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Empleos en Puerto Rico

Última actualización: hace 3 días
Medical Director - Medicaid Virginia

Medical Director - Medicaid Virginia

CVS HealthPuerto Rico, Work At Home, US
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading h...Mostrar másÚltima actualización: hace 23 días
Data Entry Operator Needed - Work From Home

Data Entry Operator Needed - Work From Home

YexgoLexington, Estados Unidos
Quick Apply
Data Entry Operator Needed - Work From Home.You will be responsible for ensuring the accurate and timely entry of information into our systems, maintaining data integrity, and supporting other depa...Mostrar másÚltima actualización: hace 4 días
Independent Optometrist – Walmart / Sam’s Club (Puerto Rico)

Independent Optometrist – Walmart / Sam’s Club (Puerto Rico)

Walmart WalmartPuerto Rico, US
As an Independent Optometrist leasing space inside our Walmart stores, you will take a leading role in patient care with respect to eye and vision care as well as general health and well-being.As a...Mostrar másÚltima actualización: hace 23 días
Executive Chef

Executive Chef

Four Seasons Hotels and ResortsPuerto Rico
Four Seasons is powered by our people.We are a collective of individuals who crave to become better, to push ourselves to new heights and to treat each other as we wish to be treated in return.Our ...Mostrar másÚltima actualización: hace más de 30 días
Promotion Assistant

Promotion Assistant

Spanish Broadcasting SystemPuerto Rico
As a pioneer in Spanish-language media, SBS has always been at the forefront of the evolution of Hispanic entertainment in the U. In this era of technological advancements and media convergence, SBS...Mostrar másÚltima actualización: hace 23 días
Representate de Ventas (Outside Sales Rep)

Representate de Ventas (Outside Sales Rep)

Share Tech GroupHato Rey - Toda la Isla, PR
Quick Apply
Buscamos Representate de Ventas (Outside Sales) para una empresa líder en la venta de materiales como válvulas, fittings, tuberías, plomería y sistemas HVAC, con alcance e...Mostrar másÚltima actualización: hace 3 días
Sr. Technical Services

Sr. Technical Services

Mentor Technical GroupPR
Quick Apply
Mentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry. As a world leader in life science engineering and technical solutio...Mostrar másÚltima actualización: hace más de 30 días
Banco de Talentos (Future Projects) - Unisys LAC

Banco de Talentos (Future Projects) - Unisys LAC

UnisysClient Puerto Rico,Multi
What success looks like in this role : .Te gustaría formar parte de futuros procesos en Unisys?.Esta vacante no está asociada a una posición específica. Al aplicar, estarás sumándote a nuestra.Você go...Mostrar másÚltima actualización: hace 22 días
Sales Merchandiser (West Area)

Sales Merchandiser (West Area)

Cardinal Health International Philippines Inc.Territorywide, Puerto Rico
What Merchandising contributes to Cardinal Health.Responsible for providing technical and professional expertise related to retail independent store merchandising, including implementing merchandis...Mostrar másÚltima actualización: hace 10 días
Border Patrol Agent - Experienced (GS11)

Border Patrol Agent - Experienced (GS11)

United States Customs and Border ProtectionUrbanización La Monserrate, PR, US
Border Patrol Agent - Experienced (GS11) Check out this higher-salaried federal law enforcement opportunity with U.Your current or prior law enforcement experience may qualify you for this career o...Mostrar másÚltima actualización: hace 12 días
MORTGAGE SERVICING MANAGER - MORTGAGE - FIRSTBANK PR

MORTGAGE SERVICING MANAGER - MORTGAGE - FIRSTBANK PR

First BanCorpPuerto Rico
Our more than 3,100 employees in Puerto Rico, the Virgin Islands and Florida share a passion for excellent customer service. We are proud of our team because they are continuously surpassing our cli...Mostrar másÚltima actualización: hace 19 días
Sr. Storage Analyst

Sr. Storage Analyst

EVERTECPuerto Rico
Responsible for managing backup and storage environments, which may include : incorporating disk, tape, SAN, backup and storage software's, resolving storage short falls, alerting and resolving perf...Mostrar másÚltima actualización: hace más de 30 días
Border Patrol Agent - Experienced (GL9 / GS11)

