Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Health Claims Specialist: Complex Adjudication

$18.5 - $42.35 per hour

Hispanic Alliance for Career Enhancement

CVS Health in Virginia, MN is hiring for a full-time position focused on reviewing and adjudicating medical claims. Candidates should have at least 18 months of medical claim processing experience. The role requires strong attention to detail, efficiency in a high-volume environment, and the ability to manage multiple tasks. CVS offers a competitive pay range of $18.50 - $42.35 per hour along with comprehensive benefits for eligible employees. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Health Claims Specialist: Complex Adjudication in Virginia, MN vacancy
  • $18.5 - $42.35 per hour

    We're building a world of health around every individual - shaping a...  ...Position Summary Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established...  ...specified claims and those that exceed specialist adjudication authority or... 
    Senior
    Remote job
    Hourly pay
    Full time
    Work experience placement
    Local area

    Hispanic Alliance for Career Enhancement

    Virginia, MN
    4 days ago
  • OLH Inc. is seeking an Electrical Principal Designer to provide advanced technical design expertise for complex projects. The ideal candidate will have a minimum of 15 years of experience in electrical design, overseeing design activities, and ensuring compliance with industry... 
    Senior

    OLH Inc.

    Virginia, MN
    2 days ago
  • $105k - $115k

     ...Commission seeks an Administrative Law Judge Senior in Henrico, responsible for conducting...  ...insurance appeals and ensuring fair adjudication. The role includes conducting hearings,...  ...administrative law and the ability to navigate complex legal issues effectively. This position... 
    Senior

    Virginia-Employment-Commission

    Virginia, MN
    4 days ago
  •  ...a Physical Therapist 2 to provide direct and effective care to complex patients. This role involves acting as a role model and a supervisor...  .... The position offers opportunities for professional growth and mentorship of junior physical therapists. #J-18808-Ljbffr UVA Health
    Senior

    UVA Health

    Virginia, MN
    3 days ago
  • A global healthcare leader is seeking an experienced Industrial Hygienist to join their new manufacturing facility in Virginia. This role involves engaging in risk assessments, conducting workplace evaluations, and developing training programs to ensure safety and compliance...
    Senior

    Eli Lilly and Company

    Virginia, MN
    1 day ago
  • A leading staffing and consulting firm is seeking an experienced Senior Claims Examiner to manage complex Workers’ Compensation claims within a dynamic healthcare environment. This role is crucial in ensuring timely claims resolution while collaborating with various stakeholders... 
    Senior
    2 days per week
    1 day per week

    Seneca Resources Company, LLC

    Virginia, MN
    4 days ago
  • A leading risk management firm is seeking a Senior Claims Representative for Workers' Compensation claims in Virginia. The role involves investigating and settling claims, maintaining strong customer relations, and ensuring compliance with all legal requirements. The ideal... 
    Senior

    Chubb

    Virginia, MN
    2 days ago
  • $14.78 per hour

    UVA Health is seeking an experienced patient focused service representative in Virginia, MN. This role involves engaging patients and families throughout the care continuum, complex patient scheduling, and serving as a contact point for patients and providers. The ideal... 
    Senior
    Hourly pay

    UVA Health

    Virginia, MN
    3 days ago
  • Mindoula Health Inc is looking for an Executive Assistant to provide high-level administrative support to the executive leadership team...  ...the CEO and CFO. Key responsibilities include managing complex calendars, serving as a liaison with stakeholders, and coordinating... 
    Senior
    Remote job

    Mindoula Health Inc

    Virginia, MN
    1 day ago
  • $35 - $45 per hour

    Senior Claims Examiner - Workers’ Compensation Location: Richmond, VA...  ...Senior Claims Examiner to manage complex Workers’ Compensation claims...  ..., HR, payroll, employee health, safety teams, and external...  ...Workers’ Compensation claims adjudication or equivalent experience. In... 
    Senior
    Hourly pay
    Contract work
    For contractors
    Work at office

    Seneca Resources Company, LLC

    Virginia, MN
    4 days ago
  • Inova Health System is hiring a Sr. Epic Certified Systems Analyst - ClinDoc for a remote role. This full-time position involves implementing and maintaining EpicCare systems while managing complex IT projects. The candidate should have at least 3 years of experience with... 
    Senior
    Remote job
    Full time
    Flexible hours

    Inova Health System

    Virginia, MN
    3 days ago
  • $46.99k - $122.4k

    CVS Health in Virginia is seeking a Business Process Engineer (Senior Analyst) to enhance business process efficiency within CVS Finance. This full-time role requires...  ...experience in project scoping, documentation, complex data analysis, and proficiency in business intelligence... 
    Senior
    Full time

    Hispanic Alliance for Career Enhancement

    Virginia, MN
    2 days ago
  •  ...Senior Clinical Project Manager – Oncology/Hematology (Phase III) (Remote – US/Canada)...  ...Senior Project Manager and take ownership of complex Phase III trials, driving projects from...  ...the anticipated low and high of the Syneos Health range for this position. Actual salary... 
    Senior
    Contract work
    Remote work

    Syneos Health/ inVentiv Health Commercial LLC

    Virginia, MN
    1 day ago
  • Workers' Compensation Claims Specialist - Southeast Creative Risk Solutions...  ...the know-how to handle complex claims, and we’ll provide the...  ...will possess the ability to adjudicate lost time claims across multiple...  ...to core benefits like health, dental and vision, also enjoy... 
    Full time

    Creativerisksolutions

    Virginia, MN
    3 days ago
  • Access Associate, Senior - Ambulatory Access Operations Join UVA Health as an Access Associate, Senior - Ambulatory Access Operations . This patient-focused role...  ...engaging with patients and providers, handling complex scheduling, record retrieval, and ensuring patients... 
    Senior
    Full time
    Relocation package
    Flexible hours

    UVA Health

    Virginia, MN
    3 days ago
  •  ...A behavioral health company focused on seniors is seeking Remote Licensed Clinicians in Virginia. The role involves providing individual therapy with a goal-oriented, wellness-based approach to support elderly clients. Ideal candidates will hold a valid Virginia license... 
    Senior
    Remote work
    Flexible hours

    Total Life Inc.

