13 adjudication jobs at 9 companies in Miami, FL

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Adjudication Specialist - Remote
Ft. Lauderdale, Florida, United States
RemoteFull Time
Polaris Pharmacy Services
Polaris Pharmacy Services: Provide pharmacy services to long-term care and correctional facilities
1+ YOEHigh school diploma,1+ year retail pharmacy technician experience preferred,long-form alphanumeric data entry,proficient with Microsoft Word, Excel, Outlook,ability to work various shifts and retain complex information.
Microsoft Word, Microsoft Excel, Microsoft Outlook
4d
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Certified Appraiser, Property Tax Appeals — Florida (Contract)
Florida or Miami or Jacksonville or Fort Lauderdale or Orlando or Tampa or West Palm Beach or Miami-Dade County or Broward County or Palm Beach County or Hillsborough County or Orange County or Duval County or Pinellas County or Lee County
$150-$350/hr RemoteContract
Jerry
Jerry: Mobile app for car insurance comparison and vehicle management.
5+ YOERequires 5+ years of hands-on Florida residential property tax appeal experience, VAB petition filing or adjudication experience, and extensive county-level procedural knowledge.
Chapter 194, F.S., 12D-9, 12D-10, TRIM, DR-486
1d
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Ability Analyst Paid Family Medical Leave
Alpharetta or Hartford or Sunrise or United States
$48k-$76k/yr HybridFull Time
The Hartford
The HartfordNYSE: HIG: Provides property and casualty insurance and financial products.
Bachelor’s degree or equivalent experience preferred; claims adjudication, healthcare, or related experience preferred. Requires regulatory, medical terminology, analytical, organizational, communication, and claims-system skills.
claims management systems
4d
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Ad Valorem Assessment Advisor — Florida
Florida or Miami or Jacksonville or Fort Lauderdale or Orlando or Tampa or West Palm Beach or Palo Alto or New York City or Chicago or Toronto
$150-$350/hr RemotePart Time, Contract
Jerry
Jerry: Mobile app for car insurance comparison and vehicle management.
5+ YOERequires 5+ years of hands-on Florida residential property tax appeals experience, VAB filing or adjudication experience, county-level expertise, and no active conflict with competing software companies.
Chapter 194, 12D-9, 12D-10, DR-486
4d
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Subject Matter Expert, Florida Property Tax (Contract)
Florida or Miami or Jacksonville or Fort Lauderdale or Orlando or Tampa or West Palm Beach or Palo Alto or New York City or Chicago or Toronto
$150-$350/hr RemoteContract
Jerry
Jerry: Mobile app for car insurance comparison and vehicle management.
5+ YOERequires 5+ years of hands-on Florida residential property tax appeal experience, VAB petition filing or adjudication experience, extensive parcel experience, and no conflict with competing appeal software.
Chapter 194, F.S., 12D-9, 12D-10, TRIM, DR-486
1w
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Budget and Finance Officer
Homestead, Florida, United States
$113k-$147k/yr OnsiteFull Time
National Park Service
National Park Service: Manages and preserves US national parks and historic sites.
1+ YOEOne year of specialized experience equivalent to GS-12 in budget oversight, financial management, and interpreting financial policies. Requires U.S. citizenship, driver's license, and favorable background adjudication.
5h
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Pharmacy Technician - Care Team (Bilingual)
Miami or New York City or Denver or Dallas
$23/hr RemoteFull Time
Rightway
Rightway: Healthcare navigation and transparent pharmacy benefit management services.
1+ YOEBilingual English/Spanish pharmacy technician with active PTCB or NHA certification, 1–3 years of pharmacy technician experience, and knowledge of claims adjudication, benefit design, and PBM terminology.
AI-enabled tools
3w
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Medication Care Coordinator
Doral, Florida, United States
OnsiteFull Time
Sanitas Medical Center
Sanitas Medical Center: Provides comprehensive primary and urgent care medical services.
1+ YOEState RPhT required, high school diploma, 1+ year clinical healthcare experience; skills in dispensing, prescription adjudication, inventory, medication reconciliation, QA, EMR and basic office software.
pharmacy software system, electronic health record software, digital scanning software, email, word processing software
4w
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Pharmacy Technician, Care Team
Miami or United States
$22-$22/hr RemoteFull Time
Rightway
Rightway: Healthcare navigation and transparent pharmacy benefit management services.
1+ YOENational pharmacy technician certification required,1+ year pharmacy technician experience in PBM/retail/TPA/contact center,knowledge of claims adjudication and benefit design,customer service across phone/chat/email.
1mo
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System Configuration Coordinator
Miami, Florida, United States
OnsiteFull Time
Independent Living Systems
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
2+ YOEHigh school diploma/GED, 2+ years system configuration/admin experience in healthcare, knowledge of UB04/CMS1500 claims, ICD-10/CPT/HCPCS coding, claim adjudication, EDI and OCR, and strong data analysis skills.
UB04, CMS1500, ICD-10, CPT, HCPCS, EDI, OCR
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Healthcare Claims and Fee for Service Supervisor
Miami, Florida, United States
$63k-$65k/yr OnsiteFull Time
Provider Network Solutions
Provider Network Solutions: Manages medical provider networks and healthcare administrative services.
5+ YOE2+ Mgmt5+ years healthcare claims/RCM experience, 2+ years supervisory preferred; strong knowledge of CMS/Medicare/Medicaid/HIPAA, coding (ICD-10,CPT/HCPCS), audits, payment posting, and claims adjudication; Excel and AI experience.
ICD-10, CPT/HCPCS, Microsoft Excel, AI applications, RCM systems, claims adjudication platforms
1w
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Supervisory Asylum Officer
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
$91k-$118k/yr OnsiteFull Time
U.S. Citizenship and Immigration Services
U.S. Citizenship and Immigration Services: Manages the nation's lawful immigration and citizenship programs.
1+ YOERequires one year of specialized experience equivalent to GS-12, including asylum case adjudication, legal analysis, policy analysis, technical guidance, and review of immigration benefit decisions. Requires U.S. citizenship, Secret clearance, drug screening, and background investigation.
USAJOBS, USA Hire, Microsoft SF-50
1mo
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Senior Network Engineer (SCCA/CISCO)
Doral, Florida, United States
OnsiteFull Time
JTEC Consulting
JTEC Consulting: A veteran-owned small business delivering IT and network engineering solutions for defense and government clients.
9+ YOEActive U.S. citizenship and adjudicated TS/SCI, 9+ years IT experience (5+ in professional network engineer role), DoD 8140/8570 IAT Level II cert, Cisco IOS/NX-OS/ASA/ISE experience, DISA STIG and NIST RMF knowledge, on-site in Doral, FL.
Cisco IOS, NX-OS, ASA, Cisco Identity Services Engine (ISE), DISA STIG, NIST Risk Management Framework (RMF), TCP/IP, DNS, DHCP, Cross-Domain Solution (CDS)