Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareSan Juan, PR$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
Healthcare Services Coordinator (Determination Letters) - San Juan, PR UnitedHealth Group Inc.Healthcare Services Coordinator (Determination Letters) - San Juan, PRSan Juan, PRThis role can include initial triage of members for possible transition to clinical staff, managing admission and discharge census information, serving as a point of contact for facilities and clinical teams, telephonic engagement with our members and providers, providing information on available network services, managing the referral process to connect members with all available resources, management of prior authorizations, and generation of written determination notifications. Preferred Qualifications: Experience working within a Hospital, Physician's Office, or Medical Clinical setting, Medical Terminology, ICD - 10 and CPT codes, Medicare and / or Medicaid Services, Call Center environment.
NewRegional Director Care Management RN Team Member ServicesRegional Director Care Management RNMission, Texas$104,795.46–$194,919.56 / yearWorking closely with regional and campus executive leaders, physicians, and interdisciplinary teams, the Regional Executive Director will develop and implement strategies that improve patient outcomes, optimize resource utilization, strengthen care transitions, reduce avoidable readmissions, and support exceptional patient experiences. The ideal candidate has a strong background in acute care nursing and Care Management leadership, with experience leading multidisciplinary teams, driving operational improvement, ensuring regulatory compliance, and using data to improve quality and financial performance across a complex healthcare system.
Regional Director Care Management RN AdventHealthRegional Director Care Management RNMission, TexasWorking closely with regional and campus executive leaders, physicians, and interdisciplinary teams, the Regional Executive Director will develop and implement strategies that improve patient outcomes, optimize resource utilization, strengthen care transitions, reduce avoidable readmissions, and support exceptional patient experiences. The ideal candidate has a strong background in acute care nursing and Care Management leadership, with experience leading multidisciplinary teams, driving operational improvement, ensuring regulatory compliance, and using data to improve quality and financial performance across a complex healthcare system.
Care Management Support Coordinator II BravoTechCare Management Support Coordinator IIHidalgo, TXRemoteIn this role, you'll serve as a primary point of contact for members, scheduling assessments, coordinating services, documenting member information, and delivering outstanding customer support. We're seeking a customer-focused Care Management Coordinator to support administrative care management activities in a fast-paced, remote call center environment.
Contract Management Coordinator San Juan Regional Medical CenterContract Management CoordinatorSan JuanRespond personally to concerns and/or complaints expressed by patients, visitors, hospital staff, and physicians in effort to support optimal operations and excellent customer service. Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid and managed care processes.
Manager of Case Management San Juan Regional Medical CenterManager of Case ManagementSan JuanRequired Qualifications : • BSN; Registered Nurse License in New Mexico or Bachelor's Degree in healthcare (or related field) or ADN with ten (10 +) or more years of healthcare experience with prior experience working within a hospital setting, at least five (5) years' experience must be in a leadership position. Provides direction and leadership to the Case Management team to promote delivery of high-quality patient care with an appropriate length of stay and appropriate resource utilization.
Senior Manager, Member Services Wider CircleSenior Manager, Member ServicesMcAllen, Texas$90,000–$115,000The team runs a high-volume outbound contact center — activating members, conducting outreach campaigns, and driving engagement — alongside a lower-volume, higher-complexity layer of care navigation work: closing care gaps and coordinating follow-through on health-related needs. This is a role for an experienced contact center operator who understands value-based care outcomes — someone who can run a real-time outbound operation at scale while keeping the team focused on the quality metrics that drive member success.