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Healthcare Admin Representative - Determination Letters - San Juan, PR

Optum • San Juan, PR, US • published 2026-11-10 00:59:02.482151

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.** **Primary Responsibilities:** * Draft and prepare Notice of Action and Notice of Extension letters in compliance with applicable state and federal regulations. * Customize letter content to meet the specific requirements of government and commercial clients, ensuring clarity, accuracy, and consistency. * Maintain strict adherence to regulatory, client, and accreditation standards in all written communications. * Utilize product and service knowledge to identify and apply the correct letter templates based on individual case details. * Other duties may apply **\*\*\*ENGLISH PROFICIENCY ASSESSMENT WILL BE ...

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