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Adjudicator Jobs in Oregon (NOW HIRING)

Point C

OR · On-site

Ensure all plan configurations support auto adjudication and meet regulatory and compliance requirements. * Regularly review and update plan configurations to reflect changes in healthcare policies ...

Cotiviti

Experience in US healthcare health plan operations (pre-adjudication, post adjudication or adjudication) preferred. * Implementations/transitions experience preferred. * Exceptional operational ...

Personify Health

Sr. Manager of Healthcare Claims - TPA

$107K - $140K/yr

Oversee pended, high-dollar, and special-handling cases from start to finish, ensuring timely, accurate adjudication that meets established policies and service standards. * Resolve escalated issues ...

Personify Health

Sr. Manager of Healthcare Claims - TPA

$107K - $140K/yr

Oversee pended, high-dollar, and special-handling cases from start to finish, ensuring timely, accurate adjudication that meets established policies and service standards. * Resolve escalated issues ...

Greenberg-Larraby, Inc. (GLI)

OR · On-site

$166K/yr

Offers of employment are contingent upon a thorough interview process, background check, and security clearance adjudication processing as applicable. Thank you. * Health Care Plan (Medical, Dental ...

Prescryptive

OR · On-site

$232K - $243K/yr

S. healthcare system - from prescriber initiation toePrescriptionrouting, benefit verification, adjudication, pharmacy fulfillment, and patient access.The ideal candidate also brings direct ...

HealthEdge

Payment integrity * Healthcare plan operations (e.g., claim adjudication life cycle/workflows, network contracting, payment/policy related configuration, provider relations, medical management ...

Team8

Bluespine-Sr. FWA Analyst

OR · On-site +1

... claims adjudication processes, member contract benefits, regulatory agency policies (CMS/HCFA, DOI, state regulations), and provider billing systems and practices. * Strong analytical skills and ...

Puyenpa Services LLC

Armed Security Guards

Umatilla, OR · On-site

$17 - $21.50/hr

Tier 3 adjudicated investigation. * Weapons Qualifications: Both Oregon and Washington Qualifications. Puyenpa provides a variety of benefits including company-paid health, dental & vision insurance ...

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All JobsAdjudicator JobsAdjudicator Jobs in Oregon

Adjudicator information

See Oregon salary details

$33.8K

$65.5K

$98.3K

How much do adjudicator jobs pay per year?

As of Aug 7, 2026, the average yearly pay for adjudicator in Oregon is $65,471.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,300.00 and $75,100.00 per year, depending on experience, location, and employer.

What is an adjudicator?

Adjudicators are professionals responsible for making decisions or judgments on disputes, claims, or competitions. They review evidence, apply relevant laws or rules, and ensure a fair and impartial outcome. Adjudicators are commonly found in legal, insurance, government, and competitive event settings. Their work is essential for resolving conflicts and upholding standards of fairness and justice.

What is the difference between Adjudicator vs Arbitrator?

AspectAdjudicatorArbitrator
CredentialsLegal or industry-specific certifications, training in dispute resolutionLegal background or specialized training in arbitration
Work EnvironmentAdministrative hearings, government agencies, tribunalsPrivate arbitration settings, legal firms, corporate disputes
Industry UsageUsed in government, legal, and regulatory contextsCommon in legal, commercial, and international disputes

While both Adjudicators and Arbitrators resolve disputes, Adjudicators typically work within government or regulatory bodies and focus on administrative hearings, whereas Arbitrators are often hired privately to settle commercial or legal disputes outside court. Understanding these differences helps in choosing the right professional for specific dispute resolution needs.

What does an adjudicator do?

An Adjudicator is a position that judges a formal dispute outside of a court, however, their decisions are still legally-binding. Adjudicators most often work on civil and non-violent cases. This process is less costly and less time-consuming compared to traditional court hearings. An Adjudicator is responsible for reviewing the facts of the case which may include pieces of hard evidence, personal statements, and the legal arguments of each side’s lawyers. Based on the relevant information, the Adjudicator makes a decision and a legally-acceptable judgment. Adjudicators are meant to be fair and unbiased, and there is no jury involved. Their decision is final, but involved parties are allowed to appeal those findings to a higher court.

