- Indy Gov (Indianapolis, IN)
- …in all applicable codes, regulations, and ordinances, as well as the different adjudication processes for each. Agency Summary The purpose and mission of the ... in all applicable codes, regulations, and ordinances, as well as the different adjudication processes for each. + Inspectors may be required to conduct after-hours… more
- Northrop Grumman (San Diego, CA)
- …Current, active DoD Secret clearance within 6 years of last investigation / adjudication with eh ability to obtain and maintain Special Program access within a ... Current, active DoD Secret clearance within 6 years of last investigation / adjudication with eh ability to obtain and maintain Special Program access within a… more
- CVS Health (Scottsdale, AZ)
- …with heart, each and every day. **Position Summary** As part of the Rx Claim Adjudication team, you will be expected to be proficient in all critical functions of ... pipelines + Effective communication skills. + Experience with RxClaim or other PBM Adjudication system is preferred + Experience on Automation using AI/ML will be… more
- AdventHealth (Apopka, FL)
- …adherence, prepares medications for pharmacist review/check, performs claim adjudication and processes customer (patient) account reconciliation. Facilitates prior ... new hires to the department on prescription data entry, claims adjudication and patient record management processes, offering ongoing support Qualifications **The… more
- GAP Solutions Inc (Arlington, VA)
- …Appeal Board, Claims Division, and Woodland Hills) + Receive reports for adjudication and record cases in the appropriate computer databases, utilizing the Defense ... DOHA web-based case tracking system. + Read and analyze reports for adjudication to determine whether scope of investigation meets specific DOHA investigative… more
- Molina Healthcare (Orlando, FL)
- …accordance with cost control standards. **KNOWLEDGE/SKILLS/ABILITIES** + Evaluates the adjudication of claims using standard principles and state specific policies ... identification of error issues as it relates to pre-payment of claims through adjudication and trends and recommending solutions to resolve these issues. + Supports… more
- UHS (Binghamton, NY)
- …impacting payment calculations, playing a vital role in resolving system adjudication issues and identifying necessary corrections. At UHS, every connection ... Audit expected reimbursements and validate HealthPlan payments, identifying and resolving adjudication issues. + Maintain clear communication on project progress and… more
- National Park Service (Oneida, TN)
- …Citizenship required. Appointment subject to background investigation and favorable adjudication . Meet Selective Service Registration Act requirement for males. ... applicant's successful completion of a background security investigation and favorable adjudication . Failure to successfully meet these requirements will be grounds… more
- State of Montana (Billings, MT)
- …for the Water Resources Division, including the Water Rights Bureau, Adjudication Bureau, Water Management Bureau, Water Operations Bureau, State Water Projects ... Water Resources Division within assigned geographical region including water rights adjudication , new appropriations permits and changes, water rights complaints and… more
- National Park Service (New Orleans, LA)
- …Citizenship required. Appointment subject to background investigation and favorable adjudication . Meet Selective Service Registration Act requirement for males. ... applicant's successful completion of a background security investigation and favorable adjudication . Failure to successfully meet these requirements will be grounds… more