Medicare jobs in Puerto Rico

 ...Health Plan experience Previous Case Management Experience Call center or triage experience Previous experience managing Medicare members Work-At-Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided... 

 ...compliance with the service indicators set by the company, as well as the policies and procedures established by the Centers for Medicare and Medicaid Services (CMS) and other regulatory entities. Essential Functions: Assist the Service Representatives with customer... 

 ...Exempt General Description: Analyzes, investigates, resolves, and answers grievances received through the Center for Medicaid and Medicare Services (CMS) and Complaint Tracking Module (CTM), pre-service appeals, Office of Insurance Commissioner (OIC), and... 

 ...delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer.... 

Job Description Job Description Description: Por qué Everstory En Everstory Partners, nuestra misión es crear espacios de apoyo donde las personas y las familias puedan encontrar consuelo, significado y esperanza en medio de la pérdida. En el centro de nuestra...

Claims Resolution Clerk Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits,...

Training Classes Start Soon - Apply Today! Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, ...

 ...any of our 8-hour shift schedules during our normal business hours of 7:00am - 10:00pm CST. Primary Responsibilities: Assist Medicare-eligible individuals telephonically in the following ways Answer incoming phone calls from prospective members and identify the...