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Adjudication Specialist
Rockville, Maryland, United States
OnsiteFull Time
5+ YOEBachelor's degree, 5+ years relevant experience, Tier 5 Public Trust clearance required, proficiency with Microsoft Office and security adjudication systems, ability to process high-volume background investigations and produce adjudicative determinations.
Security Manager (ISMS), Personnel Investigations Processing System (PIPS), Central Verification System (CVS), National Background Investigations Services (NBIS), eApp, Position Designation Automated Tool (PDT), Locator, Microsoft Office
1mo
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Supervisor - Pharmacy Adjudication
Houston, Texas, United States
$46k/yr OnsiteFull Time
4+ YOESupervisory pharmacy adjudication role requiring 4+ years pharmacy or adjudication experience, high school diploma/GED, Board of Pharmacy registration, experience with claims adjudication, NDC/NCPDP billing, PBM/insurance knowledge, and leadership skills.
Pulse reporting, NCPDP, NDC
2d
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Adjudication Specialist - Seasonal (Multiple Roles)
Covina, California, United States
$19-$21/hr HybridFull Time
1+ YOEHigh school diploma, 1+ year pharmacy technician or adjudication experience, proficiency with Microsoft Word/Excel/Outlook, data entry and analytic skills, strong communication and customer service.
Microsoft Word, Microsoft Excel, Microsoft Outlook
1w
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Associate Director, Adjudication Operations
Basking Ridge, New Jersey, United States
$171k-$257k/yr HybridFull Time
5+ YOEMaster's (5 yrs) or Bachelor's (7 yrs) in life sciences with experience in pharmaceutical/biotech drug development, knowledge of ICH/GCP and adjudication processes, ability to manage vendors, workflows, reports, and provide operational SME support.
2w
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Adjudication Administrative Assistant
Minneapolis, Minnesota, United States
$28/hr OnsiteFull Time
2+ YOEUS citizenship required. HS diploma (associate preferred). 2 years admin experience including 1 year executive support. Proficient with Microsoft Office and document management.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Publisher, Microsoft Outlook, TDIS
2d
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Supervisory Adjudication Officer (Division Chief)
Salt Lake City or Seattle or Phoenix or Los Angeles or San Francisco or Denver or Washington or Miami or Atlanta or Chicago or Indianapolis or New Orleans or Boston or Minneapolis or Kansas City or Albuquerque or New York or Oklahoma City or Portland or Austin or Camp Springs
$126k-$164k/yr OnsiteFull Time
1+ YOELeads and manages immigration operational programs; expert in INA implementation and policy; GS-15 requires specialized experience equivalent to GS-14; U.S. citizenship, background investigation, and drug screening required.
3w
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CENTRALIZED ADJUDICATION BUREAU ADMINISTRATOR (CLASS CODE 7090)
New Orleans, Louisiana, United States
$116k/yr OnsiteFull Time
5+ YOE1+ MgmtLicensed attorney in Louisiana with 5+ years practicing experience (≥1 year in administrative/adjudication or code enforcement), credential verification required prior to hire.
5d
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Adjudication & Appeals Specialist (ES Benefit Specialist 2) - Internal Only
Spokane, Washington, United States
$56k-$75k/yr RemoteFull Time
4+ YOEInternal candidates only. Requires adjudication and claims processing experience, fact-finding skills, program knowledge, and ability to apply complex laws; minimum 4 years equivalent experience or degree-plus-experience alternatives; must pass UI & PFML checks.
1d
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Adjudication Associate – Omnicare (12:30pm-9pm EST)
Ohio, United States
$17-$34/hr RemoteFull Time
1+ YOE1+ year pharmacy experience, proficiency with Microsoft Excel and Microsoft Access, high school diploma/GED, ability to work 12:30pm–9pm EST with rotating weekends/holidays; pharmacy technician certification and Medicare Part B experience preferred.
Microsoft Excel, Microsoft Access
1mo
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Supervisor (Clinical Adjudication) Weekday Evening Shift - Flexible Scheduling
Austin or United States
RemoteFull Time, Part Time
5+ YOEAssociate's degree in healthcare or equivalent experience; 5+ years conducting or overseeing Medicare appeals/medical review; supervisory experience; clinical background in nursing, PT, RT, or OT; strong written and verbal skills.
