
Background in analysis and design of commercial industry standards and military electronics packaging form factors, chassis design, and electromechanical applications.
Experience with 3D CAD software (Solidworks, Creo, CATIA, NX, or similar)
Direct experience with printed circuit board (PCB) designs. Can support tasks not directly mechanical such as component selection and layout to ensure mechanical environmental considerations are met.
Practical experience in design and environmental mitigation for electronics packaging designs
Can apply and interpret Geometric Dimensioning and Tolerancing (GD&T) per ASME Y14.5.
Knowledge of military standards such as MIL-STD-810, RTCA DO-160, and MIL-STD-1472.
Hands-on experience designing to meet and qualifying products for rugged environments.
What We Offer
Some of our competitive benefits package includes:
Medical, dental, and vision insurance
Three weeks of vacation for newly hired employees
Generous 401(k) plan that includes employer matching funds
Participation in the Employee Scholar Program (ESP)
Life insurance and disability coverage
Employee Assistance Plan, including up to 8 free counseling sessions.
And more!
Learn More & Apply Now!
Collins Aerospace, an RTX business, is a leader in technologically advanced and intelligent solutions for the global aerospace and defense industry. Collins Aerospace has the capabilities, comprehensive portfolio, and expertise to solve customers' toughest challenges and to meet the demands of a rapidly evolving global market.
Join our growing engineering team in Puerto Rico, where you will provide critical support to all Collins SBUs, working on exciting programs and projects ranging from the development of the next generation of advanced concept ejection seats to the latest technologies for the U.S. warfighter.
WE ARE REDEFINING AEROSPACE.
* Please consider the following role type definition as you apply for this role.
Hybrid: Employees who are working in Hybrid roles will work regularly both onsite and offsite. Ratio of time working onsite will be determined in partnership with your leader.
At Collins, the paths we pave together lead to limitless possibility. And the bonds we form - with our customers and with each other -- propel us all higher, again and again.
Apply now and be part of the team that's redefining aerospace, every day.
RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans' Readjustment Assistance Act.
Privacy Policy and Terms:
Click on this link to read the Policy and Terms
$63k-90k yearly est. Auto-Apply 60d+ ago
Reimbursement Coordinator
Cardinal Health 4.4
Work from home job in San Juan, PR
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ First point of contact on inbound calls and determines needs and handles accordingly.
+ Creates and completes accurate applications for enrollment with a sense of urgency.
+ Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database.
+ Conducts outbound correspondence when necessary to help support the needs of the patient and/or program.
+ Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance.
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry.
+ Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information.
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance.
+ Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing.
+ Working alongside teammates to best support the needs of the patient population .
+ Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted.
+ Track any payer/plan issues and report any changes, updates, or trends to management
+ Search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
+ Handle all escalations based upon region and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve issues swiftly
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED, or equivalent work experience, preferred
+ Patient Support Service experience, preferred
+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payer policies and guidelines for coverage, preferred
+ Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred
+ Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred
+ 1-2 years experience with Prior Authorization and Appeal submissions, preferred
+ Ability to work with high volume production teams with an emphasis on quality
+ Intermediate to advanced computer skills and proficiency in Microsoft Office including but not limited to Word, Outlook, and preferred Excel capabilities
+ Previous medical experience is preferred
+ Adaptable and Flexible, preferred
+ Self-Motivated and Dependable, preferred
+ Strong ability to problem solve, preferred
+ Bilingual is preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:**
+ Your new hire training will take place 8:00am-5:00pm CST the first week of employment, mandatory attendance is required.
+ This position is full-time (40 hours/week).
+ Employees are required to have flexibility to work a scheduled shift of Monday-Friday, 8:00am- 5:00pm CST.
**REMOTE DETAILS:**
**You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:**
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.**
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.40 per hour - $30.60 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/12/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate.
Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
$21.4-30.6 hourly 15d ago
Work at home Data Entry Clerk - Part Time
Towardjobs
Work from home job in San Juan, PR
Earn at Home Panelist Program - Customer Service Rep - Data Entry Clerk - Work from Home & Part-time We are presently looking for on-line support in our work at home Panelist Program. This is a legit opportunity for someone who takes pleasure in sharing point of views concerning products, services and also trends in todays market area. As a Team Member, you will certainly be doing numerous work such as online data entry, performing e-mail response, reviews, studies and also various other online jobs. This work at home work opportunity is extremely rewarding and will certainly help shape the marketplace and affect brand-new products coming to market. In some cases you will even get to see items before the general public and even take part in evaluating them online.
