MCS Puerto Rico Tech Stack

Medicare Advantage and health insurance provider serving Puerto Rico

Insurance San Juan, Puerto Rico 1,001–5,000 employees Founded 1983 Privately Held

MCS Puerto Rico operates a three-line health insurance business (Medicare Advantage, group/individual life and health, and an insurance agency) with 1,000+ employees across Puerto Rico. The tech stack is heavily data-and-compliance-oriented—SQL Server, Power BI, Tableau, Cognos, Azure Data Factory—reflecting the operational backbone of claims processing, fraud detection, and regulatory audit. Active hiring skews healthcare and operations (43 and 15 roles respectively), with only 3 engineering positions, signaling a mature, non-product-engineering business where data transformation and compliance automation drive internal improvement.

Tech Stack 18 technologies

Core StackTableau Power BI Power Automate Power Query SQL Server Python Azure Data Factory SFTP Excel SQL CRM OnBase Cognos Analytics DAX SQL Server Integration Services JSON Word PowerPoint

What MCS Puerto Rico Is Building

◆Challenges

Compliance risk
Coding errors
Risk adjustment gaps
Fraud detection
Compliance with regulations
Avoiding impact on 3 stars metrics
Operational inefficiencies
Ensuring data integrity
Identifying overpayment patterns
Cost containment initiatives

▲Active Projects

It audit plan
Chra post-payment audit process
Special projects on balances, cards, cases, or reconciliations of the beneficiary value programs
Case development for high monetary fraud
Training development on fraud monitoring systems
Implementation of new technologies
Daily audits of sftp retention
Implementation of new admitting physician programs
Reporting recruitment metrics
Second-level coding audit

Hiring Activity

Steady100 roles · 40 in 30d

Department

Healthcare

Ops

Data

Sales

Legal

Support

Engineering

Seniority

Mid

Junior

Senior

Lead

Manager

Director

Notable leadership hires: Medical Director, Admitting Physician Program Director

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About MCS Puerto Rico

MCS Puerto Rico has operated a health insurance business for over 40 years, serving members across three lines: MCS Advantage (Medicare Advantage plans contracted with CMS), MCS Life (group and individual health and life insurance), and MCS GIA (an insurance agency offering cancer, life, final expense, and individual health coverage). The company employs 1,001–5,000 people based in San Juan, with operational focus on claims management, coding accuracy, fraud detection, and regulatory compliance. Current project portfolio emphasizes audit processes (IT audit plan, CHRA post-payment audits, coding audits), fraud case development, and implementation of new physician programs, alongside training and systems upgrades to support ongoing regulatory requirements.

HeadquartersSan Juan, Puerto Rico

Company Size1,001–5,000 employees

Founded1983

Hiring MarketsUnited States

Frequently Asked Questions

What tech stack does MCS Puerto Rico use?

Primary tools: SQL Server, Power BI, Tableau, Cognos Analytics for reporting; Azure Data Factory and SQL Server Integration Services for data pipelines; OnBase and CRM for operations; SFTP, Excel, Python for data handling.

What is MCS Puerto Rico working on?

Active initiatives include IT audits, post-payment claims audits, fraud case development, coding audits, new physician program implementation, and fraud monitoring system training—all focused on compliance, risk adjustment, and operational efficiency.