- Air National Guard Units (Louisville, KY)
- …Participation in direct deposit is mandatory. Must obtain and maintain a favorable adjudication of a T3 or equivalent investigation. Acceptance of a Federal position ... may terminate a military bonus. Acceptance of a Federal position will terminate Tricare Reserve Select (TRS) eligibility. This position is covered by the Domestic Violence Misdemeanor Amendment (30 Sep 96) of the Gun Control Act (Lautenberg Amendment) of 1968.… more
- City of New York (New York, NY)
- …management functions within two (2) juvenile detention facilities for youth pending adjudication of court proceedings. - Supervise and coach two (2) Directors of ... Case Management, responsible for daily supervision and direction of case management activities in the juvenile detention facilities and provide coverage in the absence of the directors as needed. - Actively participate in the development, coordination and… more
- Fallon Health (Worcester, MA)
- …action planning must be established for each respective case and adjudication completed in accordance with existing regulations, policies and standards. ... **Responsibilities** **Primary Job Responsibilities:** + Follows the Case Management Standards of Practice, Ethical standards, department policies and procedures, and compliance regulations + Obtain clinical, functional and psychosocial information from the… more
- J&J Family of Companies (Raritan, NJ)
- …upon to provide oversight on all issues relating to rebate analysis and payments, adjudication of such payments on a timely basis and resolution of any disputes on ... rebate claims. Additionally, GRO develops and implements agreed upon rebate policies and advises Johnson & Johnson pharmaceutical operating companies on strategic and operational issues pertinent to Federal and State rebate programs. The Senior Manager, GRO is… more
- RTX Corporation (Juana Diaz, PR)
- …role: Onsite. If 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 **This position is located in Juana Diaz, PR. Work… more
- Hubbard Broadcasting (Chicago, IL)
- …is subject to pre-employment driving record background check. A conviction, violation pending adjudication , or adverse driving record more than 3 years old or does ... not meet the major violation definition per company policy will not, on its own, disqualify an applicant. The company will use background check information in a confidential, non-discriminatory manner consistent with applicable federal, state and local law.… more
- Molina Healthcare (NE)
- …to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of claims using standard principles and state specific policies and regulations ... in order to identify incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and processing errors of claims. ( _Use for claims specific positions only_ ) * Prepares, tracks and provides audit findings reports according to designated… more
- Humana (Montpelier, VT)
- …in assembling of evidence and documentation to support successful adjudication , where appropriate. Monitors/Leads investigations to ensuring appropriateness of ... billing practices using a variety of investigational tools. Prepares complex investigative and audit reports. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires… more
- Sedgwick (San Antonio, TX)
- …workers compensation 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. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Manages workers compensation claims determining compensability and benefits due on long term indemnity claims, monitors reserve accuracy, and files… more
- Pacific Northwest National Laboratory (Richland, WA)
- …of federal background investigation post hire and receive a favorable federal adjudication . The tier of federal background investigation will be determined by job ... duties and national security or public trust responsibilities associated with the job. All tiers of investigation include a declaration of illegal drug activities, including use, supply, possession, or manufacture within the last 1 to 7 years (depending on the… more