Entry Level Abilities
- Strong outgoing personality with remarkable communication skills and also great work principles.- Data entry and also strong organizational abilities.- Effective listening and analytical abilities, as well as the ability to summarize info as well as offer services.- Experience with computer and have at the very least a typical working degree typing capacity.- You need to be professional and positive and also possess a high degree of self-motivation as well as have the capability to function independently in your job.- Outstanding time management and also administrative abilities with a keen focus to detail.- Other Needs: This is an online work from home position, so you will certainly be required to have the following:- Excellent Operating Entry Level. Personal Pc, less than 4 years old.- Legitimate high-speed net access.- Full-time & Part-time telemarketing position jobs.
APPLY AT : ***********************************************
Apply:
We welcome you to apply if you are the sort of person that is self-motivated and comfortable working on your own at home, appreciate such job as e-mail customer service, data entry and review products, then you are the person we are trying to find.
Data entry agents come from all various backgrounds including, data entry, telemarketing, customer support, sales, clerical, secretary, administrative assistant, receptionist, call facility, part-time, retail.
APPLY AT : ***********************************************
$23k-30k yearly est. Auto-Apply 60d+ 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
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
Supplier Quality Engineer
Western Digital 4.4
Work from home job in San Juan, PR
** At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that-our technology helped people put a man on the moon and capture the first-ever picture of a black hole.
We offer an expansive portfolio of technologies, HDDs, and platforms for business, creative professionals, and consumers alike under our Western Digital , WD , WD_BLACK, and SanDisk Professional brands.
We are a key partner to some of the largest and highest-growth organizations in the world. From enabling systems to make cities safer and more connected, to powering the data centers behind many of the world's biggest companies and hyperscale cloud providers, to meeting the massive and ever-growing data storage needs of the AI era, Western Digital is fueling a brighter, smarter future.
Today's exceptional challenges require your unique skills. Together, we can build the future of data storage.
**Job Description**
**ESSENTIAL DUTIES AND RESPONSIBILITIES:**
Looking for qualified energetic person for opportunity within Western Digital Supplier Quality Engineering electronic component team. This job will allow the candidate to build relationships with internal and external customers, team members, design engineers, and commodity business management.
+ Develop in a technical environment addressing component manufacturing, reliability, and quality issues impacting WDC business
+ Perform supplier Quality on process and products
+ Provide technical assistance to other engineers and team
**Qualifications**
**REQUIRED:**
+ Bachelor's degree in **Electrical Engineering or Physics**
+ Data Analytics knowledge. Develop data pipelines, ensure data quality, and collaborate with senior engineers on technical solutions
+ Willing to travel when job requires
**PREFERRED:**
+ Multiple years (3-7) of experience in electrical component company or electronics industry
+ Experiences with semiconductor manufacturing, semiconductor process engineering, quality engineering, or electrical devices/ICs design engineering
+ Failure analysis for electrical devices, semiconductor
+ Attended classes or seminars in semiconductor physics, design, process, or test
**SKILLS:**
+ Analytical skills, problem-solving
+ Experience in data analysis tools such as Power BI, Spotfire, SQL, Python, Tableau, Excel
+ Fluent in communicating in English
+ Collaboration with teams
**Additional Information**
Western Digital is committed to providing equal opportunities to all applicants and employees and will not discriminate against any applicant or employee based on their race, color, ancestry, religion (including religious dress and grooming standards), sex (including pregnancy, childbirth or related medical conditions, breastfeeding or related medical conditions), gender (including a person's gender identity, gender expression, and gender-related appearance and behavior, whether or not stereotypically associated with the person's assigned sex at birth), age, national origin, sexual orientation, medical condition, marital status (including domestic partnership status), physical disability, mental disability, medical condition, genetic information, protected medical and family care leave, Civil Air Patrol status, military and veteran status, or other legally protected characteristics. We also prohibit harassment of any individual on any of the characteristics listed above. Our non-discrimination policy applies to all aspects of employment. We comply with the laws and regulations set forth in the "Know Your Rights: Workplace Discrimination is Illegal (************************************************************************************** " poster. Our pay transparency policy is available here (****************************************************** .
Western Digital thrives on the power and potential of diversity. As a global company, we believe the most effective way to embrace the diversity of our customers and communities is to mirror it from within. We believe the fusion of various perspectives results in the best outcomes for our employees, our company, our customers, and the world around us. We are committed to an inclusive environment where every individual can thrive through a sense of belonging, respect and contribution.
