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Clinical Adjudication Jobs (NOW HIRING)

Career Soft Solutions Inc

QE lead

East Hartford, CT · On-site

$71K - $92K/yr

... Clinical Adjudication (CAM) Medical necessity review processes Authorization workflows Clinical policy validation Payer decision frameworks Detailed • Possesses strong experience in Clinical ...

Lumicell

Clinical Safety Specialist

Waltham, MA · On-site

Ensure adjudicated endpoints and safety outcomes are accurately captured, reconciled, and reflected in post-market safety datasets, clinical databases, and downstream analyses and reports. * Support ...

Lumicell

Clinical Safety Specialist

Waltham, MA · On-site

Manage all operational aspects of the Clinical Endpoint Adjudication Committee (CEAC),including memberonboarding, training,logistics, adjudication packet preparation, meeting coordination, and ...

Lumicell

Clinical Safety Specialist

Waltham, MA · On-site

Manage all operational aspects of the Clinical Endpoint Adjudication Committee (CEAC),including memberonboarding, training,logistics, adjudication packet preparation, meeting coordination, and ...

Cynet Systems

Clinical Medical Review Nurse

Baltimore, MD · On-site

$36.49 - $41.49/hr

Review, research, and analyze professional and institutional claims using clinical judgment and medical policies for accurate adjudication. * Conduct high-level research on medical topics and assess ...

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Clinical Adjudication information

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How much do clinical adjudication jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for clinical adjudication in the United States is $41.13, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $52.64 per hour, depending on experience, location, and employer.

What is the difference between Clinical Adjudication vs Medical Claims Reviewer?

AspectClinical AdjudicationMedical Claims Reviewer
CredentialsCertifications in healthcare, clinical knowledgeInsurance, claims processing certifications
Work EnvironmentHospitals, healthcare facilities, insurance companiesInsurance companies, third-party administrators
Industry UsageHealthcare, insuranceInsurance, healthcare
Job FocusAssessing clinical validity of claims, medical necessityReviewing claim documentation for accuracy and compliance

While both roles involve reviewing medical information, Clinical Adjudication focuses on determining the medical necessity and validity of claims based on clinical criteria, often requiring healthcare knowledge. Medical Claims Reviewers primarily verify documentation accuracy and compliance with insurance policies. Understanding these distinctions helps clarify career paths and employer expectations in healthcare and insurance industries.

What does adjudication mean for a job?

In a clinical adjudication role, adjudication refers to the process of reviewing and evaluating medical claims, records, or cases to determine their validity, accuracy, or compliance with guidelines. It requires attention to detail, knowledge of medical terminology, and often involves using specialized software or protocols to make consistent decisions. Accurate adjudication ensures proper claim processing and reimbursement in healthcare settings.

What is the highest paying job in clinical research?

In clinical research, senior roles such as Clinical Research Director or Vice President of Clinical Operations tend to be the highest paying, often earning six-figure salaries. These positions require extensive experience, leadership skills, and knowledge of regulatory requirements and project management tools.

What does clinical adjudication mean?

Clinical adjudication is the process used by professionals, often in healthcare or insurance settings, to review and evaluate medical claims, diagnoses, or treatment cases to determine their validity and compliance with guidelines. It involves analyzing medical records, applying clinical criteria, and making decisions that impact patient care or claim approvals. Adjudicators typically use specialized knowledge, medical coding, and documentation review skills.

How much does a clinical trial assistant earn?

A clinical trial assistant typically earns between $40,000 and $60,000 annually, depending on experience, location, and the organization. Entry-level positions may start lower, while experienced assistants with certifications can earn higher salaries. The role often requires familiarity with clinical trial protocols and documentation tools like EDC systems.
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Clinical Adjudication jobs near you
Infographic showing various Clinical Adjudication job openings in the United States as of July 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $85,542 per year, or $41.1 per hour.
Manager, Clinical Adjudication Operations

Manager, Clinical Adjudication Operations

Daiichi Sankyo, Inc.