Border Patrol Agent - Experienced (GL9 / GS11)

U.S. Customs and Border ProtectionPR
Check out these higher-salaried federal law enforcement opportunities with the U.Your current or prior law enforcement experience may qualify you for this career opportunity with the nation's premi...Mostrar másÚltima actualización: hace 5 días
Vans : Seasonal Sales Associate - Barceloneta

Vans : Seasonal Sales Associate - Barceloneta

VF CorporationPuerto Rico, US
Vans is the original brand rooted in the authentic lifestyle of skateboarding.We are driven by our mission to inspire and empower everyone to live “Off The Wall” – embracing the youthful spirit of ...Mostrar másÚltima actualización: hace 23 días
IT Project Manager - Critical Infrastructure / OT Systems

IT Project Manager - Critical Infrastructure / OT Systems

DCMC PartnersPuerto Rico, PR, US
IT Project Manager - Critical Infrastructure / OT Systems.San Juan, Puerto Rico (Full time and on-site required).DCMC Partners, a Great Place to Work® Certified company, specializes in disaster...Mostrar másÚltima actualización: hace 15 días
Operations Support Specialist

Operations Support Specialist

Ultimate SolutionsWest, Puerto Rico, PR, Puerto Rico
Life Science Industries in Puerto Rico, United States and Europe.Over a decade, the Ultimate team has deliver proven results in hundreds of projects and thousands of service hours to the global lea...Mostrar másÚltima actualización: hace más de 30 días
Research and Evaluation Officer, Forward Society Lab - University of Toronto

Research and Evaluation Officer, Forward Society Lab - University of Toronto

J-PALPuerto Rico
A research practice partnership seeks to hire a Research and Evaluation Officer to serve as liaison between a team of researchers at the University of Toronto Forward Society Lab and the Puerto Ric...Mostrar másÚltima actualización: hace más de 30 días
IT Program Manager

IT Program Manager

ICFPuerto Rico
TheProgramManager (PM) is responsible for overall management of the project team.The PM is responsible forfacilitating the workflow of client deliverables and providing final oversight and quality ...Mostrar másÚltima actualización: hace 23 días
Overnight - Guest Service Representative

Overnight - Guest Service Representative

SP Plus Corporation(M) SHERATON PUERTO RICO CONVENTION CTR, 62241
SP+, a Metropolis company, is an artificial intelligence company for the real world.We use computer vision to enable checkout-free parking experiences. So there’s no fumbling with tickets, machines,...Mostrar másÚltima actualización: hace 18 días
Online Work From Home

Online Work From Home

Online Consumer Panels AmericaPuerto Rico, US
Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...Mostrar másÚltima actualización: hace más de 30 días
Esta oferta de trabajo no está disponible en tu país.
Medical Director - Medicaid Virginia

Medical Director - Medicaid Virginia

CVS HealthPuerto Rico, Work At Home, US
Hace 23 días
Descripción del trabajo

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary :

Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna, a CVS Health company!

Aetna operates Medicaid Managed Care Plans in multiple states : Arizona, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia and West Virginia.

This is a regional role that primarily supports Medicaid plans in Aetna’s Northeast region but may support other plans when needed. This UM (Utilization Management) Medical Director will be a "Work from Home" position primarily supporting the Aetna Virginia Medicaid plan and the UM team.

The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.

This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post-acute services, pharmacy, appeals and state fair hearings. You will be part of a rotating on call schedule for providing weekend and holiday coverage.

Required Qualifications :

  • Five or more years of experience providing direct patient care.
  • Active state medical license without encumbrances and the willingness to get licensure in other states as needed.
  • M.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty, including post-graduate direct patient care experience
  • Board certification in Emergency Medicine, Family Medicine (with hospitalist experience), General Surgery or Internal Medicine preferred.

Preferred Qualifications :

  • Physician leadership
  • Education :

  • M.D. or D.O.
  • Pay Range

    The typical pay range for this role is :

    174,070.00 - $374,920.00

    This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

    Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

    Great benefits for great people

    We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

    Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

    No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

    Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

    For more information, visit

    We anticipate the application window for this opening will close on : 07 / 18 / 2025

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.