Western Digital is committed to offering opportunities to applicants with disabilities and ensuring all candidates can successfully navigate our careers website and our hiring process. Please contact us at jobs.accommodations@wdc.com to advise us of your accommodation request. In your email, please include a description of the specific accommodation you are requesting as well as the job title and requisition number of the position for which you are applying.
Based on our experience, we anticipate that the application deadline will be 2/7/2026 (3 months from posting), although we reserve the right to close the application process sooner if we hire an applicant for this position before the application deadline. If we are not able to hire someone from this role before the application deadline, we will update this posting with a new anticipated application
\#LI-RR1
**Compensation & Benefits Details**
+ An employee's pay position within the salary range may be based on several factors including but not limited to (1) relevant education; qualifications; certifications; and experience; (2) skills, ability, knowledge of the job; (3) performance, contribution and results; (4) geographic location; (5) shift; (6) internal and external equity; and (7) business and organizational needs.
+ The salary range is what we believe to be the range of possible compensation for this role at the time of this posting. We may ultimately pay more or less than the posted range and this range is only applicable for jobs to be performed in California, Colorado, New York or remote jobs that can be performed in California, Colorado and New York. This range may be modified in the future.
+ If your position is non-exempt, you are eligible for overtime pay pursuant to company policy and applicable laws. You may also be eligible for shift differential pay, depending on the shift to which you are assigned.
+ You will be eligible to be considered for bonuses under **either** Western Digital's Short Term Incentive Plan ("STI Plan") or the Sales Incentive Plan ("SIP") which provides incentive awards based on Company and individual performance, depending on your role and your performance. You may be eligible to participate in our annual Long-Term Incentive (LTI) program, which consists of restricted stock units (RSUs) or cash equivalents, pursuant to the terms of the LTI plan. Please note that not all roles are eligible to participate in the LTI program, and not all roles are eligible for equity under the LTI plan. RSU awards are also available to eligible new hires, subject to Western Digital's Standard Terms and Conditions for Restricted Stock Unit Awards.
+ We offer a comprehensive package of benefits including paid vacation time; paid sick leave; medical/dental/vision insurance; life, accident and disability insurance; tax-advantaged flexible spending and health savings accounts; employee assistance program; other voluntary benefit programs such as supplemental life and AD&D, legal plan, pet insurance, critical illness, accident and hospital indemnity; tuition reimbursement; transit; the Applause Program; employee stock purchase plan; and the Western Digital Savings 401(k) Plan.
+ **Note:** No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
**Notice To Candidates:** Please be aware that Western Digital and its subsidiaries will never request payment as a condition for applying for a position or receiving an offer of employment. Should you encounter any such requests, please report it immediately to Western Digital Ethics Helpline (******************************************************************** or email ****************** .
$62k-76k yearly est. Easy Apply 26d ago
Billing Technician
Bio-Nuclear of Puerto Rico
Work from home job in San Juan, PR
Job Description
Job Title: Billing Technician
Department / Unit: LabInfo / Billing
Immediate Supervisor: Administrative Manager
Classification: Non-exempt
Nature of the Position: Serve as an expert in the LabInfo billing system for clients. Perform technical work aimed at implementing, guiding, training, identifying, managing, and resolving service queries and/or requests related to the billing of laboratory services. Make referrals as required to the corresponding units.
Essential Duties and Responsibilities:
Attend to calls from, and/or generate calls to, clients who generate service calls to identify and diagnose the problem with the billing module and determine if the service will be performed remotely or on-site. Services may include, but are not limited to:
Updating the module according to billing changes issued by insurance companies.
Creating and configuring directories for submissions to insurers.
Configuring form 1500.
Configuring billing files.
Detecting patient entry errors.
Supporting the reconciliation and re-billing process for clients. This includes, but is not limited to:
Verifying that the required steps are followed or have been followed.
Detecting errors and correcting them and/or escalating and collaborating with the personnel responsible for correcting them.
Explaining the resolution to the client.
Feeding the billing module in all areas when new installations are made. These tasks may include, but are not limited to:
Installing diagnostic codes.
Entering information related to insurance companies.
Creating covers and their respective rates.
Configuring CPT codes.
Training new clients on the billing module.
Training clients when updates and revisions ("updates" and "upgrades") related to the billing module are made.
Preparing and delivering a detailed report daily on the tasks performed during the shift.
