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This position will ensure Navitus is able to provide a versatile adjudication system that allows for various benefit designs and accurate claim adjudication to adapt to the continuous changes in the pharmacy benefit industry.
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PharMerica is a non-retail pharmacy that focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation facilities, long-term acute care centers, and other specialized care centers nationwide.
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Have you been convicted of a misdemeanor (including but not limited to where adjudication was withheld) or participated in a pretrial diversion program for any offense involving moral character, false statements, perjury or domestic violence within the last five (5) years prior to today.
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The Bureau of Hearings and Appeals (BHA) is the bureau within the Department of Human Services (DHS) with the responsibility designated by the Secretary of Human Services for the adjudication of administrative appeals for the Department of Human Services and the Department of Aging.
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Partner with HR Coordinator(s)/Partner(s) on adjudication process pending results of pre-employment screenings. Kimley-Horn, one of FORTUNE Magazine's 100 Best Companies to Work For, is looking for a Human Resources Assistant (HRA) for our Carolinas (CL) region.
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Provide responses to requests for technical assistance or adjudication received via letter, Departure from Specification (DFS), Liaison Action Request (LAR), Steam Plant Action Request (SPAR), Availability Work Package (AWP) Change Request.
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Demonstrated expertise with software and systems: · Microsoft Word · Microsoft Windows · Microsoft Excel · Microsoft PowerPoint · Joint Personnel Adjudication System (JPAS) · Naval Defense – Naval Message – System; Automated Message Handling System Must have an active SECRET level clearance.
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NETSecret clearance is required to start, must be eligible to obtain a Top Secret with SCI-level adjudication; TS/SCI preferred Preferred Qualifications:Preferred: Active Directory experience Preferred: DoD - IAT Level II (GSEC, Security+ CE, SSCP, or CCNSecurity) WHAT CAN GDIT OFFER YOU.
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The contractor shall assist with the preparation and adjudication of Departures from Specifications (DFS) and Engineering Support Requests (ESRs), and review of Work Items and Process Control Procedures (PCPs) when required.
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Must meet and maintain pre-employment and periodic background investigation and adjudication for child care. Conducts a variety of laboratory tests and duties according to established laboratory procedure, and in compliance with Cherokee Nation Policies and Procedures, Rural Health Guidelines and Occupational Safety and Health Administration (OSHA), Clinical Laboratory Improvement Amendments of 1988 (CLIA '88), and Commission on Office Laboratory Accreditation (COLA) regulations, while working under the supervision of a Laboratory Supervisor and/or Laboratory Director.
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Minimum of two (2) years of experience providing executive administrative support to a ACAT I equivalent program and experience in supporting daily operations activities, coordinate senior leadership schedules, and arrange meetings and conferences, and be an expert in Joint Personnel Adjudication System (JPAS), DTS, and knowledge of the Joint Travel Regulations.
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MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
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Initiates, reviews and releases appointees background investigations in the Office of Personnel Managements Electronic Questionnaires for Investigations Processing (e-QIP) system or in conjunction with the V Adjudication Center.
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Prepare SCI indoctrination assistance requests in Joint Personnel Adjudication System (JPAS) and transmit to DoD and non-DoD agencies in compliance with policy. Review SCI access nomination packages internal to MDA. Process MDA authorized SCI packages to the Defense Intelligence Agency (DIA) and Military Service Central Adjudication Facilities (CAFs) for MDA customers.
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Provide effective risk assessment, credit analysis, adjudication and monitoring of an Asset Backed Securities (ABS) portfolio. Provide effective risk assessment, credit analysis, adjudication and monitoring of an Asset Backed Securities (ABS) portfolio.
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adjudication job Company: Metroplus Health Plan
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