1mo
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Supervisor (Clinical Adjudication) Weekday Evening Shift - Flexible Scheduling
Austin or United States
RemoteFull Time, Part Time
5+ YOEAssociate's degree (or 60+ college credits) in healthcare or equivalent experience; 5 years conducting/overseeing Medicare appeals/medical review; supervisory experience; clinical background (nursing, PT, RT, OT) and experience making medical necessity decisions.
1d
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EFCC Economic Sanctions and List Screening Adjudication Analyst
Knoxville or Tempe or Charlotte
$62k-$73k/yr OnsiteFull Time
2+ YOEBachelor's degree or equivalent experience, typically 2+ years AML/BSA experience, knowledge of OFAC/PEP/KYC, CAMS preferred, strong analytical and communication skills, proficiency in Microsoft Excel/Access/Word.
Microsoft Excel, Microsoft Access, Microsoft Word
2d
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Senior Product Owner - Claims Adjudication
Kentucky or Oklahoma or Ohio or North Dakota or North Carolina or New York or New Jersey or New Hampshire or Nebraska or Missouri or Mississippi or Minnesota or Michigan or Massachusetts or Maryland or Maine or Louisiana or Kansas or Iowa or Indiana or Illinois or Georgia or Florida or District of Columbia or Delaware or Connecticut or Arkansas or Alabama or Wisconsin or West Virginia or Virginia or Vermont or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or Puerto Rico
$95k-$131k/yr RemoteFull Time
5+ YOEMinimum 5 years product ownership/project management experience, Agile/SAFe knowledge, claims domain experience preferred, ability to support EST business hours, and strong stakeholder communication.
Agile, Scaled Agile Framework (SAFe), HireVue
3mo
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Senior Counsel, Litigation - Transit Adjudication Bureau
Brooklyn, New York, United States
$145k-$182k/yr OnsiteFull Time
5+ YOELicensed New York attorney with at least 5 years of relevant litigation experience in public sector, law firm, or in-house settings.
4w
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HR Advice Specialist (US) - Intake, Triage & Adjudication
Mount Laurel or Greenville or Charlotte
$72k-$108k/yr OnsiteFull Time
Experience leading complex HR investigations and high-risk employee relations cases; strong judgment, decision-making, stakeholder influencing, documentation and communication skills; bachelor's degree preferred.
1w
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Law Clerk - Snake River Basin Adjudication (SRBA)
Twin Falls, Idaho, United States
$79k-$84k/yr OnsiteFull Time
1+ YOEJuris Doctor and active Idaho State Bar membership; 1–3 years legal experience; coursework/background in water law; strong legal research, writing, and statutory interpretation skills.
3w
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Executive Director, Office of Employee Discrimination and Complaint Adjudication
Washington, District of Columbia, United States
$152k-$228k/yr OnsiteFull Time
Must demonstrate Executive Core Qualifications (ECQs) and Technical Qualifications (TQs) for SES, membership in a U.S. state or DC bar, leadership of federal employment discrimination programs, and experience supervising attorneys and staff.
1mo
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Juvenile Supervision Officer – Juvenile Justice Post-Adjudication- J29400 - 34920
Nueces County, Texas, United States
$20/hr OnsiteFull Time
Provides direct supervision of juvenile residents, maintaining security and safety, performing searches, supervising activities, completing documentation, and participating in crisis intervention; must be 21+, have HS diploma/GED, pass drug/psych/physical/background screens, obtain Juvenile Supervision Officer certification within six months, and h...
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Adjudicator
Washington, District of Columbia, United States
$90k-$100k/yr OnsiteFull Time
5+ YOEBachelor's in personnel security or equivalent, 5+ years adjudicating suitability/security background investigations, completion of basic and advanced suitability adjudication courses, proficient with Microsoft Office, e-QIP, strong writing and analytical skills.
Microsoft Office Suite, e-QIP, OSSI
2w
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UC Claims Adjudicator II (Montpelier, VT, US)
Montpelier, Vermont, United States
OnsiteFull Time
2+ YOEBachelor's+2yrs OR Associate's+4yrs OR High School+6yrs in employment services/unemployment programs/call center/customer service; or 3yrs as UC Claims Adjudicator I. Must perform analytical adjudication and contact stakeholders.
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