Completing the ISO form when a service is executed to be billed.
Establishing and maintaining responsible, honest, timely, professional, and courteous communication with supervisors, coworkers within and outside the department, clients, consultants, contractors, and any other person related to the service delivery.
Actively contributing to cultural transformations, as well as maintaining the company's mission and achieving its vision; exemplifying through performance and conduct the philosophy of efficiency culture, company values, and principles of high-quality internal and external customer service.
Incidental Duties and Responsibilities:
Generating and closing service tickets with clients.
Providing support in the process of answering phone calls that come to the switchboard.
Keeping updated on the latest developments in our applications, as well as technological advances, changes, and developments applicable to their functions and the industry, as they apply to their functions.
Attending and participating as required in meetings, presentations, and professional development and training activities.
Other tasks as necessary.
Work Contacts:
Internal Contacts:
Administrative Manager
Programmers
Information Specialists
IT Specialist
IT Technician
LabInfo Administrative Assistant
Leaders and employees of all departments
Personnel
External Contacts:
Clients
Prospects or potential clients
Suppliers
Consultants
Independent contractors
Impact of the Position on the Organization:
If the tasks described above are not performed adequately, it could affect: the client's billing process causing delays in their daily operation, the normal flow of daily operations, the project work plan, and the quality of the excellent service required to be provided to clients.
Supervisory Responsibilities:
This position does not perform supervisory functions. Receives direct supervision from the LabInfo Administrative Manager and training, guidance, and/or direction from Programmers.
Academic Preparation:
Billing course for medical plans.
Professional Experience:
Minimum one year of experience in billing for health services and/or clinical laboratories.
Other Requirements:
Valid motor vehicle driver's license. Motor vehicle in condition to travel throughout the island of Puerto Rico.
Job Competencies:
Knowledge, skills, abilities, and aptitudes necessary to perform the position:
Extensive knowledge of coding manuals (ICD-9, ICD-10, and CPT)
Excellent listening and verbal and written communication skills in Spanish and English
Knowledge of electronic billing modules
Excellent customer service skills, professional projection, and interpersonal relationships
Good organizational, prioritization, coordination, and time management skills
Good teamwork skills
Good skills to work under pressure
Ability to handle multiple tasks simultaneously and meet deadlines
Availability to work holidays, weekends, and extended hours as necessary
Availability to travel throughout the island of Puerto Rico
Ability to impart instructions and transmit knowledge effectively
Ability to exercise discretion and confidentiality
Excellent emotional management
Extensive knowledge of Microsoft Windows applications, including Word, Excel, PowerPoint, and Outlook
Physical Demands:
Physical demands:
Short time
Moderate time
Most of the time
Work Equipment:
Files, computer (keyboard and mouse), calculator, telephone, photocopier, fax machine, and general office supplies (e.g., paper, pens, envelopes, folders, etc.).
Environment:
Closed office with air conditioning and moderately cold temperature or the interior of your motor vehicle.
Disclaimer Clause:
The information contained herein summarizes the general nature of the competencies and the degree of complexity of the functions established for the personnel performing this position. Its content should not be interpreted as an exhaustive inventory of all functions, tasks, and responsibilities of the position. Other tasks may be added or existing ones may be modified as stipulated by the company.
“We are an Equal Employment Opportunity Employer and take Affirmative Action to recruit Protected Veterans and Individuals with Disabilities.”
"Equal Opportunity 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."
"EEO/Affirmative Action for Veterans/Workers with Disabilities”
$33k-40k yearly est. 11d ago
Patient Access Optimization Analyst
Baylor Scott & White Health 4.5
Work from home job in San Juan, PR
The Patient Access Optimization Analyst role is to configure and provide functional and technical support for access optimization initiatives. This position also assists with the analysis, solutioning, documentation, and implementation of Epic-build related functions.
+ This is a remote position
+ Working hours Central time zone - 8AM - 5PM
+ Two positions available
_The pay range for this position is $31.73/hour (entry level qualifications) - $54.90/hour (highly experienced). The specific rate will depend upon the successful candidate's specific qualifications and prior experience._
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Presentation - able to communicate information professionally and formally to stakeholders through meetings and written presentations.
+ Independence - proven ability to manage small to medium projects to ensure successful project implementation and engagement.
+ Excellent verbal and written communication skills, as well as presentation skills.
+ Strong analytical and advanced research skills.
+ Solid organizational skills, especially the ability to meet project deadlines with a focus on details.
