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Director Adjudication Jobs (NOW HIRING)

Protection Strategies Inc

Adjudicator

Washington, DC · On-site

$90K - $100K/yr

OSSI will only provide the contractor training on OSSI adjudication processes. * Proficient in ... Interact with representatives, executives, and directors * Strong report writing skills

Xcelerate Solutions

Adjudicator - TS

Washington, DC · On-site

Successful completion of an accredited Basic and Advanced Suitability Adjudication Course. The DOD ... Interact with representatives, executives, and directors * Strong report writing skills

Xcelerate Solutions

Adjudicator - TS

Washington, DC · On-site

Successful completion of an accredited Basic and Advanced Suitability Adjudication Course. The DOD ... Interact with representatives, executives, and directors * Strong report writing skills

UNITE HERE HEALTH

Claims Adjudicator III

Oak Brook, IL · On-site

$23.79 - $29.13/hr

... direct experience in a medical claim adjudication environment * Experience with interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits

Clover Health

Director, Claim Payment Accuracy

As a Director, Claim Payment Accuracy, you will: * Strategic Policy & Oversight: Own the ... Design and oversee a robust, multi-layered audit program that monitors adjudication system output ...

UNITE HERE HEALTH

Claims Adjudicator II

Oak Brook, IL · On-site

$20.36 - $24.97/hr

Achieve individual established goals in order to meet or exceed departmental metrics ESSENTIAL QUALIFICATIONS * 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment

Prescryptive

OR

$128K - $170K/yr

About the Role We are hiring a Director, Product Management - Direct-to-Patient Pharmacy Platform ... Pharmacy benefit adjudication * Pharmacy operations * Real-time benefit verification * Prior ...

Prescryptive

$123K - $163K/yr

About the Role We are hiring a Director, Product Management - Direct-to-Patient Pharmacy Platform ... Pharmacy benefit adjudication * Pharmacy operations * Real-time benefit verification * Prior ...

UNITE HERE HEALTH

Claims Adjudicator II

Oak Brook, IL · On-site

$20.36 - $24.97/hr

Achieve individual established goals in order to meet or exceed departmental metrics ESSENTIAL QUALIFICATIONS * 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment

CareMore Health

Director, Claims Support

California, MD · Remote

$144K - $238K/yr

Direct all aspects of claims intake, adjudication, payment, adjustment, and provider reimbursement activities. * Ensure claims are processed accurately, timely, and in compliance with contractual ...

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Director Adjudication information

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$41K

$86.6K

$159K

How much do director adjudication jobs pay per year?

As of Jul 15, 2026, the average yearly pay for director adjudication in the United States is $86,581.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,000.00 and $103,000.00 per year, depending on experience, location, and employer.

Do adjudicators get paid?

Yes, adjudicators are typically paid for their work, which involves reviewing cases, making decisions, and ensuring compliance. Compensation varies by organization and may include salary, hourly wages, or stipends, often requiring relevant training or certifications.

What jobs make $3,000 a month without a degree?

For a Director of Adjudication or similar roles, earning $3,000 a month without a degree is uncommon, as these positions typically require specialized education or experience. However, some entry-level or related roles in customer service, administrative support, or certain trades may offer around that income with relevant skills and certifications. Many higher-paying jobs in adjudication or legal fields generally require formal education or training beyond a high school diploma.

What jobs pay 500,000 a year in the US?

High-paying roles such as Chief Executive Officers, investment bankers, specialized surgeons, and certain legal partners can earn $500,000 or more annually. These positions often require extensive experience, advanced degrees, leadership skills, and sometimes performance-based bonuses or profit sharing.

What is the difference between Director Adjudication vs Adjudicator?

AspectDirector AdjudicationAdjudicator
CredentialsTypically requires advanced degrees and leadership experienceOften requires certification or specialized training in adjudication
Work EnvironmentLeads teams, manages processes, and oversees adjudication operationsPerforms individual case assessments and rulings
Industry UsageUsed in legal, government, and corporate settings for high-level decision-makingCommonly found in legal, administrative, and regulatory contexts

The main difference is that a Director Adjudication oversees adjudication processes and teams, while an Adjudicator focuses on making individual case decisions. The director has managerial responsibilities, whereas the adjudicator performs case evaluations. Both roles require relevant credentials, but the director typically has more leadership experience. Understanding these distinctions helps clarify career paths and job expectations in adjudication roles.

