Average salary: $110,305 /yearly
More statsSearch Results: 390 vacancies
...Job Description
Job Description Large Healthcare Group is looking for an experienced Claims Adjudicator to work onsite in Whittier, CA. Must have at least 2 years experience in healthcare claims adjudication.
Schedule: M-F, 7 am to 3:30 PM
3 Month Contract- Possibility...
Suggested
Contract work
Immediate start
** Supervisory Passport Specialist (Adjudication Manager)**
****
**Location**
1 vacancy in the following location:
** Relocation expenses reimbursed**
Yes Relocation expenses may be provided.
** Telework eligible**
No
**Duties**
** Summary**
The position...
Suggested
Work experience placement
Remote job
Relocation
Work visa
...Title: Senior Manager, Funds Risk Management - Credit Adjudication Requisition ID: 140263
Join a purpose driven winning team, committed to results, in an inclusive and high-performing culture.
**Purpose of Job:**
Funds Risk Management is responsible for risk management...
Suggested
...Title: Manager, Risk Technology, Adjudication Centre of Expertise Requisition ID: 139413
Join a purpose driven winning team, committed to results, in an inclusive and high-performing culture.
As **Manager, Change Initiatives,** the incumbent contributes to the overall...
Suggested
Bank staff
Flexible hours
...investigates claims to evaluate compliance with the law. Interviews workers,holds settlement conferences to resolve disputes prior to adjudication of claims. Gathers relevant facts and applies theories of liabilities in order to assess violations and educates the public on...
Suggested
Permanent employment
Full time
...while adhering to designed
Outpatient/Retail pharmacy workflows (i.e., data entry, DUR evaluation and resolution, PBM claim adjudication, etc.).
Demonstrate the ability to communicate with patients and other health care professionals regarding proper medication...
Suggested
Hourly pay
Relief
Local area
Monday to Friday
...preferredCalifornia Certified Pharmacy Technician licenseBilingual: Fluent in English and ArmenianExperience with compounding and adjudicating
Referral Bonus:
Referrals really pay off! Do you know of someone in healthcare looking for work? Refer them to MediQuest...
Suggested
Local area
Shift work
...Citizen or US National.
Males born after 12/31/1959 must be Selective Service registered or exempt.
Subject to satisfactory adjudication of background investigation and/or fingerprint check. If selected you will be sent instructions on obtaining fingerprints....
Suggested
Permanent employment
Full time
Temporary work
Part time
For contractors
Work experience placement
Local area
Remote job
Relocation
Overseas
Flexible hours
...responsibilities, please visit
This position is designated as a LOW-RISK position. It requires a fully completed and favorably adjudicated SF85 Background Investigation (T1 or equivalent) that is current (within the last 5 years). This is a condition of employment....
Suggested
Permanent employment
Full time
Temporary work
Part time
For contractors
Remote job
Relocation
...TARs) for Medi-Cal when necessary for account resolution.
Processes all approved charge corrections timely, verifying proper adjudication for payor eligibility, following all Medicare/Medi-Cal/CCS and other payor guidelines.
Processes correspondence for accounts...
Suggested
Hourly pay
Contract work
Temporary work
Shift work
...Bachelor's degree in Computer Science or related field, or equivalent experience
•Must be able to receive a favorable Interim and adjudicated final Department of Defense background
investigation
•5 years of experience in quality assurance/software testing or related...
Suggested
Interim role
...credentials/authorization at this work location.
+ Must be able to obtain and maintain a Common Access Card (CAC) with a Tier 3 adjudication.
+ Must successfully pass a pre-employment drug screen.
**Preferred Qualifications**
+ Prior experience with U.S. Naval...
Suggested
Hourly pay
Local area
Shift work
All shifts
...or Applicants From Philadelphia, New York City, Illinois, etc.*** If yes, include details of each crime, the date of conviction, adjudication or plea, and the penalty imposed. In addition, please include information concerning all crimes to which you were adjudicated...
Suggested
Full time
Contract work
For contractors
For subcontractor
...and accident claims
Ability to interpret Plan Documents or Summary Plan Descriptions (SPD) for the purpose of accurate claim adjudication and/or benefit determination
Basic knowledge of medical terminology. Familiar with UB-04 and HCFA 1500 forms (837/5010 format...
Suggested
Contract work
Local area
Remote job
As a Medical Claims Examiner Processor at Fortuna, you will play a vital role in ensuring the smooth adjudication and processing of medical claims, contributing directly to the efficiency and accuracy of our operations. Located in Folsom, CA, you'll join a dynamic team...
Suggested
Hourly pay
Holiday work
Full time
...resolve problems in accordance with established laws and regulations
Manage resident issues involving needs for mediation and adjudication
Manage evictions and resident unit transfers as needed
Participate in due diligence process if property is acquired/sold...
Local area
Immediate start
...security clearance. The Defense Industrial Security Clearance Office (DISCO), 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...
Holiday work
Contract work
Temporary work
Remote job
Work from home
Flexible hours
...claims to determine and calculate the type and level of benefits based on established criteria and provider contracts. Experience in adjudication of Commercial, Medicare Advantage, and Medi-Cal claims will make you a great candidate, along with experience or familiarity...
Full time
Contract work
Work experience placement
Monday to Friday
...please visit
This position is designated as a MODERATE RISK Public Trust position. It requires a fully completed and favorably adjudicated Public Trust Suitability Background Investigation (T2S or T2RS or equivalent) that is current (within the last 5 years). This is...
Permanent employment
Full time
Temporary work
Part time
Remote job
Relocation
Night shift
...contract service providers.
Responds to complaints and requests for information; interprets and applies policies and procedures; adjudicates complaints.
Makes complex program or project eligibility determinations; conducts focus groups; meets with community or...
Permanent employment
Full time
Contract work
Work experience placement
Interim role
Local area
Remote job
Trial period
