Network Management Rep MMM

The Judge Group

📍 San Juan, San Juan, Puerto Rico 💼 Full-time 🕒 Posted February 18, 2026

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Job Description

Role Overview
This role provides comprehensive support by researching, analyzing, and resolving complex operational and provider‑related issues. The position serves as a key escalation point and ensures timely, accurate handling of inquiries, documentation, and case‑level decisions.
Responsibilities
Act as a primary point of contact for internal teams regarding provider‑related concerns impacting service quality or satisfaction.
Investigate and resolve complex inquiries, appeals, and operational issues with a focus on timely and accurate resolution.
Coordinate directly with stakeholders to facilitate prompt claims or case resolution when necessary.
Conduct periodic on‑site visits to gather information, provide support, or strengthen operational alignment.
Offer guidance on policy interpretation and ensure consistent application of requirements.
Analyze disputes, billing concerns, and operational inconsi...
            

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Job Details

Location San Juan, San Juan
Job Type Full-time
Category Computer Occupations
Posted Date February 18, 2026
Application Deadline March 30, 2026