What are the key skills and qualifications needed to thrive as an adjudicator, and why are they important?

To thrive as an Adjudicator, you need strong analytical skills, attention to detail, and a comprehensive understanding of relevant laws or regulations, often supported by a degree in law, public administration, or a related field. Familiarity with case management systems, legal research tools, and documentation software is typically required. Excellent written and verbal communication, impartiality, and sound judgment are crucial soft skills for effectively resolving disputes and rendering fair decisions. These abilities ensure accurate, unbiased adjudication, compliance with legal standards, and public trust in the decision-making process.

What are some common challenges faced by adjudicators, and how can they effectively manage them?

Adjudicators often encounter challenges such as managing a high caseload, handling complex or sensitive cases, and ensuring impartiality in decision-making. Staying organized and adhering to established procedures are crucial for balancing workload and maintaining consistency. Clear communication, continuous professional development, and effective time management can help adjudicators deliver fair and timely outcomes, even under pressure.
More about Adjudicator jobs
What are popular job titles related to Adjudicator jobs in Oregon? For Adjudicator jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Adjudicator jobs in Oregon look for? The top searched job categories for Adjudicator jobs in Oregon are:
What are popular job titles related to Adjudicator jobs in OR? For Adjudicator jobs in OR, the most frequently searched job titles are:
Adjudicator jobs near you
Infographic showing various Adjudicator job openings in Oregon as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 54% In-person, 8% Hybrid, and 38% Remote job distribution, with an average salary of $65,471 per year, or $31.5 per hour.

Plan Build Coordinator

Point C

OR • On-site

Other

Posted 8 days ago

Job description

We are seeking a highly skilled and motivated addition to our Plan Building and System Configuration team to optimize auto adjudication processes across all systems. The ideal candidate will have hands-on experience in plan building, system configuration, and claims testing in the healthcare industry. This role requires a dynamic individual who can manage multiple systems, learn and integrate new technologies, and build and test updates to ensure efficient and accurate claims processing.

Primary Responsibilities:

  • Develop, configure, and maintain healthcare plan designs and benefit configurations in various systems.
  • Ensure all plan configurations support auto adjudication and meet regulatory and compliance requirements.
  • Regularly review and update plan configurations to reflect changes in healthcare policies and regulations.
  • Oversee the integration and interoperability of different healthcare systems to streamline auto adjudication processes.
  • Facilitate system upgrades, patches, and maintenance to ensure seamless operation and minimal downtime.
  • Collaborate with IT and other departments to implement new technologies and enhancements.
  • Perform comprehensive testing of plan configurations to ensure accurate and efficient claims adjudication.
  • Identify and resolve any discrepancies or issues in the adjudication process.
  • Create and document testing protocols and procedures to maintain high standards of quality and accuracy.
  • Work closely with internal and external stakeholders to gather requirements and ensure plan configurations meet organizational and client needs.
  • Become a subject matter expert on plan building and system configuration, providing guidance and support to other departments.
  • Communicate effectively with stakeholders to keep them informed of project status, issues, and resolutions.
  • Maintain detailed documentation of all plan configurations, system changes, and testing procedures.
  • Use data and analytics to identify trends, opportunities for improvement, and areas needing attention.

Qualifications:

  • Associate's degree in healthcare administration, information systems, or a related field.
  • Minimum of 2 years of experience in plan building, system configuration, and claims adjudication in the healthcare industry.
  • Strong knowledge of healthcare policies, regulations, and compliance requirements.
  • Proficiency in using healthcare management systems and software.
  • Excellent problem-solving skills and attention to detail.
  • Effective communication and interpersonal skills.
  • Ability to work in a fast-paced environment and manage multiple projects simultaneously.
  • Experience with auto adjudication systems and technologies preferred.
  • Certification in healthcare information systems or related fields preferred.
  • Proven track record of successful system integration and optimization projects preferred.

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