- 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 (Hartford, CT)
- …**Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for… 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
- BMO Financial Group (Chicago, IL)
- Provides independent, objective review and adjudication of credit applications and transactions for an assigned portfolio within credit limits or makes credit ... tolerance, policies & procedures, and meet financing guidelines. Supports credit adjudication operations and initiatives. Provides training and support to teams and… 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
- 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
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary This position serves as a Lead Personnel Security Specialist , and the work assigned is of a very confidential, complex and highly sensitive nature. This ... Processes and oversees the submission of higher-level investigations to the VA- Adjudication Center (VA-AC). Lead duties Articulate and communicate to the team… more
- US Coast Guard (Alexandria, VA)
- Summary This vacancy is for a GS-2210-14, Information Technology Specialist (APPSW) located in the Department of Homeland Security, US Coast Guard, NAVCEN MARITIME ... in ALEXANDRIA, Virginia. Responsibilities You will serve as a Information Technology Specialist (APPSW) in a Senior Subject Matter Expert (SME) role responsible for… more
- Executive Office for US Attorneys and the Office of the US… (Washington, DC)
- …of life in the District of Columbia. Responsibilities This Info Tech Specialist (Network) provides IT responsibility for interpreting and implementing policies and ... will join a well-respected team that is responsible for providing Info Tech Specialist (Network) support in the US Attorney's Office, District of Columbia, located… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- Summary The Mobility Transportation Specialist functions as a subject matter expert in all matters of beneficiary travel and modes of veteran transport for the ... is not a virtual position. Position Description/PD#: Mobility Transportation Specialist /PD200010 Relocation/Recruitment Incentives: Not Authorized Critical Skills Incentive (CSI):… 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
- Executive Office for US Attorneys and the Office of the US… (Central Islip, NY)
- …government agencies and community groups. Responsibilities This Human Resources Specialist provides human resources management services to employees and managers ... will join a well-respected team that is responsible for providing Human Resources Specialist support in the US Attorney's Office, Eastern District of New York,… more
- Veterans Affairs, Veterans Health Administration (Madison, WI)
- …do not need to re-apply. Employee will serve as a Program Application Specialist - Training Coordinator located at the William S. Middleton Memorial Veterans Affairs ... public interest. Qualifications In order to qualify for the Program Application Specialist - Training Coordinator GS-9 positions, applicant must meet at least one… more
- Executive Office for US Attorneys and the Office of the US… (Miami, FL)
- …government that are administratively uncollectible. Responsibilities This Paralegal Specialist provides substantive legal support to Criminal Division Assistant ... you will join a well-respected team that is responsible for providing Paralegal Specialist support in the US Attorney's Office, Southern District of Florida, located… more
- US Coast Guard (Kodiak, AK)
- Summary This vacancy is for a GS-0185-12, Employee Assistance Program Specialist located in the Department of Homeland Security, US Coast Guard, BASE KODIAK ... KODIAK, Alaska. Responsibilities You will serve as a Employee Assistance Program Specialist and be responsible for the collaboration with CGSUPRT, provision of pre-… more
- US Coast Guard (Kodiak, AK)
- Summary This vacancy is for a GS - 0028 - 11, Environmental Protection Specialist located in the Department of Homeland Security, US Coast Guard, BASE KODIAK ... -FE in KODIAK, Alaska. Responsibilities You will serve as a Environmental Protection Specialist and be responsible for the soundness and timeliness of all assigned… more
- US Coast Guard (San Francisco, CA)
- Summary This vacancy is for a GS - 2150 - 11, Vessel Traffic Control Specialist located in the Department of Homeland Security, US Coast Guard, SECTOR SAN FRANCISCO ... FRANCISCO, California. Responsibilities You will serve as a Vessel Traffic Control Specialist and be responsible for directing vessel traffic management services and… more