+ Ability to successfully multi-task while working independently or within a group environment.
+ Ability to work in a deadline-driven environment, and handle multiple projects simultaneously.
+ Ability to interact effectively with people at all organizational levels.
+ Build and maintain strong relationships.
**KEY SUCCESS FACTORS**
+ Decision tree design, documentation, and maintenance experience strongly preferred.
+ Ability to think critically and analyze complex technical solutions.
+ Epic Cadence Certified strongly preferred.
+ ServiceNow experience preferred.
+ Epic Cadence Provider template management and build experience strongly preferred.
+ Ambulatory and/or Surgery scheduling experience required.
+ Experienced proficiency in Excel and SQL required.
+ Able to work through complex business problems and partner with clients using a consultative approach.
+ Exceptional data/modeling skills with ability to convert raw data into actionable business insights.
+ Able to apply knowledge of healthcare industry trends and their drivers.
+ Able to work in a dynamic setting and work well under pressure.
+ Intermediate to advanced knowledge of statistics (including modeling techniques) preferred.
+ Lean Six Sigma experience preferred.
+ 5 years of experience working in Epic strongly preferred.
**BENEFITS**
Our competitive benefits package includes the following
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Bachelor's or 4 years of work experience above the minimum qualification
- EXPERIENCE - 5 Years of Experience
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
$31.7-54.9 hourly 60d+ ago
Amazon Content Strategist
AMZ Advisers
Work from home job in San Juan, PR
AMZ Advisers is a digital media marketing agency focused on developing and implementing strategic marketing plans for the global Amazon marketplaces. Working at AMZ Advisers allows you to apply your skills, expertise, and passions to directly impact the lives and business of other people and entrepreneurs. Our staff solves dynamic, quickly evolving problems with our Founders, in-house team, and network of partnered tech companies.
About the Role:
The Content Strategist main role is to develop and implement our clients content strategy on the Amazon platform. You will also be responsible for guiding and mentoring the in-house and freelance design team to develop functional, attractive, creative, and sales-oriented design and visual communication. The primary responsibility is content team management. You will be responsible for the designers in your pod and managing them to their highest performance. Our organization works with a wide variety of clients and industries. The Content Strategist will work with Clients and Project and Account Management to understand the needs of each account.
The ideal candidate will be able to give constructive feedback to the content team based on their own perspectives aligning with client feedback to promote a collaborative, creative, and respectful work environment for all. A highly collaborative spirit with the focus on overall team improvement is required. In addition to overseeing the design teams work, this is a hands-on graphic design role in which the Content Strategist will be self-assigning content creation tasks to deliver within the regular content workflow.
The Content Strategist is a flexible thinker and has an in-depth knowledge of design, typography, layouts, past and current design trends, and most importantly the Amazon marketplace and the most cutting edge marketing strategies within the platform. They're a self-starter, go getter, but it is critical they know when and how to delegate work to achieve the goals of Project and Account Management. Understanding how to work smarter, not harder, and having an open and positive outlook when facing challenges is imperative.
The Content Strategist will also oversee the in-house designers and ensure they're always updated on Amazons content policy changes as they arise, as well as train new graphic designers and freelancers as part of their team member onboarding process.
Key Responsibilities:
Lead the design and creative direction for each clients brand, ensuring visual consistency and alignment with Amazon best practices.
Research clients and competitors thoroughly before onboarding calls to craft tailored strategies.
Attend and contribute to Welcome Calls and Content Strategy Calls with clients, Project Managers, and Account Managers.
Act as the first point of contact for content-related escalations and creative feedback from clients or internal teams.
Guide and mentor the design team on ongoing projects, offering feedback and creative solutions.
Oversee daily tasks such as catalog updates, image replacements, listing tweaks, and checking ASINs in Seller Central.
Respond to internal messages and collaborate cross-functionally with Account Managers, Project Managers, and other team members.
Participate in and lead daily stand-up meetings to identify blockers and maintain workflow alignment.
Conduct and present Content Audits and create Moodboards to clients as part of the onboarding process.
Collaborate with SEO and Editorial teams for quarterly updates to listing copy, restricted terms, and content strategy alignment.
Review and track performance through monthly reports on design and content KPIs.
Assist with the onboarding of new designers on an as needed basis, including training on content standards and tools.
Coordinate with SEO specialists to ensure the Restricted Terms Sheet is reviewed and updated quarterly.
