Remote Adjudication Jobs

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Shields Health Solutions
Prior Authorization Technician (AZ License Required)
30+ days ago

Shields Health Solutions - Health Care - SME

Remote from
Arizona (USA)
Full time

Mid-level (2-5 years)

Adjudication
Pharmacy Dispensing Systems
Prior Authorization
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Prolific
Data Quality Engineer, AI Business
30+ days ago

Prolific - Research, Computer Software / SaaS - Scaleup

Remote from
United Kingdom
Full time

Senior (5-10 years)

Data Quality Assessment
SQL (Programming Language)
Python (Programming Language)
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Shields Health Solutions
Prior Authorization Technician (TX License Required)
30+ days ago

Shields Health Solutions - Health Care - SME

Remote from
Texas (USA)
Full time

Mid-level (2-5 years)

Adjudication
Prior Authorization
Pharmacist Assistance
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Soleo Health
Clearance Specialist - Intake Coordinator
30+ days ago

Soleo Health - Health Care - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Benefits Realization Management
Infusions
Prior Authorization
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Cotiviti
VP Senior Client Engagement Lead (Post-Pay)
30+ days ago

Cotiviti - Information Technology & Services - Large

Remote from
United States
Full time
160 - 200K
Fraud Detection
Medical Insurance Claims
Account Management
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Fuze Health
Patient Experience Coordinator - FuzeRx
30+ days ago

Fuze Health - Health Care

Remote from
United States
Full time

Expert & Leadership (>10 years)

Medical Billing
Adjudication
Prior Authorization
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WPS Health Solutions
Medicare Claims Representative
30+ days ago

WPS Health Solutions - Insurance - Large

Remote from
United States, Colorado (USA), Florida (USA) +12
Full time

Junior (1-2 years)

1 - 34K
Adjudication
Business Communication
Regulatory Compliance
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HealthEdge
Senior Business System Analyst
30+ days ago

HealthEdge - Computer Software / SaaS

Remote from
United States
Full time

Senior (5-10 years)

Provider Network Management
Enrollment Management
Adjudication
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Desjardins
Disability Case Manager
30+ days ago

Desjardins - Banking - XLarge

Remote from
Canada
Full time
Return-to-Work Management
Medical Insurance Claims
Adjudication
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N26
Sanctions Analyst
30+ days ago

N26 - Financial Services

Remote from
Spain
Full time

Mid-level (2-5 years)

Economic Sanctions
Escalation Management
Economic Sanctions
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Allied Benefit Systems, LLC
QA Analyst
30+ days ago

Allied Benefit Systems, LLC - Insurance - Unicorn

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Functional Testing
Migration Testing
Integration Testing
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NTT DATA
Medical Claims Processor - Remote
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Texas (USA)
Full time

Senior (5-10 years)

Medical Insurance Claims
Adjudication
Microsoft Operating Systems
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EnableComp
Revenue Specialist - Commercial Billing - Motor Vehicle Accident (REMOTE)
30+ days ago

EnableComp - Health Care - SME

Remote from
Tennessee (USA)
Full time
Billing
Medical Insurance Claims
Billing
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Zensurance
Underwriting Specialist - Professional Lines (Remote First)
30+ days ago

Zensurance - Insurance - Scaleup

Remote from
Canada
Full time

Senior (5-10 years)

Insurance Products
Underwriting
Portfolio Management
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VetsEZ
AI Solutions Engineer (Remote Opportunity) at VetsEZ
30+ days ago

VetsEZ - Information Technology & Services - SME

Remote from
Washington (USA)
Full time
Microservices
Large Language Modeling
Digital File Management
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SynergisticIT
Data Analyst
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Crime Prevention
Program Optimization
Sonication
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SynergisticIT
Data Analyst/ Power BI Developer
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Full time
Power BI
Product Benchmarking
Program Optimization
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Gainwell Technologies LLC
Career Opportunities: Medical Claims Specialist - Remote WV (34220)
30+ days ago

Gainwell Technologies LLC - Information Technology & Services - Large

Remote from
West Virginia (USA)
Full time
28 - 40K
Medical Insurance Claims
Adjudication
Claims And Litigation Management
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Readdle
Senior Social Media Manager - Spark
30+ days ago

Readdle - Information Technology & Services

Remote from
Poland
Apache Spark
IBM High Availability Cluster Multiprocessing
Sound Level Meter
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SynergisticIT
Data Scientist
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
Colorado (USA), Connecticut (USA)
Program Optimization
Sonication
Logical Databases
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The Wright Center for Graduate Medical Education
Director, Revenue Cycle
30+ days ago

The Wright Center for Graduate Medical Education - Education

Remote from
Pennsylvania (USA)
Full time

Expert & Leadership (>10 years)

Medical Billing
Revenue Management
Appeals
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Fella Health
VP Consumer Growth at Aios Medical — Remote, $200k-$400k/yr + 0.2%- 1.0%
30+ days ago

Fella Health

Remote from
Oregon (USA)
GTMetrix
Bluetooth
Application-Specific Information
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SynergisticIT
Java Production Support Engineer - Entry
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Full time
Java (Programming Language)
Kochava
Program Optimization
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VetsEZ
Software Engineer (Remote Engineer) at VetsEZ
30+ days ago

VetsEZ - Information Technology & Services - SME

Remote from
Texas (USA)
Full time
AI/ML Inference
Node.js (Javascript Library)
TypeScript
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SynergisticIT
Entry-Level Data Analyst
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
SOX Testing
Program Optimization
Sonication
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GRAN
Especialista de CRM Dados (Consumer Insights) | Remoto
30+ days ago

