Average salary: $99,514 /yearly
More statsSearch Results: 23 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
...Medical Monitor/Clinical Development Lead)Protocol and ICF development process with minimal guidance; including writing, reviewing, adjudication/resolution of cross functional comments and ensuring high clinical quality (collaboration with Medical Writing)Site-facing...
Suggested
Flexible hours
Shift work
...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
Local area
Remote job
Relocation
Trial period
...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
...Continued employment will be subject to the applicant's successful completion of a background security investigation and favorable adjudication. Failure to successfully meet these requirements will be grounds for termination.
Throughout the recruitment and hiring...
Suggested
Holiday work
Permanent employment
Full time
Contract work
Temporary work
Part time
Work experience placement
Local area
Immediate start
Remote job
Overseas
Flexible hours
Night shift
....
Individuals who were born male after 12/31/1959 must be Selective Service registered or exempt.
Subject to satisfactory adjudication of background investigation and/or fingerprint check.
Successful completion of one-year probationary period, unless previously...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Part time
Work experience placement
Local area
Remote job
Relocation
Flexible hours
...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...
Suggested
Permanent employment
Full time
Contract work
Work experience placement
Interim role
Local area
Remote job
Trial period
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...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
Apprenticeship
Remote job
...state, and county programs including Medicare, Medi-Cal, managed care and private insurances.
Essential Functions
* Review and adjudicate coding of services from documentation in a timely manner.
* Code physician/provider visit procedure notes to identify...
Suggested
...or hold stocks in firms with interest in Federal Lands.
Direct Deposit Required.
Appointment will be subject to a favorably adjudicated background/suitability investigation/determination.
Your resume must contain enough information to show that you meet the...
Suggested
Permanent employment
Full time
Temporary work
Part time
Local area
Remote job
Relocation
...medical terminology.
Knows what a copay, coinsurance, deductible and an out-of-pocket maximum are
Knows how these affect claim adjudication and patient responsibility
Knows how to calculate patient’s estimated responsibility based on benefits and scheduled...
Suggested
Sunday
...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
Contract work
Temporary work
Part time
For contractors
For subcontractor
Remote job
Relocation
...motivated and customer centric individual to join our Claims Team. As a Claims Adjuster you will apply your knowledge and experience adjudicating claims in the New Home Division. You will be handling workmanship, systems and structural defect warranty claims. Industry...
Suggested
Contract work
For contractors
Work experience placement
Flexible hours
...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...
Suggested
Permanent employment
Full time
Contract work
Temporary work
Part time
Internship
Remote job
Relocation
Night shift
...Identifies and speaks up for ways to address improvement opportunities.
Supports the payment of claims as directed by: reviewing or adjudicating routine or common claims to ensure that all expenditures are properly adjudicated and paid on time in accordance with...
Suggested
Full time
Shift work
...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....
Permanent employment
Temporary work
Part time
Traineeship
Work experience placement
Internship
Remote job
Night shift
...Manager along with additional team resources will be building & maintaining these new systems and applications that support CA-MMIS, adjudicates Medi-Cal and non-Medi-Cal claims for the State, and performs other services to medical program providers, beneficiary members,...
Remote job
...Individuals who were born male after 12/31/1959 must be Selective Service registered or exempt.
Subject to satisfactory adjudication of background investigation and/or fingerprint check.
Successful completion of one-year probationary period, unless previously...
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
Remote job
Flexible hours
Monday to Friday
...matter expertise and clinical support. Partner with PDB Clinical Ops branch to implement formulary changes and clinical edits to adjudicate claims.
The PC II will develop issue papers, legislative proposals, regulation changes, and policy proposals on a variety of pharmaceutical...
Holiday work
Permanent employment
Full time
Contract work
Remote job
2 days per week
3 days per week
...deaths in accordance with S.B.1421 categories.
Participate in and formulate recommendations regarding the investigation and adjudication of serious use of force incidents.
Plan, coordinate, and conduct thorough interviews with public safety employees and witnesses...
Full time
Work experience placement
Immediate start
Afternoon shift