- 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
- US Army Reserve Command (Bell, CA)
- …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 adjudication decision. You must complete all assessments within 48 hours of receiving the URL to access the USA… more
- Guidehouse (Los Angeles, CA)
- …a Federal or DoD "SECRET" security clearance; candidates must obtain approved adjudication of clearance prior to onboarding with Guidehouse. Candidates with an ... ACTIVE "SECRET" or higher-level clearance are preferred. + Bachelor's degree + TWO (2) or more years' experience supporting audit remediation efforts, including experience with audit liaison, internal controls testing, corrective action planning, and/or… 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
- Federal Aviation Administration (El Segundo, CA)
- …you provided. Your answers may be adjusted by a human resource specialist as appropriate. Security Requirements: Moderate (5): This position requires completion & ... favorable adjudication of a Tier 2 (T2) background investigation prior to appointment, unless a waiver is obtained and approved. Some, all, or none of the candidates… more