GRAN - Education

Remote from
Brazil, Delaware (USA)
Customer Relationship Management (CRM) Software
Sonication
Visitor Location Register (VLR)
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Shields Health Solutions
Pharmacy Technician Prior Authorization Specialist
30+ days ago

Shields Health Solutions - Health Care - SME

Remote from
Florida (USA)
Full time
Adjudication
Pharmacy Dispensing Systems
Prior Authorization
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SynergisticIT
Entry-Level Data Analyst
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Full time
Crime Prevention
Program Optimization
Sonication
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SynergisticIT
Data Engineer with Micorosft Fabric
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
Utah (USA)
SOX Testing
Program Optimization
Sonication
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WellSense Health Plan
Prior Authorization Medical Clinician
30+ days ago

WellSense Health Plan - Health Care - SME

Remote from
Kentucky (USA), Massachusetts (USA)
Full time
68 - 98K
Utilization Management
Prior Authorization
Medical Necessity
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SynergisticIT
Data Engineer
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Program Optimization
Sonication
Logical Databases
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SynergisticIT
Data Analyst
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Full time
Crime Prevention
Program Optimization
Sonication
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MVP Health Care
Professional, Operations Configuration Tester
30+ days ago

MVP Health Care - Insurance

Remote from
New York (USA)
Full time
Medical Insurance Claims
Reimbursement Regulations
Database Query Tools
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Lilt
Finance & Investment AI Rater/Evaluator
30+ days ago

Lilt - Writing & Editing - Scaleup

Remote from
United Arab Emirates
Fixed term
Financial Analysis
Investment Account Management
Economics
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GRAN
Analista de Otimização de Conversão (CRO) Sênior - Remoto
30+ days ago

GRAN - Education

Remote from
Brazil, Delaware (USA)
Full time
7 - 7K
Adjudication
Crime Prevention
Water Evaluation And Planning System (WEAP)
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Johnson & Johnson Innovative Medicine
Principal Clinical Safety Specialist- Shockwave Medical (Remote)
30+ days ago

Johnson & Johnson Innovative Medicine - Pharmaceuticals

Remote from
Minnesota (USA)
Full time

Expert & Leadership (>10 years)

Patient Safety
Regulatory Compliance
Adverse Event Monitoring
View Similar Jobs →
Erie Insurance Group
Career Opportunities: Inside Claims Representative I (46126)
30+ days ago

Erie Insurance Group - Insurance - XLarge

Remote from
North Carolina (USA)
Full time
Settlement
Complaint Investigations
Adjudication
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NTT DATA
Medical Claims Processor - Remote
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Illinois (USA)
Full time

Senior (5-10 years)

1 - 69K
Medical Insurance Claims
Adjudication
Remote Administration
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EFI Global
Claims Examiner, General Liability | Remote
30+ days ago

EFI Global - Construction & Civil Engineering - SME

Remote from
Florida (USA), Iowa (USA), Texas (USA) +1
Full time

Senior (5-10 years)

Litigation Management
Subrogation
Liability Law
View Similar Jobs →
Lilt
Legal & Compliance AI Rater/Evaluator
30+ days ago

Lilt - Writing & Editing - Scaleup

Remote from
United Arab Emirates
Fixed term
Course Evaluations
Compliance Management
Legal Interpretation
View Similar Jobs →
New York Life Insurance Company
Career Opportunities: LTD (Long Term Disability) Claim Manager (92810)
30+ days ago

New York Life Insurance Company - Financial Services - XLarge

Remote from
Colorado (USA)
Full time

Mid-level (2-5 years)

Case Management Systems
Adjudication
Long Term Disability Claims
View Similar Jobs →
SynergisticIT
Data Analyst
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Data Privacy Laws
Program Optimization
Sonication
View Similar Jobs →
Gainwell Technologies LLC
Career Opportunities: Help Desk Representative - Healthcare - Remote Wisconsin (32520)
30+ days ago

Gainwell Technologies LLC - Information Technology & Services - Large

Remote from
Wisconsin (USA)
Full time
Utilization Management
Adjudication
Insurance Policies
View Similar Jobs →
SynergisticIT
Data Engineer
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
Idaho (USA), Iowa (USA)
Full time
Data Privacy Laws
Program Optimization
Sonication
View Similar Jobs →
SynergisticIT
Entry-Level Data Analyst
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
Program Optimization
Sonication
Logical Databases
View Similar Jobs →
SynergisticIT
Data Scientist
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
Kentucky (USA), Massachusetts (USA)
Data Privacy Laws
Program Optimization
Sonication
View Similar Jobs →
SynergisticIT
Data Analyst
30+ days ago

SynergisticIT - Hrtech: Human Resources + Technology, Information Technology & Services - SME

Remote from
California (USA)
SOX Testing
Program Optimization
Sonication
View Similar Jobs →
Sedgwick
Claims Examiner, General Liability | Remote
30+ days ago

Sedgwick - Insurance - Large

Remote from
Florida (USA), Iowa (USA), Texas (USA) +1
Full time

Senior (5-10 years)

Litigation Management
Subrogation
Liability Law
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Career Developers, Inc.
Senior Marketing Manager, Digital and Growth
30+ days ago

Career Developers, Inc. - Human Resources, Staffing & Recruiting - TPE

Remote from
New Jersey (USA)
Full time
Direct Drive Mechanism
HTML Document Object Models
Employee Centricity
View Similar Jobs →
Assurant
Mechanical Auto Claims Adjuster
30+ days ago

Assurant - Insurance - Large

Remote from
Canada
Full time

Mid-level (2-5 years)

Automotive Engineering
Policy Analysis
Code Coverage
View Similar Jobs →
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