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Adjudication Jobs In Remote - 444 Job Positions Available

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Navitus Health Solutions, LLC jobs

CompanyNavitus About UsNavitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make

Navitus Health Solutions, LLC  4 days ago
Pie Insurance jobs

Pies mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business

Pie Insurance  31 minutes ago
PSI CRO jobs

Company Description PSI is a leading Contract Research Organization with more than 30 years in the industry, offering a perfect balance between stability and innovation to both clients and employees. We focus on delivering quality and

PSI CRO  29 days ago
UnitedHealth Group jobs

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the

UnitedHealth Group  29 days ago
First Advantage jobs

Job Description At First Advantage (Nasdaq: FA), people are at the heart of everything we do. From our customers and partners to our greatest advantage — our team members. Operating with empathy and compassion, First Advantage

First Advantage  28 days ago
Soleo Health jobs

Job Type Full-time Description Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required, and must be able

Soleo Health  28 days ago
Surgery Partners jobs

DUTIES AND RESPONSIBILITIES Research unpaid claims, determine denial root cause, and perform appropriate follow up actions to ensure timely claim adjudication. Identify and take appropriate action for the billing of secondary or tertiary insurances. Keeps informed on

Surgery Partners  27 days ago
Rightway jobs

ABOUT THE ROLE: The Pharmacy Technician (CPhT) – Utilization Management is a member of the RightwayRx Operations team. This role will assist UM leadership in delivering on our UM strategy and actively work UM cases. Our

Rightway  27 days ago
Care Access jobs

About Care Access Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly

Care Access  27 days ago
Pacific Health Group jobs

Company: Pacific Health Group Department: Revenue Cycle / Billing FLSA Status: Non-Exempt, Full-Time Pay Range: $24 – $26 per hour Position Summary The Clubhouse Billing Analyst owns the end-to-end revenue cycle for Clubhouse Services claims submitted

Pacific Health Group  27 days ago
Humana jobs

Become a part of our caring community The Senior Fraud and Waste Professional, Medicaid conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex

Humana  27 days ago
Soleo Health jobs

Description Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Acute home infusion experience required. Must be able to work 9am-5:30pm

Soleo Health  27 days ago
UnitedHealth Group jobs

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the

UnitedHealth Group  27 days ago
Vertex jobs

Job Description General Summary: The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating pre- and post-deal analytics, negotiation, and administration of all Payer, Provider, Trade &

Vertex  27 days ago
Vertex jobs

Job Description General Summary: The Managed Care Contracting Associate Director will provide leadership and management oversight of Market Access Contract processes by facilitating negotiation and administration of all Payer, Provider and Trade & Distribution contracts. This

Vertex  27 days ago
Blue Cross and Blue Shield of Nebraska jobs

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve. Our team is the power behind that promise.

Blue Cross And Blue Shield Of Nebraska  27 days ago
Trean Insurance Group jobs

Description POSITION SUMMARY: The Senior Claims Adjuster is responsible for managing complex workers compensation claims and assisting the process of determining benefits due the injured worker, ensure ongoing adjudication of claims within company standards and industry best

Trean Insurance Group  26 days ago
Navitus Health Solutions, LLC jobs

CompanyNavitus About UsNavitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make

Navitus Health Solutions, LLC  26 days ago
Soleo Health jobs

Job Type Full-time Description Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care! Specialty infusion experience and ability to work 8:30a-5pm central

Soleo Health  26 days ago
iRhythm jobs

Career-defining. Life-changing. At iRhythm, you’ll have the opportunity to grow your skills and your career while impacting the lives of people around the world. iRhythm is shaping a future where everyone, everywhere can access the best

IRhythm  26 days ago

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