Network Operations & Compliance Coordinator

MCS Puerto Rico; San Juan (PR); On-site; USD 36,000 - 48,000; Full time

Job summary

MCS Puerto Rico is seeking an Administrative Coordinator to support department operations, manage documentation, and ensure regulatory alignment. You will coordinate provider-related requests, maintain records, and assist in audits and reporting with various internal systems.

The role emphasizes cross-team communication, process efficiency, and adherence to local and federal requirements within the healthcare insurance space. Strong organizational skills are essential.

Qualifications

• Bachelor's degree in Secretarial Science, Office Systems, or Business Administration.
• At least six months of experience performing provider services, network administration, and/or coordination in Healthcare Insurance preferred.
• Associate degree with 1 year of experience in provider services, network administration, and/or coordination in Healthcare Insurance preferred.
• High School Diploma with 2 years of experience in provider services, network administration, and/or coordination in Healthcare Insurance preferred.
• Proven experience may be replaced by previously established requirements.
• Certifications/licenses not required.

Responsibilities

• Receives, documents, and routes operational requests related to the network administration from various internal and external channels.
• Monitors and follows up on requests using internal systems to ensure timely responses and regulatory compliance.
• Manages communications with providers and internal teams; routes inquiries and reports potential risks.
• Prepares logs and administrative documents in compliance with policies and regulations.
• Coordinates meetings, minutes, agendas, and operational activities with providers and teams.
• Maintains physical and digital records for audits and inquiries; supports process efficiency.

Skills

Administrative support

Documentation management

Regulatory compliance

CRM / CRM systems

Provider services coordination

Communication skills

Education

Bachelor's Degree in Secretarial Science/Office Systems/Business Administration

Associate's Degree or 60-64 college credits

High School Diploma or technical training

Tools

CRM systems

SAI 360

Credentialing Digital Platform

Job description

MCS Puerto Rico is seeking an Administrative Coordinator to support department operations, manage documentation, and ensure regulatory alignment. You will coordinate provider-related requests, maintain records, and assist in audits and reporting with various internal systems.

The role emphasizes cross-team communication, process efficiency, and adherence to local and federal requirements within the healthcare insurance space. Strong organizational skills are essential.