Support the integration of new content modules, checking for updates every month and ensuring implementation across relevant accounts.
Participate in content feedback calls with clients to ensure and facilitate clear rework notes.
Lead monthly or bi-monthly design training sessions to up-skill the design team and maintain high creative standards.
Partner with Project and Account Managers to ensure timely task delivery, supporting overall team KPIs and workload management.
Collaborate on internal performance processes, including Performance Improvement Plans (PIPs) and team evaluations when needed.
Qualifications:
Bachelors Degree or higher in Design is required
5+ years of experience in Design
3+ years of experience with Amazon specific content creation and management
2+ years of experience managing creative teams
Strong design portfolio
An experienced eye for detail
Ability to work within a team and independently as required
Strong time management skills are required
What We Offer:
Join our team from anywhere in the world!
Permanent Work-from-Home Setup
Opportunity to work with a dynamic and growing team in the e-commerce industry.
Competitive salary based on experience
Professional development and growth opportunities
A collaborative and supportive work environment that values creative problem-solving
$53k-67k yearly est. 60d+ ago
OEM Sales Manager
Copeland 3.9
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 OEM Sales Manager is a key member of the Commercial Cold Chain Sales team. In this role, you will develop, collaborate, and complete sales strategies across multiple channels in collaboration with our End User and Aftermarket Sales Teams. The OEM Sales Manager's primary role within Copeland Cold Chain is to deliver sales growth through leadership and the execution of a strategic sales plan. You will direct the work and strategy for several Account Executives who lead the sales effort for the Copeland Cold Chain to several OEM customers. The ideal candidate will manage communications both internally and externally to ensure alignment.
**As an OEM Sales Manager you will:**
+ Drive year over year sales territory growth.
+ Develop and drive strategies for refrigeration customers to lower GWP refrigerants (CO2, R290, A2L) solutions
+ Define, build and nurture relationships with key decision makers at all customers in the territory
+ Identify and define customer growth strategies then design and drive account-specific strategies to align with customer needs.
+ Own complete accountability for delivering and maintaining territory sales and account business plans
+ Drive recognition and closure of opportunities for cross-business products (compression, controls, enterprise services) to increase recurring revenue
+ Monthly participation in forecast process and updating
+ Monthly participation in our business opportunity management/pipeline process
+ Develop key relationships with Customer Engineering, Marketing, Supply Chain, etc. Manage customer profile, contacts, and opportunity funnel within Salesforce CRM platform
**Required** **Educatio** **n, Experience, & Skills** **:**
+ Bachelor's degree in a business related or technical field
+ Proven Sales Record
+ Minimum of ten years advancement in selling and management
+ Proven experience in managing from classic sales to consultative solutions selling.
+ Proven experience in sales team development and organizational change.
+ Strong communication skills and the ability to connect with both lower-level technical decision makers and executive level financial decision makers.
+ Proficiency in MS Word, Excel and PowerPoint is required
+ Legal authorization to work in the United States - Sponsorship will not be provided for this position.
**Preferred Education, Experience, & Skills:**
+ MBA
+ Management experience in Refrigeration, HVAC or Controls Technology
**Remote Work Arrangement: **
This role is fully remote, working out of regional home office with 60% travel required. A typical week consists of customer visits across multiple cities, hotels & rental cars. As a remote colleague, you may be required to travel to Copeland sites 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 $140,000-$160,000 annually+ applicable bonuses, commensurate with the skills, talent, capabilities, and experience each candidate brings to a role.
\#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.
$140k-160k yearly 60d+ ago
Sr Coordinator, Individualized Care (Reimbursement Coordinator)
Cardinal Health 4.4
Work from home job in San Juan, PR
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**_Responsibilities_**
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
+ Proactive follow-up with various contacts to ensure patient access to therapy
+ Demonstrate superior customer support talents
+ Prioritize multiple, concurrent assignments and work with a sense of urgency
+ Must communicate clearly and effectively in both a written and verbal format
+ Must demonstrate a superior willingness to help external and internal customers
+ Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Must self-audit intake activities to ensure accuracy and efficiency for the program
+ Make outbound calls to patient and/or provider to discuss any missing information as applicable
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Documentation must be clear and accurate and stored in the appropriate sections of the database
+ Must track any payer/plan issues and report any changes, updates, or trends to management
+ Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome
+ Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
+ Support team with call overflow and intake when needed
+ Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED or technical certification in related field or equivalent experience preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.50 per hour - $30.70 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 2/11/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
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