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88 Utilization Management Manager jobs in Puerto Rico

New, Posted 18 hours ago

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Remote Fraud Call Center Representative - Puerto Rico

Conduent Business Solutions of Puerto Rico

Vega Alta, PR 00692

$12.10/hr

RemoteHealth InsurancePaid Time OffRetirement Benefit

Must be at least 18 years old with a High School Diploma or equivalent.
Must have 6 months of Customer Service, Call Center or Dispatch experience.
Proficient in English.
Complete a background check, credit check, and fingerprinting.
**Internet Service:** Must have a verified, secure, reliable, and high-speed internet connection to support business needs.
**Work Area** : Must have an established, dedicated work area equipped with a desk, chair, electrical outlet, and direct LAN connection.
**Internet Speed Test:** Must complete an internet speed test and achieve a minimum of **50 Mbps upload and 10 Mbps download**.
Reside in Puerto Rico with legal authorization to work permanently in the United States.

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New, Posted 20 hours ago

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Customs and Border Protection Officer

US Customs and Border Protection

Vega Baja, PR 00693

$40,332-$109,952/yr

OnsiteBilingual PreferredHealth InsurancePaid Time OffRetirement Benefit

Experience: A minimum of three (3) years full-time general work experience that demonstrates the ability to meet and deal with people and the ability to learn and be able to apply a body of facts;
Education Substitution: A bachelor's degree or successful completion of a full four (4)-year course of study in any field leading to a bachelor's degree from an accredited college or university;
Combination of Experience and Education: A combination of successfully completed college education AND general work experience. This will be calculated using your resume and official or unofficial college transcripts submitted with your application.
Experience: A minimum of one (1) year of specialized full-time work experience equivalent to at least the next lower grade level that includes:
Performing physical inspections of people, documents or goods for criminal activity, fraud, and/or illegal operations.
Utilizing observational techniques, evaluating facts, and reviewing documentation while applying Federal, State, or local laws and regulations.
Making determinations in compliance with laws and regulations that may lead to arrests, seizure of property, fines, and/or penalties based on findings.
Education Substitution: A bachelor's degree with Superior Academic Achievement based on (1) class standing, (2) grade-point average (3.0 or higher), or (3) honor society membership; OR one (1) full year of graduate-level education. This education must demonstrate the knowledge, skills, and abilities necessary to do the work;
Combination of Experience and Education: A combination of specialized work experience equivalent to the next lower grade level AND graduate level education from an accredited college or university. This will be calculated using your resume and official or unofficial transcripts submitted with your application.
If you have previous or current law enforcement or military law enforcement experience, you may qualify at the GS-9 grade level. See the GS-9 Job Opportunity Announcement (JOAs) at USAJOBS, the federal government's official employment site to determine if you qualify.
Citizenship: You must be a U.S. Citizen to apply for this position.
Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three (3) of the last five (5) years.
Age Restriction: In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions. Candidates must be referred for selection to the Customs and Border Protection Officer position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03. The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.S.C. 8336(c) or Title 5 U.S.C. 8412(d).
Veterans' Preference: You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA). The age restriction does not apply if you are Veterans' Preference eligible.
Formal Training: You will be required to complete a paid pre-academy orientation for approximately two (2) weeks at your home port. You will then attend a 101-day training program – CBP Field Operations Academy – conducted at the Federal Law Enforcement Training Center (FLETC) located in Glynco, GA. This training consists of basic law enforcement skills, immigration laws, firearms training, examination of cargo/bags/merchandise, physical fitness, etc. Candidates assigned to the southern border, Miami, or Puerto Rico duty locations must attend and pass an online Spanish training program, which will be completed at their home port. Successful completion of the Academy is required for this position.

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Data Entry

Adecco

San Juan, PR 00926

$13.25/hr

OnsiteHealth InsurancePaid Time OffRetirement Benefit

Dominio de teclado (data entry)
Conocimiento en sistema operativo Windows
Manejo de Microsoft Office (Excel, Word, PowerPoint)
Dominio básico del idioma inglés
Buen manejo del tiempo (time management)
Disponibilidad completa
Actitud proactiva y ganas de aprender

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Remote Bilingual Healthcare Customer Service Representative

Conduent Commercial Solutions, LLC

Dorado, PR 00646

$13/hr

RemoteBilingual PreferredHealth InsurancePaid Time OffRetirement Benefit

Must be Fluent in English & Spanish
Reside in Puerto Rico.
Ability to successfully complete a 3 week virtual training class
2 weeks of nesting
You cannot miss a day of training.
Successfully complete customer service assessment
Typing test on a computer (not compatible with mobile devices)
Must have 6 months of customer service experience.
High school diploma, GED, or college degree
Ability to work weekends (if needed based on call volumes).
You must have a home internet connection with 25 Download and 10 Upload Speed
Satellite internet and wireless internet are not acceptable.
Must be able to hardwire your work computer directly to your home modem via ethernet.
Must have a quiet, distraction free workspace.
Workspace must be clutter free, free of distraction, no one is allowed in workspace during working hours, no writing utensils, or unauthorized electronics in the work area.
Hours of Operation: 8:00AM – 11:00PM M-F, 8:00AM – 6:30PM Saturday
Production schedule is assigned during training and will fall between the hours of operation.
Must be flexible to work during hours of operation.
Training duration: 3 Weeks in a classroom and 2 weeks Nesting

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New, Posted 20 hours ago

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Part Time Sales Associate - Bonus Eligible

GNC

Caguas, PR 00725

OnsiteRetirement Benefit

Sales Associated must be at least 18 years of age.
Must be able to stand or walk for up to eight hours a day.
Frequently lifting up to twenty pounds, occasionally lifting up to 40 pounds.
Push/pull up to 20 lbs.
Ability to climb ladders, reach and bend.
Work in temperatures ranging from 50 - 85 degrees - especially in our stock room areas.
Use of a computer up to 60% of the time throughout the day.

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