What is the 3 month rule for jobs?

The 3 month rule for a Director of Adjudication typically refers to a probationary period of three months during which performance and suitability for the role are evaluated. This period allows employers to assess the employee's skills, adherence to policies, and overall fit before confirming permanent employment or considering further steps. It is common for such roles to include performance reviews or training during this initial period.
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Director Adjudication jobs near you
Adjudicator

Adjudicator

Protection Strategies Inc

Washington, DC • On-site

$90K - $100K/yr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 9 days ago

Job description

Join Our Team as a HHS Adjudicator!


Who We Are:

At Protection Strategies, Inc. (PSI), a Service-Disabled Veteran Owned Small Business, we engage with industry professionals to provide top-tier security solutions and personnel security expertise for the U.S. Government. Our mission is to safeguard our clients' interests with integrity and innovation, reshaping the landscape of security.


Why PSI?:

Become part of a dedicated team that values people first and believes in making a meaningful impact. We offer cutting-edge solutions that promote safety and protect critical infrastructure. Your hard work will be recognized in our mission-driven culture.


Apply now** to join PSI and help shape a safer future!


What We Offer:

  • Comprehensive Benefits: Medical, Dental, Vision, Telemedicine
  • Financial Support: 401(K) Retirement Plan, Tuition Assistance, Disability Products
  • Wellness Programs: Employee Assistance, GoodRx, Commuter Benefits
  • Flexible Spending Accounts: HSA + HRA


Position Overview:

Reviews and evaluates background investigations to assess an individual’s character, conduct, and overall suitability for employment, as well as eligibility for access to classified information. Applies established guidelines and sound judgment to make fair and consistent determinations based on investigative findings.


Key Responsibilities:

  • Screen, review, and evaluate completed "issue" and "non-issue" OPM conducted Background Investigation
  • Identify and analyze derogatory and mitigating information for suitability (5CFR 731 E.O. 10450) and for national security (E.O. 12968)
  • Request support documentation from applicant related to financial, criminal, or other matters, as required
  • Prepare detailed adjudicative analytical summaries recommending further courses of action for processing with supporting rationale
  • Manage and prepare for government signature requests for additional information and Suitability Letters and Letters of Advisement (LOA's).
  • Manage caseload with appropriate follow-up based on government timelines
  • Review appeals and reconsideration requests and prepare a summary of recommended Findings


Qualifications:

  • Ability to work independently and with minimal supervision
  • Bachelor's Degree or an equivalent combination of education and related experience in personnel security.
  • Five (5) years of experience adjudicating suitability and security background investigations.
  • Successful completion of an accredited Basic and Advanced Suitability Adjudication Course. The DOD course is sufficient for the online Basic Adjudicator training; however, the Advance Suitability Adjudication Course is the responsibility of the contractor. OSSI will only provide the contractor training on OSSI adjudication processes.
  • Proficient in Microsoft applications and knowledge of processing e-QIP.
  • Competencies:
    • Ability to multi-task
    • Proficient written and verbal communication skills
    • Work with tight and often conflicting deadlines
    • Coordination of work activities with other persons and groups
    • Computer skills (Microsoft Office Suite) and other programs and systems to facilitate work completion
    • Interact with representatives, executives, and directors
    • Strong report writing skills
    • Considerable knowledge of the laws, rules and regulations governing Personnel Security and Suitability.
    • Considerable skill in expressing ideas, conclusions, and make recommendations effectively, clearly and concisely, both orally and in writing.


EEO Statement:

We are an equal opportunity employer. All qualified applicants will be considered without discrimination based on race, color, religion, sex, national origin, age, disability, or protected veteran status. Employment offers will be contingent on passing a pre-employment drug screen.


Ready to Make a Difference?

Apply now to join PSI and help shape a safer future!