- Polaris Pharmacy Services, LLC (Covina, CA)
- …need it most, we invite you to grow with us. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring timely billing ... claim scenarios. + Provide detailed explanations to claimants regarding the adjudication process, claim denials, or settlement offers + Additional Responsibilities:… more
- Mass Markets (Killeen, TX)
- …expanding, industry-leading organization. We are seeking a detail-oriented and analyticalOn-SiteClaims Adjudication Specialist to join our team! If you have ... of experience in one or more of the following: call center, claims adjudication , insurance adjusting, or technical customer service (preferably in a high-volume or… more
- CVS Health (Franklin, TN)
- …effective and timely support. + Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. + Handles phone and ... written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. + Identifies and reports claim overpayments, underpayments, and any other irregularities. + Takes direction to execute techniques, processes, and… more
- AssistRx (Phoenix, AZ)
- …of Care and Health Care Providers. The Copay Support/Claims Processing Specialist will adjudication , troubleshoot claim rejections, claim reversals, allocation ... The Copay Support/Claims Processing Specialist is a critical role within the organization...discrepancies (missing info and duplicates) + Partners with claim adjudication vendors ensure proper claims processing and data integrity.… more
- IQVIA (Durham, NC)
- …of projects as assigned by CEVA (Clinical Event Validation and Adjudication ) management, covering single or multiple CEVA functions. Provide leadership and ... and transparent program for customers in areas of endpoint adjudication committee coordination, core laboratory coordination, DSMB administration, and steering… more
- State of Montana (Helena, MT)
- …on a case‑by‑case basis**.** Major Duties and Responsibilities As the Compliance Specialist 3 for the Adjudication , Enforcement, & Distribution bureau, you ... Resources and Conservation (DNRC) Water Resources Division is recruiting two Compliance Specialist 3 positions to champion statewide water rights quality control and… more
- AON (NY)
- …looking for a Claims Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd like to grow your experience ... written communication. Skills that lead to success: + Claims adjudication experience. + Clear and professional written and verbal...Specialist II Do you have experience in claims adjudication and enjoy resolving issues for clients? If you'd… more
- Xcelerate Solutions (Washington, DC)
- Personnel Security Specialist (PSS ) Grade 6 - TS Xcelerate Solutions is seeking a Personnel Security Specialist (PSS) Grade 6 you will support a full range of ... the Agency Personnel Security Program Managers (PSPM) in performing BIs and adjudication case work in support of security and suitability investigations and… more
- Customs and Border Protection (Washington, DC)
- …within the duty location(s) listed above. Responsibilities As a Personnel Security Specialist , you will manage the CBP Personnel Suitability and Security Program for ... and employees (Federal and contracted) which includes the initiation and adjudication of pre-employment investigations for applicants, the initiation and … more
- Veterans Affairs, Veterans Health Administration (Fort Wayne, IN)
- …include, but are not limited to: Serves as a uniformed Physical Security Specialist providing services on behalf of the VHA, PCS, including assisting in managing ... terrorism, sabotage, damage and theft. Participates with senior-level Physical Security Specialist and provides suggestions to the Chief of Police regarding matters… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** We're seeking an Interplan Service Specialist to join our team. The Interplan Service Specialist resolves any issue, whether common, complex ... partners, other BCBS Health Care Plans, our members, groups and providers. The Specialist will work independently to resolve issues and remove obstacles to timely… more
- US Army Corps of Engineers (Fort Worth, TX)
- Summary About the Position: This Contract Specialist position is with the US Army Corps of Engineers, Southwestern Division, Fort Worth District with a duty station ... section below for further details. Responsibilities Serve as contract specialist responsible for pre-award and post-award actions, including price/cost analysis,… more
- Advantage SCI (Fort Meade, MD)
- Job Descriptions: Position: Personnel Security Specialist Reports To: The Customer and Project Manager Clearance Type: Active TS/SCI with CI Poly Work Location: Ft. ... Meade, Maryland Advantage SCI is seeking a Personnel Security Specialist to be considered for employment. This individual shall support the Personnel Security… more
- US Coast Guard (Washington, DC)
- Summary This vacancy is for a GS-0301-12, Program Specialist located in the Department of Homeland Security, US Coast Guard, Office of Military Workforce Management ... of Columbia. Responsibilities You will serve as a Program Specialist and be responsible for overseeing and evaluating the...minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email… more
- Executive Office for US Attorneys and the Office of the US… (Brooklyn, NY)
- …state and local government agencies and community groups. Responsibilities This Paralegal Specialist provides assistance to attorneys in the Criminal Division of the ... you will join a well-respected team that is responsible for providing Paralegal Specialist support in the US Attorney's Office, Eastern District of New York, located… more
- KBR (Washington, DC)
- Title: Logistics and Readiness Admin Support - Sr. Specialist Program Summary: KBR's Mission Engineering Division delivers complex technical solutions and expert ... hire a Logistics and Readiness Admin Support - Sr. Specialist to support a wide array of tasks from...screen, and receive collateral visit requests through Joint Personnel Adjudication System (JPAS). Provide Integrated Logistics Support: + Assist… more
- US Coast Guard (Washington, DC)
- Summary This vacancy is for a GS-2210-13, IT Specialist (SYSANALYSIS) located in the Department of Homeland Security, US Coast Guard, Command Control Sensors & ... of Columbia. Responsibilities You will serve as an IT Specialist (SYSANALYSIS) and serves as a subject matter expert...minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email… more
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …in Greater Los Angeles. The mission of the Physical Security Specialist /Non-Uniformed is to serve and protect Veterans, patients, employees, contractors, volunteers, ... is not a virtual position. Position Description/PD#: Physical Security Specialist /PD99827A and PD99827S Relocation/Recruitment Incentives: May be authorized for… more
- Customs and Border Protection (Grand Island, NY)
- …Responsibilities This position serves as a Law Enforcement Information Systems Specialist and provides multifaceted analysis products including reports and real-time ... pay rate charts. In this Law Enforcement Information Systems Specialist (LEISS) position, you will become a key team...minimum qualifications of the position, after notification of the adjudication of your request, you will receive an email… more
- Advantage SCI (Reston, VA)
- Job Descriptions: Position: Personnel Security Specialist Reports To: The Customer and Project Manager Clearance Type: Active TS (with ability to obtain SCI with CI ... personnel for access to sensitive compartmented information, through case management, adjudication , and due process. * Review forms for accuracy and process… more