    Virginia, MN
    10 hours ago
  • $115.88k - $261k

    We're building a world of health around every individual - shaping a more connected, convenient...  ...with proven ability to distill complex concepts to leaders, colleagues and peers...  ...Office technology and software, including Rx Claim and Medispan Demonstrated ability to: manage... 
    Senior
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    Hispanic Alliance for Career Enhancement

    Virginia, MN
    1 day ago
  • A behavioral health organization is seeking a Peer Support Specialist Level II to provide individualized peer support services. The role involves coaching clients and assisting with treatment plans while advocating for their needs. You will work both independently and... 
    Senior

    Range Mental Health Center, Inc.

    Virginia, MN
    1 day ago
  • A prominent consulting firm is seeking Project Principal Consultants in Washington, DC, to lead complex projects and ensure alignment with business goals. This senior role requires 5-10+ years in team management, a Bachelor's degree, and proficiency in project management... 
    Senior

    Posted by: Haalufa USA, Inc -HR

    Virginia, MN
    3 days ago
  •  ...in Virginia, MN, responsible for planning and coordinating treatment for patients dealing with substance use disorders and mental health issues. The role involves individual and group therapies, developing treatment goals, and collaborating with a multidisciplinary team... 
    Senior

    Recovery Centers of America

    Virginia, MN
    2 days ago
  • Sinceri Senior Living in Virginia is seeking a Charge Nurse to oversee resident care and supervise caregiving staff. Responsibilities include managing medication distribution, monitoring residents' daily care, and ensuring proper documentation. Candidates must hold a current... 
    Senior

    Senior living

    Virginia, MN
    4 days ago
  • A leading health care provider in Virginia is seeking a Cardiac Sonographer/Technologist to perform ultrasound procedures required for patient diagnostics. Applicants should have completed an accredited program in cardiac sonography and possess necessary certifications... 
    Senior

    Virginia Commonwealth University Health

    Virginia, MN
    3 days ago
  •  ...collaborating with various stakeholders to enhance treatment effectiveness. Ideal candidates will have a Master's Degree in a behavioral health field, relevant licensure, and experience in outpatient treatment. The position offers competitive salary and benefits within a... 
    Senior

    Prince William County

    Virginia, MN
    10 hours ago
  • $106.61k - $284.28k

    We're building a world of health around every individual - shaping a more connected, convenient...  ...Partner with key stakeholders, including senior management, Legal, Internal Audit, and...  ...the ability to analyze and interpret complex regulations, operational data, trends, assess... 
    Senior
    Hourly pay
    Full time
    Temporary work
    Local area

    Koitecc Solutions

    Virginia, MN
    3 days ago
  • $115.88k - $261k

    The Council of State and Territorial Epidemiologists is seeking a Pharmacy Specialty Clinical Development Sr. Manager responsible for managing specialty programs and ensuring clinical content and operational actions are executed correctly. The ideal candidate will have ...
    Senior
    Full time

    Council of State and Territorial Epidemiologists

    Virginia, MN
    1 day ago
  • LifeNet Health is looking for a Senior Systems Administrator responsible for managing IT infrastructure, including Active Directory and related processes. This role requires an Associate’s degree and five years of relevant experience. The company offers benefits like a... 
    Senior
    Flexible hours

    LifeNet Health

    Virginia, MN
    3 days ago
  • $46.99k - $122.4k

    We're building a world of health around every individual - shaping a more connected, convenient...  ...Summary The Business Process Engineer (Senior Analyst) will be a part of the...  ...business environment Documenting and analyzing complex business processes, from current-state process... 
    Senior
    Hourly pay
    Full time
    Temporary work
    Local area

    Hispanic Alliance for Career Enhancement

    Virginia, MN
    2 days ago
  •  ...rehabilitation provider in Virginia, MN is seeking a compassionate Licensed Practical Nurse (LPN) to provide high-quality care to seniors. The role involves developing treatment plans, supervising CNAs, and providing direct patient care. Candidates must have an active... 
    Senior
    Flexible hours

    EmergencyMD

    Virginia, MN
    1 day ago
  • A specialized insurance firm is seeking a Workers' Compensation Claims Adjuster for a temporary assignment in the U.S., focusing on higher complexity claims. Ideal candidates will have a minimum of two years of relevant experience and a Bachelor's degree, alongside strong... 
    Remote job
    Temporary work
    Work at office

    Argonaut Management Services, Inc

    Virginia, MN
    4 days ago
  • $106.61k - $284.28k

    CVS Health is seeking a Senior Manager for AI LaunchPad to drive the technical roadmap and lead a team of engineers in Minnesota. The role requires over 7 years of software engineering experience and 3 years in a management position, focusing on AI and ML platform architecture... 
    Senior

    Hispanic Alliance for Career Enhancement

    Virginia, MN
    10 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Health Claims Specialist: Complex Adjudication. Be the first to apply!