- Option Care Health (Columbus, OH)
- …raw data form. Reports must be processed for meaningful interpretation by others. Adjudicate all disputes over marketing territories that may arise, from time-to-time ... allow for effective management/performance excellence Travel Requirements: (if required) Preferred Qualifications & Interests (PQIs)Infusion sales or home care… more
- Staffing Now (Tampa, FL)
- Analyze and adjudicate a variety of claim types to include facility, professional, inpatient and outpatient services *Follow claims adjudication rules to assure that ... perform basic to intermediate mathematical computation routines * Medical terminology strongly preferred * Understanding of ICD-9 & ICD-10 * Basic MS office computer… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …pricing files, contractual obligations, and billing practices, all to appropriately adjudicate provider and facility claims. + Use comprehensive knowledge of coding ... and in collaboration with teammates, physicians and other associates to appropriately adjudicate claims. + In-depth knowledge of HCPCS, CPT, ICD-10 and not otherwise… more
- Amentum (Fort Belvoir, VA)
- The Requirements Branch supports DTRA's process to identify, analyze, adjudicate , and document Agency-level requirements in order to provide quality information and ... This shall include support to the Agency process to identify, analyze, adjudicate , and document requirements. The Contractor shall provide support including, but not… more
- J&J Family of Companies (Horsham, PA)
- …documents through designated review and approval cycles. + Facilitate, collate, and adjudicate author and reviewer comments. + Adjudicate and address quality ... **Education:** + Bachelor's degree required. Master's degree, PhD, or PharmD preferred . **Experience and Skills:** **Required:** + A minimum of 5 years… more
- Executive Office for US Attorneys and the Office of the US… (Reno, NV)
- …counsel and the courts. Significant courtroom experience including jury trials is preferred . Successful candidates will also be computer proficient, capable of doing ... post-J.D. legal or other relevant experience. United States citizenship is required.. Preferred Qualifications: The ideal candidate will have three or more years of… more
- Trinity Health (Livonia, MI)
- …hourly contingent position. This is not a part time role. * Preferred experience/skills: Payroll, PTO management, Report analysis, Excel formulation, Workday. We are ... for benefits as it is a contingent_** **_position._** **_* Preferred experience/skills:_** **_Payroll, PTO management, Report analysis, Excel formulation,… more
- Sedgwick (Dallas, TX)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... values that include empathy, accountability, collaboration, growth, and inclusion. ** PREFERRED GEOGRAPHIC LOCATIONS** Midwest & West Regions Candidates outside of… more
- Sedgwick (Tucson, AZ)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... values that include empathy, accountability, collaboration, growth, and inclusion. ** PREFERRED GEOGRAPHIC LOCATIONS** Midwest & West Regions Candidates outside of… more
- NRG Energy, Inc. (TX)
- …renewal efforts. Identify customers up for renewal and provide updated pricing + Adjudicate and approve credit for small customers via utility invoice review and ... Microsoft Office products + Excellent analytical and problem-solving skills required. ** Preferred Qualifications:** + Bachelor's degree preferred ; preferably in… more
- Access Dubuque (Dubuque, IA)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... values that include empathy, accountability, collaboration, growth, and inclusion. ** PREFERRED GEOGRAPHIC LOCATIONS** Midwest & West Regions Candidates outside of… more
- Executive Office for US Attorneys and the Office of the US… (Las Vegas, NV)
- …year post-J.D. legal or other relevant experience. United States citizenship is required. Preferred Qualifications: The Preferred candidate will have at least 3 ... to 5 years of federal litigation experience. The preferred candidate must have experience taking and defending depositions...notify this Office if you currently represent clients or adjudicate matters in which this Office is involved and/or… more
- Sedgwick (Hunt Valley, MD)
- …some of the world's best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver ... or GED required. Bachelor's degree from an accredited college or university preferred . + Professional certification as applicable to line of business preferred… more
- Three Saints Bay (Washington, DC)
- …Draft the Risk Based Analysis (RBA) for Army cases of concern and adjudicate all comments received from the committee favorably during the National Security ... Degree in Business, Finance, Economics or National Security is preferred ; experience in intelligence or analytics is also ...preferred ; experience in intelligence or analytics is also preferred . . DAWIA Level II Program Management (desired). .… more
- Executive Office for US Attorneys and the Office of the US… (Laredo, TX)
- …a minimum of one year of bar licensure. United States citizenship is required. Preferred Qualifications: The ideal candidate will have at least four (4) years of ... casework includes employment litigation, torts, immigration, and bankruptcy. Additional preferred qualifications are first-chair federal trial experience, strong academics,… more
- KBR (Arlington, VA)
- …regular basis as needed to advance the work. + Complete steps required to adjudicate diversion analyses via EDRB forum or G-8 staffing, including but not limited to ... required, seven to ten (7-10) years of progressive experience preferred + Bachelor's degree in an applicable field is...is required, bachelor's degree in a technical field is preferred + Must be proficient in Microsoft Excel and… more
- Western Washington University (Bellingham, WA)
- …and guidance prior to the start of individual debate rounds. They also adjudicate debate sessions among other participating schools at a tournament (the providing of ... and inclusive of students with diverse social identities and backgrounds. Preferred Qualifications + Experience with research-based debate formats (ie CARD, NDT-CEDA… more
- Cleveland Clinic (Beachwood, OH)
- …from the prescription and patient profile in order to process and adjudicate prescriptions. Initiates prior authorizations, and communicates with third party payers ... insurances, including Medicare, Medicaid, Pharmacy Benefit Managers (PBM), and Preferred Provider Organizations (PPO) and communicates with payors and advises… more
- Vanguard (Dallas, TX)
- …provide accurate & timely reporting that informs remediation progress. + Adjudicate false-positives and requests for risk-acceptance or risk-rating adjustment. + ... Palo Alto Prisma, Wiz, CrowdStrike, Tenable Nessus, or Qualys preferred . + Knowledge of Kubernetes preferred . +...or Qualys preferred . + Knowledge of Kubernetes preferred . + Experience with risk controls and interacting with… more
- Northrop Grumman (Ridgecrest, CA)
- …that products and services conform to company standards of excellence. + Adjudicate and process preliminary and final dispositions for product and service ... + Bachelor's degree; degree in an Engineering discipline is preferred . + 5 years minimum of quality / mission...+ Bachelor's degree; degree in an Engineering discipline is preferred . + 9 years minimum of quality / mission… more
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