- Indy Gov (Indianapolis, IN)
- …through CHINS and TPR cases, including pre-trial advocacy, bench trials, and post- adjudication advocacy in CHINS matters. + Conducts legal and factual review of ... cases; interviews clients, service providers, and other witnesses; evaluates legal and factual strength of CHINS and TPR cases. + Advises clients regarding both legal matters and practical considerations in navigating the child welfare system to prevent family… more
- Army National Guard Units (Fort Knox, 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 located on a tobacco free facility. Must attended Supervisor Training: failure to complete Supervisor Training within 12… more
- Office of the Secretary of the Interior (Washington, DC)
- …Citizenship required. Appointment subject to background investigation and favorable adjudication . Meet Selective Service Registration Act requirement for males. ... Selectee will be required to participate in the Direct Deposit Electronics Funds Transfer Program. You will be required to submit to a drug test and receive a negative drug test result prior to appointment. In addition, this position is subject to random… more
- Beth Israel Lahey Health (Westwood, MA)
- …supervisory/management experience required 4. Understanding of insurance and adjudication processes. Robust understanding of prior authorizations through pharmacy ... and medical benefits. 5. Robust understanding of 340B and its implications in all ambulatory pharmacy operations. 6. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook,… more
- Martin's Point Health Care (Portland, ME)
- …but not limited to benefits, eligibility, plan coverage, enrollment status, claims adjudication process, billing, and payments for Martin's Point USFHP Program and ... Medicare programs. Job Description Key Outcomes: + Answers verbal, written and electronic inquiries with complete and accurate information and educates when possible regarding Martin's Point USFHP and Medicare program's policies, procedures and self- service… more
- Amgen (Washington, DC)
- …operational metrics. + Report on trends in reimbursement, provider readiness, patient adjudication status, and impact of open enrollment efforts. + Provide insights ... and recommendations to senior leadership based on real-time field data, vendor performance, and operational risks. **What we expect of you** We are all different, yet we all use our unique contributions to serve patients. The professional we seek will come… more
- Beth Israel Lahey Health (Westwood, MA)
- …4. Clinical/ambulatory care pharmacist experience. 5. Understanding of insurance and adjudication processes. Knowledge of 3rd Party Insurance Plans. 6. Experience ... with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. **Preferred Qualifications:** 1. Specialty Pharmacy, 340B and/or contract pharmacy experience.… more
- Beth Israel Lahey Health (Boston, MA)
- …Strong understanding of data & analytics. 3. Understanding of insurance and adjudication processes. Knowledge of 3rd Party Insurance Plans. 4. Experience with ... computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access. **Preferred Qualifications:** 1. Associates or Bachelor's degree. 2. Supervisor or management… more
- MyFlorida (Chattahoochee, FL)
- …or appointment as an officer, notwithstanding suspension of sentence or withholding of adjudication . + Pass a medical examination and drug test. + Have a good ... moral character as determined by a background investigation. + Must be certified as a Correctional Officer in Florida. Preference will be given to applicants who have: + Two years' experience in current employment position. Candidate Profile (application) must… more
- Beth Israel Lahey Health (Boston, MA)
- …4. Knowledge of prior-authorization workflows, payer relations, prescription claims adjudication , and general reimbursement procedures. 5. Ability to develop strong ... relationships with diverse groups of professionals (physicians, nurses, administration, etc. 6. Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel,… more