Customer Care Representative I-Bilingual (US)
Elevance Health (Carelon)
San Juan, PR Tiempo Completo Publicado 6 nov
Privado
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Coverage Determination Specialist (Multiple)
San Juan, PR $17 / hora Temporero Publicado 20 oct 2026
Prepárate para solicitar (2 min)
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Lo que debes saber de esta plaza
Preparado por MyPRjobs con los datos del anuncio y de nuestro catálogo. El anuncio del patrono sigue más abajo, completo.
- Este tipo de trabajo
Trabajo en plantas de manufactura, farmacéuticas o de equipos médicos. Se opera maquinaria, se ensambla, se empaca o se inspecciona calidad siguiendo procedimientos estrictos (GMP). Muchas plantas trabajan por turnos rotativos.
- Cómo está el pago
Anuncia $17.00 por hora. Está por encima del salario mínimo de Puerto Rico ($10.50).
- Lo que te quedaría a la semana (aproximado)
A 40 horas: $680 brutos y unos $626 después de Seguro Social (6.2%), Medicare (1.45%) y SINOT (0.3%).
Antes de la retención de contribución de Hacienda, que depende de tus exenciones (formulario 499 R-4), y de plan médico o retiro si te los descuentan.
- Horario que menciona
Turnos rotativos · Incluye fines de semana
- Lo que piden, en corto
- 3 años de experiencia
- Documentos que suelen pedir
- Identificación con foto y Seguro Social o permiso de trabajo (formulario I-9)
- Diploma de cuarto año
- Certificado de buena conducta (antecedentes penales), en algunas plantas
- En nuestro catálogo
Publicada hace 18 días. Kelly Services tiene 137 plazas abiertas más en MyPRjobs. En San Juan hay 1,108 empleos activos más.
Más de Kelly Services
Resumen
Ready to join a company that’s on the move? That’s where Kelly® Science & Clinical comes in.
We’re seeking multiple Coverage Determination Specialist to work in leading healthcare technology and pharmacy benefits organization in Puerto Rico. This is your opportunity to join an innovative organization, work remotely, and help improve healthcare outcomes for members every day.
Salary : $17 per hour
Location : Puerto Rico (needs to be onshore)
Why you should apply to be Coverage Determination Specialist:
- Competitive pay rate
- Opportunity to work with a respected leader in the healthcare industry
- Flexible hybrid work model (Puerto Rico location only) with required on-site days
- Join a supportive team environment that values your clinical expertise and commitment
- Build your career within a dynamic and growing field
- Weekly pay by W-2
- Vacations, Sick & Holidays paid*
- Christmas bonus*
*Must comply with minimum established requirements to qualify.
What’s a typical day as Coverage Determination Specialist? You’ll be:
- Creating and evaluating coverage determinations for clients, ensuring compliance with federal regulations and client contracts
- Communicating with pharmacists, beneficiaries, and doctors regarding pending coverage determinations
- Applying clinical knowledge to each coverage determination case to provide thorough and accurate evaluations
- Maintaining meticulous documentation and following up on cases as required
- Reporting to the Coverage Determination Supervisor or designated manager
This job might be an outstanding fit if you:
- Have an Associate’s Degree in Pharmacy Technician (or equivalent, relevant work experience)
- Bring 3+ years of experience in customer service
- Are proficient with Microsoft Office tools (Outlook, Excel, PowerPoint, and Word)
- Possess excellent oral and written communication skills
- Are available to work rotating shifts, including nights, weekends, and holidays, and for on-call hours as operationally required
- Are willing and able to work on-site as part of a flexible hybrid model in Puerto Rico
- Preferred but not required:
- Certified Pharmacy Technician License
- Experience in a healthcare or pharmacy setting
Ready to take the next step?
Apply today and move your career forward as a Coverage Determination Specialist!
Lilly Abouomar 9395454792
#SETTPuertoRico #Healthcare #Remote #Pharmacy #Kelly80
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