• Senior Claim Benefit Specialist

    CVS Health (Albany, NY)
    …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
    CVS Health (09/27/25)
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  • Supervisory Inventory Management Specialist

    Veterans Affairs, Veterans Health Administration (Northport, NY)
    Summary Serves as a Supervisory Inventory Management Specialist for non-expendable (NX) assets/materials for the Logistics Service within the VA Health Care System ... not a virtual position. Position Description/PD#: Supervisory Inventory Management Specialist /PD99825S Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI):… more
    Veterans Affairs, Veterans Health Administration (10/16/25)
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  • Mission Support Specialist (Facilities)

    Customs and Border Protection (Champlain, NY)
    …within the duty location(s) listed above. Responsibilities As a Mission Support Specialist (Facilities), you will use your expertise as a program coordinator for ... minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email...the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48… more
    Customs and Border Protection (10/10/25)
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  • Denials Prevention Specialist PRN

    Datavant (Albany, NY)
    …and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the ... practices, and proficiency in multiple electronic systems and software tools. The specialist serves as a key liaison between coding, billing, utilization review,… more
    Datavant (10/08/25)
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  • Supervisory Health System Specialist

    Veterans Affairs, Veterans Health Administration (Northport, NY)
    …is not a virtual position. Position Description/PD#: Supervisory Health System Specialist /PD49343O Requirements Conditions of Employment You must be a US Citizen ... minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email...the USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48… more
    Veterans Affairs, Veterans Health Administration (10/16/25)
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  • Program Specialist (Student Transportation)

    Department of Defense Education Activity (West Point, NY)
    …If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the ... USA Hire Competency Based Assessments, based on your adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA… more
    Department of Defense Education Activity (10/07/25)
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  • Patient Benefit Specialist - Remote

    KPH Healthcare Services, Inc. (Syracuse, NY)
    …and training employees **Job Summary:** Responsible for all aspects related to adjudication and billing of specialty prescriptions in a call center environment. ... **Responsibilities** **Job Duties:** + Responsible for monitoring adjudication queue(s) + Responsible for contacting members and prescribers on non-covered items +… more
    KPH Healthcare Services, Inc. (09/11/25)
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  • Security Industry Specialist II

    Amazon (New York, NY)
    …POSITIONS AVAILABLE Employer: AMAZON.COM SERVICES LLC Offered Position: Security Industry Specialist II Job Location: New York, New York Job Number: AMZ9080405 ... constantly improve, and be a thought leader for a credit adjudication and performance monitoring platform by deploying strategic, financial, data analysis,… more
    Amazon (09/25/25)
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  • Specialist , Config Oversight (healthcare…

    Molina Healthcare (Rochester, NY)
    …to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations ... in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated… more
    Molina Healthcare (09/24/25)
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  • Reasonable Accommodation Sp

    City of New York (New York, NY)
    …workforce; and to providing a prompt, fair, and impartial review, and adjudication of discrimination complaints. One of the OEEO's responsibilities' is the ... hardship for the agency. OEEO is currently seeking a Reasonable Accommodation (RA) Specialist who is interested in diversity, equity, and inclusion in the workplace.… more
    City of New York (10/11/25)
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