MCS Puerto Rico Vacatures in België

The Call Center Team Leader is responsible for providing call assistance and monitoring and support to the other company lines of business based on operational needs. This position identifies the training requirements of Service Representatives and informs management to ensure ef ...

Works as a service liaison, proactively addressing the needs of our members from the Classicare line of business through special initiatives and campaigns. · Responsible for closing the service cycle and strengthening the relationship with members at every interaction, promoting ...

Responsible for providing strategic leadership in the development, implementation, and governance of compliance and monitoring frameworks across all pharmacy programs and vendor relationships. · ...

This is the technical lead role responsible for providing leadership to development tasks. · Provides technical leadership to the development tasks performed by resources to launch new programs, modify them or integrate them according to business and technical requirements. · As ...

Serves as a legal advisor and compliance leader for the Commercial Sales, Renewals, and Operations teams. · ...

Responsible for executing processes related to contracting professional service providers. Coordinates visits, negotiates agreements and manages contracts for providers and the company's business lines. · ...

Assisting in managing operational processes following MCS guidelines policies and procedures. · ...

This Call Center Representative will be responsible for receiving and initiating phone calls regularly in alignment with the strategies and special projects of the Medicare Stars Program. · ...

The Pharmacy Department's Financial Activities such as Budget and Savings Initiatives are responsible for. Develops, analyzes, and evaluates pharmacy savings initiatives. · Lead and support EMMs initiatives activities by establishing schedules, milestones resources issues scope. ...

Regular · Non-Exempt · GENERAL DESCRIPTION: · Responsible for receiving and initiating phone calls regularly in alignment with the strategies and special projects of the Medicare Stars Program. Ensures the call volume and service quality meet the productivity targets and supports ...

The IT Quality Specialist will be responsible for defining, implementing, and improving standards, processes, and quality assurance practices throughout the lifecycle of applications and systems. · ...

Responsible for driving consistent and impactful brand visibility and merchandising across the company's facilities and partner locations. · ...

Analyzes investigates supports and answers Grievances Dental Pre-Service Payment Appeals filed by members insureds Providers within time stipulated contractually for both Lines Business LOB following term stated contracts established MCS rights Patients Providers. · ...

++ Coordinates group renewal information for the group renewal process and monitors insurance licenses. · ...

+Job summary · The Customer Service Representative I – SC assists customers with information about products and services. · +QualificationsBachelor's Degree from an accredited institution. · ...

Evaluate potential fraud waste abuse and or violations of applicable laws or regulations including cases of financial exploitation. · Develop and prepare cases involving high monetary amounts sensitive matters or those meeting criteria for referral to law enforcement agencies suc ...

This job is responsible for monitoring unit strategies and initiatives to ensure compliance with the Special Needs Plan (SNP) population. The incumbent will monitor social determinants evaluations and face-to-face encounters. · ...

This position involves managing pharmacy utilization management drugs units for all business lines. · ...

Responsible for developing communications plans participates in planning sessions evaluating standardizing coordinating and editing content published for company stakeholders internally externally. · ...

The Field Marketing Specialist is responsible for driving consistent brand visibility across company facilities and partner locations. · Bachelor's Degree in Marketing, Business Administration, Communications or related field. · At least three years of experience in trade marketi ...