- Advanced Technology and Research Corporation (Beltsville, 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. Powered by JazzHR more
- CDPHP (Latham, NY)
- …required. + Chronic Conditions knowledge preferred. + Experience in claims adjudication , billing and enrollment systems, product or pricing is preferred. + ... Experience with Microsoft Office, including Word, Excel, Outlook and PowerPoint is required. + Experience with Clinical Documentation Improvement preferred. + Demonstrated knowledge of medical record review and diagnosis coding within the health insurance… more
- AIG (Lenexa, KS)
- …from upcoming projects. What you'll need to succeed + Proven claim adjudication or claim operations experience for multi-line commercial claims. Claim Audit or ... file review experience is desirable. + Knowledge of key regulatory and legal requirements relevant to commercial or personal line claims is a plus. + Experience in claims analysis, management information and stakeholder reporting desirable. + Ability to make… more
- Beth Israel Lahey Health (Westwood, MA)
- …years related work experience required. 4. Understanding of insurance and adjudication processes. 5. 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. Experience in academic medical center pharmacy. 2. 340B Pharmacy experience. **Competencies:** 1. Decision… more
- J&J Family of Companies (Irvine, CA)
- …ethics committees and authorities; o Assists in scheduling and coordination of safety adjudication process; o Coordinates safety board meetings and acts as point of ... contact for any questions; o Ensures all safety reports are directed to the appropriate staff. **Qualifications:** EDUCATION . Minimum of a Bachelor's Degree preferably in Life Science, Physical Science, Nursing, or Biological Science required. EXPERIENCE . BS… more
- RTX Corporation (Richardson, TX)
- …of our products. + This position requires a security clearance. **DCSA Consolidated Adjudication Services (DCSA)** , 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 + North Texas:… more
- RTX Corporation (El Segundo, CA)
- …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… more
- RTX Corporation (Tucson, AZ)
- …More & Apply Now!** 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 101,000 USD -… more
- RTX Corporation (Goleta, CA)
- …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 RTX Corporation is an Aerospace… more
- Commonwealth Care Alliance (Boston, MA)
- …and Medicaid + 7+ years progressive experience in medical claims adjudication , clinical coding reviews for claims, settlement, claims auditing and/or utilization ... review required + 7+ years experience with Optum Claims Editing System (CES), Zelis, Lyric or other editing tools + Extensive knowledge and experience in Healhcare Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims Processing… more