- 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
- Air Education and Training Command (Altus AFB, OK)
- …satisfactorily complete a pre-employment physical. Successful completion and favorable adjudication of applicable background investigation (Tier 1 Level) is ... required. This is a drug testing position. The incumbents subject to random testing for drug use. May be required to drive a government vehicle. You will be evaluated on the basis of your level of competency in the following areas: Education Some federal jobs… more
- RTX Corporation (Tewksbury, MA)
- …of our products._ 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 82,000 USD… more
- RTX Corporation (Tewksbury, MA)
- …products. 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
- 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 isnot 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 (Tewksbury, MA)
- …of our products. 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 The salary range for this role is 101,000 USD - 203,000 USD. The salary range provided is a good faith estimate representative of all experience levels. RTX considers several factors when extending an… more
- RTX Corporation (Springfield, VA)
- …development of our products. This position requires 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 **Springfield, VA** + We… more
- Advanced Technology and Research Corporation (Bethesda, MD)
- …ability to obtain and maintain a security clearance or favorable adjudication of a national security background investigation. Current successful background ... investigation completion is a plus. Qualified Candidates should send their resume to ###@atrcorp.com Powered by JazzHR more
- Henry Ford Health System (Rochester Hills, MI)
- …The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from ... members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND… more