- Guidehouse (Bethesda, MD)
- …and MAINTAIN a Federal or DoD "PUBLIC TRUST"; candidates must obtain approved adjudication of their PUBLIC TRUST prior to onboarding with Guidehouse. Candidates with ... an ACTIVE PUBLIC TRUST or SUITABILITY are preferred. **What Would Be Nice To Have** **:** + Preferred fields of study: Microbiology, Biological Science, Medical Laboratory Science, or a related discipline. \#LI-DNI The annual salary range for this position is… more
- MetLife (Cary, NC)
- …Responsibilities * Date science in Dental: Contributions to underwriting models, claims auto- adjudication logic and models, fraud waste and abuse analyses and models ... (mostly provider-related), dental network analyses, consumer analytics, network expansion analytics and much more. * Leads and contributes to data analysis and modeling projects from project/sample design, business review meetings with internal and external… more
- Campus Apartments, LLC (Washington, DC)
- …established regulations + Manage resident issues involving needs for mediation and adjudication + Manage resident unit transfers as needed + Promote an enthusiasm ... for diversity among residents and staff Qualifications + Bachelor's degree plus prior supervisor experience or three plus years of supervisory experience in a property or housing management position, or an equivalent combination of related education and… more
- RTX Corporation (Tucson, AZ)
- …Clearance Information: This position requires a security clearance. **DCSA Consolidated Adjudication Services (DCSA CAS)** , an agency of the Department of ... Defense, handles and adjudicates the security clearance process. More information about Security Clearances can be found on the US Department of State government website here: https://www.state.gov/m/ds/clearances/c10978.htm The salary range for this role is… more
- State of Massachusetts (Boston, MA)
- …MGL c. 30A and the legal standards governing administrative adjudication inMassachusetts 6. Knowledge ofMassachusettslaw regarding housing discrimination, employment ... discrimination, and public accommodation discrimination This is a short-term,remote contract position up to 5 hours a week (20 hours a month max)expected to end December 31, 2025. Incumbents will not be eligible for Commonwealth employee benefits. *_Please… more
- Price Chopper (Glens Falls, NY)
- …prescription medications, including maintenance of necessary records, accurate third-party adjudication and patient charges, and inventory management. + Counsel's ... patients and medical providers regarding the nature and use of drugs, dosage, drug interactions, and side effects. + Participates in patient centered services including immunization, MTM, and wellness programs. + Supervises personnel in the daily operation of… more
- Rady Children's Hospital San Diego (San Diego, CA)
- …to provide all necessary documentation required from payors to ensure accurate adjudication of claim for reimbursement. They will process claims correctly following ... contractual arrangements the Medical Practice Foundation (MPF) has with each Payor. This incumbent is expected to accurately analyze each denial received by reviewing the patient acct, the remittance codes from Explanation of Benefits (EOB) and Remittance… more
- Access Dubuque (Dubuque, IA)
- …Integration** - SISCO's "One Roof" service model includes expert claim adjudication for both self-funded medical and insured ancillary benefits. Optional services ... include a suite of advocacy and population health services along with dependent audits, ben admin and enrollment/billing services. We also offer a flexible BPO service model for carriers, MEWAs, affinity groups and cost control firms. **Primary… more
- US Tech Solutions (Columbia, SC)
- …collection/input into system for clinical information flow and proper claims adjudication . Demonstrates compliance with all applicable legislation and guidelines for ... all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks… more
- RTX Corporation (Goleta, CA)
- …of our products. + This position requires a security clearance. **DCSA Consolidated Adjudication Services (DCSA)** , an agency of the Department of Defense, handles ... and adjudicates the security clearance process. More information about Security Clearances can be found on the US Department of State government website here: https://www.state.gov/m/ds/clearances/c10978.htm + This position is an onsite role - Goleta, CA:… more