- Leidos (Albuquerque, NM)
- …LPS deliverables and provides feedback on data quality and identifies errors for adjudication on subsequent cycles. A key element is developing and maintaining the ... NIMS for the FPO from individual site project summaries and detailed schedules. This position requires advanced knowledge in the field of nuclear weapons programs and Primavera/P6 expertise. Primary Duties and Responsibilities: + Developing and maintaining… more
- Ventura County (Ventura, CA)
- …Opens/flattens/processes ballots. + Works the in-office call center. + Assist with the adjudication process. + Picks up ballots at drop box locations and delivers ... ballots to Election's office. + Swear on oath to uphold election laws and protect the security of the election process; and + Perform other duties as required. Elections Office Assistant II may also (in addition to performing election office assistant I… more
- Sedgwick (Irving, TX)
- …low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to ... identify subrogation of claims and negotiate settlements with general supervision.** **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to… more
- Bristol Myers Squibb (Princeton, NJ)
- …of studies (eg, site activation, enrollment status, as well as adjudication for protocol violations, significant, non-significant deviations etc.) + Maintains a ... strong medical/scientific reputation within the disease area; has in-depth knowledge of etiology, natural history, diagnosis, and treatment of the disorder + Keeps up to date in the disease area by attending scientific conferences and ongoing review of the… more
- CGI Technologies and Solutions, Inc. (Charlotte, NC)
- …projects and teams . 5 years of experience in healthcare claims adjudication , medical coding, DRGs, and/or reimbursement methodologies . 5 years of experience ... in identification and mitigation of fraud, waste, and abuse . 5 years of experience with conducting complex data analysis, interpret findings, and translate them into actionable recommendations . 5 years of experience understanding and translating relevant… more
- Sedgwick (Irving, TX)
- …low level general liability claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to ... identify subrogation of claims and negotiate settlements with general supervision. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** + Processes low level general liability claims by gathering information to determine liability exposure; assigns reserve values to… more
- TD Bank (Greenville, SC)
- …10+ years of relevant commercial lending relationship management, underwriting, and/or adjudication experience + Prior lending authority >/= $1 million preferred ... Small Business Administration/Agency, Healthcare Practice Solutions, or other specialty lending experience preferred + Able to operate in a highly professional, systems-based environment + Proven analytical and research skills + Demonstrated problem solving… more
- Sedgwick (Indianapolis, IN)
- …high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and ... specific client service requirements; and to identify subrogation of claims and negotiate settlements. Candidate will need to go to Lafayette, Indiana twice per week. **ESSENTIAL RESPONSIBILITIES MAY INCLUDE:** + Analyzes and processes complex or technically… more
- Offices, Boards and Divisions (Washington, DC)
- …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. You must complete all assessments within 48 hours of receiving the URL to access the USA Hire Competency Based Assessments, if you received the link after the close of the announcement. To determine if you need a… more
- Centene Corporation (Woodland Hills, CA)
- …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 **Education/Experience:** Bachelor's degree in Healthcare Administration, Business Administration, Finance,… more