Basking Ridge, NJ • On-site

Full-time

Posted 10 days ago

Job description

Manager, Clinical Adjudication Operations
Job Requisition ID: 1581
Posting Start Date: 6/2/26
At Daiichi Sankyo, we are united by a single purpose, to improve lives around the world through innovative medicines. With a legacy of innovation since 1899, a presence in more than 30 countries, and more than 19,000 employees, we are advancing breakthrough therapies in oncology, cardiovascular disease, rare diseases, and immune disorders. Guided by our 2030 vision to "be an innovative global healthcare company contributing to the sustainable development of society", we are shaping a healthier, more hopeful future for patients, their families, and society.
Job Summary
The incumbent will be a highly competent, self-motivated individual who can support clinical research studies in all phases. The individual should possess good judgment with well-developed critical thinking and super attention to detail skills.
Required to perform tasks for projects according to timelines for the designated workflows, which may have multiple studies overlapping in the timeframe. Primary responsibility for clinical review to assure data completeness, consistency, logic and medical accuracy, patient safety and protocol compliance. Have general knowledge of clinical review of case content that includes source documents, such as procedure reports, hospitalization summaries, narratives, CIOMS, and AE coding. Provide clinical support in project meetings; Support study close out activities. Assists with the clinical aspects of charter development; be aware of the MedDRA preferred terms listings for the protocol's indication.
Job Description
Responsibilities
Adjudication / Endpoint Workstream Planning and Execution
  • Ensures optimal program productivity and efficiencies.
  • Become a Subject Matter Expert (SME) with the process currently in use; be able to describe to study teams and other key departments how their study will interact with the adjudication vendor;
  • Describe the expectation and importance of adjudication between the vendor to the CRO;
  • Become an active "extended team member" to multiple studies at the same time; Being extremely organized to discuss with studies at different timepoints.
  • Working with senior management, biostats and safety physicians when prioritization of deliverables are requested.
  • Preparing meaningful metrics and reports for senior leadership, as well as study teams to make them aware of urgency and/ or details; Provide updates to internal teams; reporting on critical project status, risks, escalations and achievements.
  • Triage, resolve or escalate study issues to the Study Manager, Global Team Lead and CSPV.
  • Read, understand and adhere to Daiichi Sankyo GSOPs related to Adjudication and Independent Review Committees.
  • Contributes to Adjudication Operations team by exploring new opportunities to add value and repeat the key processes consistently.

Adjudication Committee
  • Provide clinical administrative support to the committee. This may include preparing meeting agendas, and training materials to be used for new members.
  • Collect documents from the members, related to general regulatory processes, i.e. CVs, financial disclosures, professional journals, etc.
  • May review and oversee AC members payments requests.

Adjudication Documentation
  • Provide oversight of the creation and filing of Charters, Plans, Site Manuals, Quick Reference guides; Provide insight to which documents are translated for global use, Reconcile the Adjudication documents in the TMF by compound and protocol. Identify and resolve issues with the reconciliation.
  • Support analysis of study site ILD adjudication metrics reports to identify potential areas of concern, trends, missing eDC pages, issues with image uploading; bring to the attention of the Study Team / CRO; offer solutions
  • Track study site start-up recruitment, enrollment, expansion into additional countries and use of replacement sites; be aware of study's milestones and timelines.
  • Participate in ILD Adjudication training at Investigator Meetings, Site Initiations, global CRA trainings; make recommendations for better communication with sites and coordinators;
  • Analyze reports from the electronic adjudication system, searching for outstanding query ranges; discrepancies in dates or adverse event terms.

Qualifications
Education Qualifications
  • Master's degree with 3+ years of relevant experience or Bachelor's degree with 5+ years relevant experience is required

Experience Qualifications
  • Knowledge of ICH/GCP and regulatory guidelines/directives preferred
  • Knowledge of Adjudication process and working with adjudication committees and/or Independent Review Committees preferred

Travel Requirements
Ability to travel up to 10% of the time. Position that may require occasional travel (global).
Daiichi Sankyo, Inc. is an equal opportunity/affirmative action employer. Qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Salary Range:
USD$127,280.00 - USD$190,920.00
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