Average salary: $109,679 /yearly
More statsSearch Results: 36 vacancies
...employees/managers with information and assistance regarding potential leaves
- Produce and track all required documentation
- Assess, adjudicate, and track all FMLA claims and available time
- Coordinate leaves with Short Term Disability Vendor and Workers’ Compensation...
Suggested
Full time
Temporary work
Local area
...Review the account information and necessary system applications to determine the next appropriate work activity.
Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone, electronic or letter contact to patients to obtain...
Suggested
Monday to Friday
..., focusing on prescription preparation and customer service through creating and maintaining patient's profiles, data entry and adjudication to third party payors in a central location.
MedStar Pharmacy is committed to providing world-class, compassionate care to every...
Suggested
Permanent employment
Local area
Immediate start
...email to collect all necessary documentation during the vendor vetting process
* Work closely with background department on the adjudication of drug and background results
* Partner with the Account Compliance Department to resolve compliance issues and/or understand...
Suggested
...Credential and must maintain
PIV credential eligibility during their services with the agency.
have a successfully required adjudicated background investigation and obtain and maintain a required security clearance.
carry firearms for safety and security as...
Suggested
Holiday work
Permanent employment
Full time
Temporary work
Part time
For contractors
Local area
Immediate start
Remote job
Shift work
Rotating shift
Weekend work
...appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication. The incumbent will handle pre and post claim medical review for Commercial, FEP and Medicare Advantage Plans. This position assists...
Suggested
Permanent employment
Immediate start
...Must possess an active Top Secret/SCI clearance with an active polygraph. Both the clearance and polygraph need to be fully adjudicated. Interim clearances will not be accepted.
U.S. Citizenship required in order to comply with government contract.
Best...
Suggested
Full time
Contract work
Part time
Interim role
Local area
Weekend work
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Duties
* Research and make case determinations, hearing and adjudicating appeals, and make decisions on reopening cases and whether to reconsider cases.
* Provide technical and administrative advice...
Suggested
Weekly pay
Permanent employment
Full time
Temporary work
Part time
For contractors
Local area
Immediate start
Relocation
Overseas
...program and mentorship to support task completion.
* Joint management of the CUSV JIRA Problem Change Report (PCR) Database and PCR adjudication and resolution process.
* Lead and/or perform systems engineering content for Engineering Change Proposals and Requests for...
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Contract work
For subcontractor
Worldwide
Flexible hours
...Must possess an active Top Secret/SCI clearance with an active polygraph. Both the clearance and polygraph need to be fully adjudicated. Interim clearances will not be accepted.
U.S. Citizenship required in order to comply with government contract.
Best Value...
Suggested
Full time
Contract work
Part time
Interim role
Local area
...and individual contributors.Ability to travel domestically as required.U.S. citizenship with an active U.S. DoD Secret Clearance (adjudicated within the last 5 years) and the ability to qualify for access to Special Access Programs (SAPs) with the ability to occasionally...
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Holiday work
Full time
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For contractors
Remote job
Relocation package
...closely with organizational teams to ensure medical policy and operating procedures are accurately operationalized for optimal claims adjudication and utilization management. We are looking for an experienced professional to work remotely from within the greater Baltimore...
Suggested
Work experience placement
Immediate start
Remote job
...requests for RA are made on a case-by-case basis. If you meet the minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email invitation to complete the USA Hire Competency Based Assessments, based on your...
Suggested
Permanent employment
Full time
Temporary work
Part time
Relocation
Overseas
...Must possess an active Top Secret/SCI clearance with an active polygraph. Both the clearance and polygraph need to be fully adjudicated. Interim clearances will not be accepted.
U.S. Citizenship required in order to comply with government contract.
Best...
Suggested
Full time
Contract work
Part time
Interim role
Local area
...state governance entities to develop, own and execute a claim resolution strategy, that includes management of timely and accurate adjudication while collaborating with coverage experts.
Oversees in partnership with the DVOC team, all third-party COB, payment integrity...
Suggested
Contract work
Local area
...care and efficient operations.
Job Duties:
Proactively coordinate medication refills including data entry and pharmacy claim adjudication
Clarify prescription orders with pharmacist and/or clinician as appropriate.
Identify medications requiring special...
Local area
...good interpersonal skills, the ability to complete correspondence and applicable forms to obtain information necessary for claim adjudication and or corrections to files. This employee may be required to review letters from physicians/hospitals to determine payable...
Hourly pay
Permanent employment
Full time
Part time
Immediate start
Remote job
Shift work
Monday to Friday
..., and corrective action/discipline is imposed when circumstances warrant.
Advise leadership of labor matters and assist in adjudicating all complaints filed including grievances.
Participate in regular training and feed-back to labor and management staff.
Communicate...
Holiday work
For contractors
Local area
Flexible hours
Shift work
Night shift
Weekend work
...rehabilitation services to assist adults with significant disabilities who are seeking to enter or reenter the workforce, and the adjudication of Social Security disability claims for the citizens of Maryland.
GRADE
11
LOCATION OF POSITION
MSDE-DORS-Workforce...
Work experience placement
...rehabilitation services to assist adults with significant disabilities who are seeking to enter or reenter the workforce, and the adjudication of Social Security disability claims for the citizens of Maryland.
GRADE
11
LOCATION OF POSITION
MSDE-DORS-Disability...
Work alone
