Top 31 And operations managers Jobs in Bayamón, Pr

Operations Manager (Payment Integrity) - San Juan, PR
UnitedHealth Group —San Juan, PR
- Overtime
- Microsoft Excel
- Microsoft Outlook
- RN License
Facilities / Engineering Operations Manager 1
Sodexo —Guaynabo, PR
- $66,895 - $86,570 a year
- Mid-level
- 3 years
- Bachelor's degree
- Paid holidays
- Health insurance
4d
Fueling Operations Support Manager - REMOTE
Ryder System —San Juan, PR
- $75,000 a year
- Weekends as needed
- Mid-level
- 3 years
- High school diploma or GED
- Disability insurance
- Health insurance
13d
Operations Manager – Tourism & Transportation
Tripping Cool —San Juan, PR
- From $40,000 a year
- Full-time
- Spanish
- English
- Mid-level
- Health insurance
- Paid time off
Quick Apply
1d
Rooms Operations Supervisor (Housekeeping)
Marriott International, Inc —San Juan, PR
- $18.90 an hour
- Full-time
- Mid-level
- High school diploma or GED
- 1 year
5d
Pharmacist Supervisor (Call Center Operations) - San Juan, Puerto Rico
UnitedHealth Group —San Juan, PR
- Rotating shift
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
5d
Military Service - U.S. Air National Guard, Battle Management Operations
Military Service - U.S. Air National Guard Recruiting —Puerto Rico
- From $49,838.78 a year
- Full-time
- English
- High school diploma or GED
- Driver's License
- Health insurance
Senior Manager, Retention Operations & Strategy
Liberty Latin America Communications, Inc. —Guaynabo, PR
- Full-time
- Background check
- Spanish
- 7 years
12d
Manager, Delinquency Management (QC & Operations)
Oriental Bank in San Juan —Bayamón, PR
- Full-time
- Hybrid work
- Spanish
- Microsoft Outlook
- English
1d
Pharmacy Operations Manager
Walgreens —Bayamón, PR
- $22.50 - $31.00 an hour
- Weekends as needed
- English
- Mid-level
- High school diploma or GED
- Continuing education credits
- Health insurance
14d
Technical Operations Supervisor (SysAdmin)
Business Staffing Solution —San Juan, PR
- From $25 an hour
- Weekends as needed
- Spanish
- Computer science
- Microsoft Excel
Quick Apply
13d
Assistant Operations Manager
La Isla —Miramar, PR
- From $32,000 a year
- Full-time
- Mid-level
- Team management
- In-person
- Paid time off
- Employee discount
Quick Apply
Manager, Pharmacy Operations (Night Shift)
Cardinal Health —Guaynabo, PR
- Night shift
- Spanish
- English
- Analysis skills
Operations Shift Supervisor
Weil Group, Inc —Bayamón, PR
- Weekends as needed
- Microsoft Word
- Spanish
- Microsoft Outlook
Quick Apply
Pharmacist Supervisor (Call Center Operations) - San Juan, Puerto Rico
Optum —San Juan, PR
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
6d

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and operations managers jobs near bayamón, pr

Operations Manager (Payment Integrity) - San Juan, PR

UnitedHealth Group -
San Juan, PR

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Job Details

Qualifications

Healthcare financial misconduct investigations
Performance dashboards
Microsoft Excel
Microsoft Outlook
Team supervision
Regulatory compliance
English
Medical claims processing software
Healthcare billing investigations
Leading team collaboration initiatives
Managing projects
Financial performance measurement
Healthcare performance metrics analysis
Healthcare compliance

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Manager of Administrative Coding is part of the leadership team overseeing Optum's Behavioral Payment Integrity (PNI) Operations; specific to Fraud, Waste, Abuse, & Error (FWAE) investigations. This position is responsible for the strategic direction and execution of the Optum Behavioral administrative coding review team.

Primary Responsibilities:

Lead and develop a team responsible for resolving complex provider inquiries, escalations, and Payment Integrity operational issues
Establish and maintain trusted relationships with senior internal and external stakeholders, including UHN, UHC Payment Integrity, Network Management, and Provider Relations partners
Drive resolution of high-priority escalations through collaboration with Operations, Analytics, Reporting, Medical Directors, Compliance, and Legal partners as appropriate
Facilitate executive-level meetings, discussions, and Q&A sessions with leadership stakeholders
Monitor production, quality, turnaround time, service-level agreements, and operational performance metrics to ensure successful delivery of business objectives
Prioritize work queues and implement contingency plans when operational targets are at risk
Lead root cause analysis and corrective action planning to address recurring operational issues and improve performance outcomes
Analyze trends, performance data, and operational metrics to identify opportunities for process improvements, efficiency gains, and risk mitigation
Partner with business leaders to anticipate future operational needs and support workforce planning strategies
Develop executive presentations, business reviews, and leadership materials that communicate operational performance, risks, opportunities, and strategic recommendations
Influence and drive alignment across multiple business functions without direct authority
Supervise, coach, mentor, and develop a team, fostering a culture of accountability, engagement, and continuous improvement
Partner with global and enterprise stakeholders to support strategic initiatives, operational objectives, and business growth opportunities

***ENGLISH PROFICIENCY ASSESSMENT WILL BE REQUIRED AFTER APPLICATION***

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

3+ years of experience in provider-facing, client-facing, or healthcare operations leadership roles
2+ years of people management experience
2+ years of experience utilizing operational metrics, analytics, dashboards, and performance measures to drive business outcomes
Experience leading operational improvements in a healthcare, claims, or Payment Integrity environment
Experience working within healthcare compliance and regulatory requirements
Experience developing business cases, managing projects, and achieving measurable operational or financial results
Experience partnering with senior leaders and navigating matrixed organizations
Experience with Fraud Waste & Abuse or Payment Integrity
Knowledge of healthcare claims platforms and end-to-end claims operations
Proficiency with Microsoft Office Suite, including Excel, PowerPoint, Word, and Outlook
Professional proficiency in English
Demonstrated ability to work a flexible schedule during normal business hours and support occasional overtime or weekend business needs
Demonstrated ability to manage competing priorities in a fast-paced, high-change environment

Preferred Qualifications:

Registered Nurse (RN) license
Certified Coder
Experience with provider relations, network management, or network contracting practices
Experience managing budgets and financial performance
Experience developing and executing growth, operational excellence, or transformation strategies

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#pjpr

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Refine Your Search

and operations managers jobs in bayamón, pr

Operations Manager (Payment Integrity) - San Juan, PR

Facilities / Engineering Operations Manager 1

Fueling Operations Support Manager - REMOTE

Operations Manager – Tourism & Transportation

Rooms Operations Supervisor (Housekeeping)

Pharmacist Supervisor (Call Center Operations) - San Juan, Puerto Rico

Military Service - U.S. Air National Guard, Battle Management Operations

Senior Manager, Retention Operations & Strategy

Manager, Delinquency Management (QC & Operations)

Pharmacy Operations Manager

Technical Operations Supervisor (SysAdmin)

Assistant Operations Manager

Manager, Pharmacy Operations (Night Shift)

Operations Shift Supervisor

Pharmacist Supervisor (Call Center Operations) - San Juan, Puerto Rico

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