- Polaris Pharmacy Services, LLC (Riverside, MO)
- Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Missouri LLC - Riverside, MO Remote Type Fully Remote Position Type Full Time Job ... Category Pharmaceutical Description THIRD PARTY ADJUDICATION CLAIMS SPECIALIST WHO WE ARE Polaris Pharmacy Services is an industry leader in both the Long-Term… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $18.00 - ... for career advancement to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing… more
- Mass Markets (Killeen, TX)
- …expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume or… more
- CVS Health (Washington, DC)
- …**Key Responsibilities** + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Applies medical ... each and every day. **Position Summary** The Senior Claim Benefit Specialist reviews and adjudicates complex, sensitive, and/or specialized claims in accordance… more
- CVS Health (Des Moines, IA)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… more
- AssistRx (Phoenix, AZ)
- …of Care and Health Care Providers. The Copay Support/Claims Processing Specialist will adjudication , troubleshoot claim rejections, claim reversals, allocation ... The Copay Support/Claims Processing Specialist is a critical role within the organization...discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data integrity.… more
- Alluvionic (Washington, DC)
- …by federal personnel security specialist . + Assist federal personnel security specialist in the adjudication of background investigations for suitability and ... of Justice! Job Summary: Alluvionic is seeking a Lead Personnel Security Specialist to join the Executive Office for United States Attorneys (EOUSA) Security… more
- Capital One (Richmond, VA)
- Manager- Criminal Background Screening Adjudication & I9 Team As the Manager of our I9 logistics and criminal background screening adjudication teams, you will ... + Lead process team's execution and adherence for background screening adjudication across the enterprise for all associates and contractors + Collaborate… more
- IQVIA (Durham, NC)
- …of projects as assigned by CEVA (Clinical Event Validation and Adjudication ) management, covering single or multiple CEVA functions. Provide leadership and ... and transparent program for customers in areas of endpoint adjudication committee coordination, core laboratory coordination, DSMB administration, and steering… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... the Agency Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and… more