- 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
- The Boeing Company (El Segundo, CA)
- …Defense, Space and Security (BDS) is seeking a **Senior Industrial Security Specialist - Physical Security** is responsible for creating a secure environment to ... stored, accessed, or where accessed personnel are assigned. The Industrial Security Specialist will enforce strict adherence to applicable laws as well as national… more
- TEKsystems (Los Angeles, 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
- Deloitte (Los Angeles, 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
- LA Care Health Plan (Los Angeles, CA)
- …in the application of medical and reimbursement policies within the claim adjudication process through medical record review for Payment Integrity and Utilization ... by the American Academy of Professional Coders and/or Certified Coding Specialist (CCS) designation by the American Health Information Management Association… more