Home Health Program Liaison Specialist

MCS Puerto Rico; San Juan (PR); On-site; USD 55,000 - 75,000; Full time

Job summary

MCS Puerto Rico seeks a skilled liaison to coordinate and manage documents and services for the Home Health Program. The role focuses on handling complaints, claims, and operational issues, maintaining strong relationships with Extended Care Home Administrators and Owners, and ensuring timely resolution within regulatory guidelines.

The candidate will manage document delivery, scheduling visits, and data entry across PMHS/CRM systems, support audits, and assist in policyholder benefit

Qualifications

• Bachelor's degree in a health-related field is required.
• Minimum two years of experience in initiative/program management and provider services.
• Driver's license valid in Puerto Rico is required.
• Willingness to travel around the island and work extended hours as needed.
• Bilingual Spanish/English at intermediate level.

Responsibilities

• Serve as primary liaison with Extended Care Administrators and Owners to resolve service situations.
• Manage delivery, mailing, and pickup of documents and information for the program.
• Maintain visitation schedules and inform administrators about company programs.
• Audit and coordinate Home Bundle Benefit deliveries and resolve coverage barriers.
• Analyze root causes of complaints and document corrective actions.
• Support audits, program communications, and cross-department coordination.
• Ensure PMHS data accuracy and assist with policyholder initiatives.

Skills

Initiative management

Program management

Provider services management

Health Insurance industry experience

Education

Bachelor's degree in Business Administration, Health Services Administration, or other health-related fields

Tools

PMHS

CRM

Job description

MCS Puerto Rico seeks a skilled liaison to coordinate and manage documents and services for the Home Health Program. The role focuses on handling complaints, claims, and operational issues, maintaining strong relationships with Extended Care Home Administrators and Owners, and ensuring timely resolution within regulatory guidelines.

The candidate will manage document delivery, scheduling visits, and data entry across PMHS/CRM systems, support audits, and assist in policyholder benefit