1 adjudication jobs in Pune, India.

• Contract

... claim data, and final payment outcomes with strong adherence to productivity, quality, and compliance expectations. Key Responsibilities End-to-End Claims Adjudication • Process medical claims in TriZetto Facets Claims module, including review, adjudication, pend/suspend handling, corrected claims, and reprocessing as required. ...

• Remote
• Contract

... Medicaid policy requirements, translating policies into BPA rules, supporting Benefit Plans, Assignment Plans, Provider Contracts, and ensuring accurate claims adjudication through BPA configuration and governance. The BPA SME will collaborate with Business Analysts, DOM SMEs, Operations, Reference teams, Developers, and Testing ...

• Remote
• Contract

$93600 USD - $135200 USD / hour

... professional healthcare workflows. In this role, you’ll use your real-world pharmacy experience to create realistic prescription-processing and medication-adjudication scenarios, develop reference answers, and evaluate AI-generated responses for accuracy, safety, and proper workflow judgment. This is expert-level work where ...

• Remote
• Contract

$93600 USD - $135200 USD / hour

... professional healthcare workflows. In this role, you’ll use your real-world pharmacy experience to create realistic prescription-processing and medication-adjudication scenarios, develop reference answers, and evaluate AI-generated responses for accuracy, safety, and proper workflow judgment. This is expert-level work where ...

• Remote
• Contract

$93600 USD - $135200 USD / hour

... professional healthcare workflows. In this role, you’ll use your real-world pharmacy experience to create realistic prescription-processing and medication-adjudication scenarios, develop reference answers, and evaluate AI-generated responses for accuracy, safety, and proper workflow judgment. This is expert-level work where ...

• Remote
• Part-time
• Contract

Job Title: Consultant Radiologist - PET/CT and Chest CT (RECIST Adjudication) Type: Consultant - 3 month contract Location: Remote (India) ~ Role Summary We are seeking experienced Consultant Radiologists based in India to support a 3 month imaging project focused on]chest CT and PET/CT review for lung cancer https://jobeax.com/link/6pIIpI4UlZfGhZe5 ...

• Remote
• Contract

$156k USD - $208k USD / hour

... narrative. - A KYC packet requiring identification of discrepancies and preparation of a remediation list. - A batch of sanctions screening hits requiring adjudication and a written rationale for each. Compensation & Engagement - Hourly rate: $75–$100/hour, based on experience. - Annual compensation equivalent: $156,000–$208,000. ...

• On-site

$12.5 USD

... foundation, purpose-built AI agents automate critical trade workflows. Prism digitizes and extracts data from trade documents, Clara streamlines sanctions adjudication, dedicated agents accelerate HS and ECCN classification, and Hermes helps enterprises discover suppliers, identify buyers, and uncover new trade opportunities. ...

• Remote
• Contract

$124800 USD / hour

... sensitive information has been handled correctly. - Identify, flag, and categorize document-processing defects. - Escalate ambiguous or complex cases for further adjudication. - Apply consistent judgment and attention to detail across high-volume review workflows. - Help improve review protocols and quality standards based on recurring ...

• Remote
• Contract

$124800 USD / hour

... sensitive information has been handled correctly. - Identify, flag, and categorize document-processing defects. - Escalate ambiguous or complex cases for further adjudication. - Apply consistent judgment and attention to detail across high-volume review workflows. - Help improve review protocols and quality standards based on recurring ...