- Executive Office for US Attorneys and the Office of the US… (Washington, DC)
- …Security Requirements: Initial appointment is conditioned upon a satisfactory preemployment adjudication . This includes fingerprint, credit and tax checks, and drug ... testing. Note: Employees of the Department of Justice, including Uncompensated Special Assistant United States Attorneys, may not engage in the compensated practice of law outside the office. Attorneys are not eligible to serve as Uncompensated Special… more
- Centene Corporation (Montgomery, AL)
- …to the provider set-up and contract configuration to ensure accurate claims adjudication + Initiate contact and identify potential providers by geographic and ... specialty needs and update database + Coordinate with internal departments and contracted providers to implement and maintain contract compliance + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:**… more
- University of Rochester (Rochester, NY)
- …resolution. + Contacts payers on incorrectly paid claims completing resolution and adjudication . + Adjusts accounts or processes insurance refund credits. + Reviews ... and advises leadership on incorrectly paid claims from specific payers. + Works with leadership on communication to payer representatives regarding payment trends and issues. + Bills primary and secondary claims to insurance. + Identifies and clarifies billing… 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 **Location** Tucson, AZ:… more
- Amentum (Dulles, VA)
- …job responsibilities. **Requirements:** + Active DoD TS/SCI security clearance is required with adjudication within the last 5 years or designated CE and the ability ... to obtain and maintain special accesses. + Three (3) years of related experience or any equivalent combination of relevant education and experience. Progressive relevant training and/or certification in appropriate discipline may be substituted for one (1)… more
- RP Pro Services (Arlington, VA)
- …co-location is expected 3 days a week. Clearance: Start date commences upon adjudication of a TSA public trust clearance. Requirements Very strong written and oral ... communication skillset. High degree of communication needed with clients and stakeholders. + 7+ years of experience working on teams that have delivered software products into a Production environment. + 5+ years of experience of hands-on-keyboard development… more
- ManTech (Quantico, VA)
- …degree. + Must be familiar with a wide variety of game mechanics, adjudication methods, and game methodologies. + The ability to leverage digital wargaming platforms ... and simulation tools. + Demonstrated leadership experience with planning and accomplishing designer goals and successfully directing others in this work. + Demonstrated ability to operate with minimal supervision, act as a self-starter, and thrive in a diverse… more
- Macalogic (San Antonio, TX)
- …background investigation at the Tier 1 low-risk level (formerly NACI) with a favorable adjudication or be able to pass a background investigation at the Tier 1 ... moderate-risk level. Experience 3+ years as an Oracle DBA with production eBS support experience. In addition, experience with HR/payroll modules of Oracle R12.2.4 and above. US Citizen or Similar Must be a US Citizen Skills and Abilities Experience with… more
- Sharp HealthCare (San Diego, CA)
- …+ Knowledge of Federal and State regulations as related to benefit and claims adjudication . + Adept at being an initiator of positive change to support the Mission, ... Values, and Goals of Sharp Health Plan. + Ability to use data and analytical thinking to make fact-based decisions and/or recommendations. + Solid problem-solving skills and ability to derive structure and clarity from ambiguous or open-ended inputs. Sharp… more
- Guthrie (Sayre, PA)
- …Processes prescriptions via computer system, and reviews third‐party payer on‐line adjudication . 3) Receive requests from patients via phone, e‐mail, fax, in‐person, ... and other means 4) Assists in performing inventory functions including stock replenishment and removing expired/recalled medications medications from the pharmacy shelves. 5) Handles questions pertaining to the operations of the pharmacy that do not require… more