• Adjudication Specialist

    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
    Polaris Pharmacy Services, LLC (12/23/25)
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  • Utilization Review Specialist

    TEKsystems (Canoga Park, CA)
    …auditing and reviewing medical claims to ensure accuracy, regulatory compliance, and proper adjudication . This role is ideal for a Licensed Vocational Nurse (LVN) or ... findings, prepare reports, and present trends to leadership + Support automated adjudication systems and identify strategies to reduce errors + Ensure HIPAA and… more
    TEKsystems (12/30/25)
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  • Epic Solution Architect

    Deloitte (Costa Mesa, CA)
    …a collaborative environment? As an experienced Epic Solution Architect - Project Delivery Specialist you will have the ability to share new ideas and collaborate on ... for this role ends on 01-Jan-2026 Work you'll do/Responsibilities As a Project Delivery Specialist II (PDS II) at Deloitte, you will work within an engagement team… more
    Deloitte (12/20/25)
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