Top 166 Medicare Jobs in San Juan, Pr

GOVERNMENT AFFAIRS & HEALTH POLICY LEAD
TPIS —San Juan, PR
- $75,000 - $85,000 a year
- Full-time
- Spanish
- Microsoft Excel
- 5 years
Quick Apply
Analista de Elegibilidad y Afiliacion Classicare - Temporero
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- English
- Mid-level
6d
Data Entry
TPIS —San Juan, PR
- $13 an hour
- Full-time
Quick Apply
6d
Analista de Afiliación y Elegibilidad
TPIS —San Juan, PR
- $13 an hour
- Full-time
Quick Apply
6d
OASIS Reviewer
Revival Home Health Care a Centers Company —San Juan, PR
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Especialista De Reportes De Reclamaciones
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- English
- Research
5d
Especialista de Revisones Clínicas
TPIS —San Juan, PR
- $55,000 - $65,000 a year
Quick Apply
Financial Consultant
Elevance Health —San Juan, PR
- Weekends as needed
- Hybrid work
- CPA
- Bachelor of Science
- Research
- Employee stock purchase plan
- Paid holidays
PROVIDERS DEPARTMENT MANAGER
TPIS —San Juan, PR
- $65,000 - $70,000 a year
- Spanish
- Management
- English
Quick Apply
Especialista en Elegibilidad y Afiliación de Planes Médicos
TPIS —San Juan, PR
- $13 an hour
- Full-time
Quick Apply
3d
HP3 Care Manager
APS Health Care PR —San Juan, PR
Quick Apply
HP3 Care Managers
APS Health Care PR —San Juan, PR
- Full-time
Quick Apply
Contable para Hospital en San Juan
Top Business JRT —San Juan, PR
- $60,000 - $63,000 a year
- Full-time
- In-person
- Hospital experience
Quick Apply
3d
Especialista De Revisión Clínica - Temporero(a)
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- Nursing
- RN License
12d
Especialista de Alcance a HRA
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- Nursing
- English
Especialista En Transicion De Cuidado
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- Nursing
- RN License
Especialista De Credencializacin
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- English
- Mid-level
12d
Gerente De Regulaciones Y Monitoreo De Auditoría De Farmacia
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- English
- SQL
8d
Técnico(a) de Manejo de Información
Liga Puertorriquena Contra el Cáncer —San Juan, PR
Quick Apply
Especialista De Determinaciones Organizacionales Y Apelaciones
MCS HEALTHCARE HOLDINGS, LLC —San Juan, PR
- Spanish
- Nursing
- RN License

I want to receive the latest job alert for medicare in san juan, pr

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medicare jobs near san juan, pr

GOVERNMENT AFFAIRS & HEALTH POLICY LEAD

TPIS -
San Juan, PR

Quick Apply

Job Details

Full-time
$75,000 - $85,000 a year

Qualifications

Spanish
English
Government relations (public relations strategies)
Bachelor's degree
Stakeholder relationship building
Stakeholder management

Full Job Description

Regular/Exempt Position

GENERAL DESCRIPTION

Our client, a leading healthcare organization, is seeking a strategic and highly analytical professional to serve as Lead, Government Affairs & Health Policy. This role requires deep expertise in healthcare policy, government affairs, healthcare economics, and regulatory strategy.

The selected candidate will lead the evaluation, development, and implementation of policy initiatives that impact Medicare Advantage and Commercial health plan operations. This individual will serve as a trusted advisor to executive leadership, translating complex regulatory, legislative, and economic developments into actionable business strategies that support organizational growth, compliance, financial sustainability, and market competitiveness.

ESSENTIAL FUNCTIONS

Lead the organization's government affairs and health policy initiatives, ensuring alignment with strategic goals and business priorities.
Develop and execute integrated policy strategies that support Medicare Advantage and Commercial business operations.
Analyze the financial and operational impact of healthcare policy, regulatory, and reimbursement changes, providing strategic recommendations to leadership.
Conduct economic and market assessments to support long-term planning, growth initiatives, and organizational decision-making.
Monitor legislative, regulatory, and healthcare industry developments and proactively identify risks and opportunities.
Direct research and analysis related to federal, state, and local healthcare regulations, translating findings into business implications and strategic actions.
Collaborate with cross-functional leadership teams to ensure regulatory requirements are incorporated into business planning and execution.
Lead the development of policy positions, regulatory responses, comment letters, and other formal communications related to healthcare legislation and reform initiatives.
Establish and maintain effective relationships with government agencies, regulatory bodies, policymakers, healthcare associations, and industry stakeholders.
Prepare executive-level briefings, presentations, and strategic recommendations regarding healthcare policy trends and their impact on organizational performance.
Support initiatives related to product strategy, reimbursement methodologies, risk adjustment, value-based care, and population health management.
Serve as a subject matter expert on healthcare economics, regulatory compliance, and public policy matters affecting the healthcare industry.

Qualifications

Education

Bachelor's Degree in Economics, Health Services Administration, Public Policy, Healthcare Management, or a related field required.
Master's Degree preferred.

Experience

Minimum of five (5) years of experience in government affairs, healthcare policy, healthcare strategy, public policy, regulatory affairs, or related disciplines.
Strong experience analyzing healthcare regulations, economic impacts, and policy implications within highly regulated environments.
Experience supporting Medicare Advantage, Commercial health plans, or payer organizations is strongly preferred.

Skills & Competencies

Advanced knowledge of healthcare policy, government affairs, reimbursement systems, and regulatory frameworks.
Strong understanding of Medicare Advantage, Commercial health insurance markets, and healthcare financing models.
Expertise in economic analysis, policy impact assessment, and strategic planning.
Exceptional analytical, critical thinking, and problem-solving skills.
Ability to synthesize complex information and communicate recommendations to executive leadership.
Strong relationship-building, negotiation, and stakeholder management capabilities.
Excellent written and verbal communication skills, including executive presentations and policy documentation.
Proven ability to manage multiple priorities in a fast-paced and evolving regulatory environment.

Technical Skills

Proficiency in data analysis, financial modeling, reporting, and presentation tools.
Strong Microsoft Office skills, including Excel and PowerPoint.

Language Requirements

Fully bilingual in English and Spanish (written and verbal).

TPIS is an Equal Opportunity Employer (EEO Employer / Affirmative Action for Females / Disabled / Veterans). We comply with all Federal, State and Local laws regarding nondiscrimination.

Quick Apply

Refine Your Search

medicare jobs in san juan, pr

GOVERNMENT AFFAIRS & HEALTH POLICY LEAD

Analista de Elegibilidad y Afiliacion Classicare - Temporero

Data Entry

Analista de Afiliación y Elegibilidad

OASIS Reviewer

Especialista De Reportes De Reclamaciones

Especialista de Revisones Clínicas

Financial Consultant

PROVIDERS DEPARTMENT MANAGER

Especialista en Elegibilidad y Afiliación de Planes Médicos

HP3 Care Manager

HP3 Care Managers

Contable para Hospital en San Juan

Especialista De Revisión Clínica - Temporero(a)

Especialista de Alcance a HRA

Especialista En Transicion De Cuidado

Especialista De Credencializacin

Gerente De Regulaciones Y Monitoreo De Auditoría De Farmacia

Técnico(a) de Manejo de Información

Especialista De Determinaciones Organizacionales Y Apelaciones

I want to receive the latest job alert for medicare in san juan, pr

Related Searches

Explore jobs in more locations

Qualifications

Education

Experience

Skills & Competencies

Technical Skills

Language Requirements

Job Seeker Tools

Employer Tools

Browse

Stay Connected