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Medical Adjudication Jobs (NOW HIRING)

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Adjudication Project Manager

Blue Bell, PA · Remote

Adjudication Project Manager - United States (Remote) ICON is a global healthcare intelligence and ... Health and wellbeing programmes including medical, dental, and vision coverage where applicable

Judi Health

Claims Adjudication Associate

Manhattan, NY · On-site

Claims Adjudication Associate Capital Rx is seeking a self-driven Claims Adjudication associate to ... Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ...

Capital Rx

Claims Adjudication Associate

Manhattan, NY · On-site

$19.50 - $26.50/hr

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders ... Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ...

Judi Health

Claims Adjudication Associate

New York, NY · On-site +1

$19.50 - $26.25/hr

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders ... Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ...

Capital Rx

Claims Adjudication Associate

Manhattan, NY · On-site

$19.50 - $26.50/hr

The Claims Adjudication Associate is responsible for evaluating claims submitted by policyholders ... Evaluate complex medical claims, coverage issues, and benefit determinations by reviewing claim ...

PNC Bank

Adjudication Specialist

Pittsburgh, PA · On-site

As an Adjudication within PNC's HR Operations organization, you will be based in Pittsburgh, PA ... Depending on your eligibility, options for full-time employees include: medical/prescription drug ...

Onco360

Supervisor - Pharmacy Adjudication

New Hyde Park, NY · On-site

$69 - $81.25/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

Onco360

Supervisor - Pharmacy Adjudication

New Hyde Park, NY · On-site

$69 - $81.25/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

Onco360

Supervisor - Pharmacy Adjudication

Louisville, KY · On-site

$62.50 - $73.50/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL · On-site

$64.50 - $75.75/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

Onco360

Supervisor - Pharmacy Adjudication

Louisville, KY · On-site

$59.50 - $70/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

Medical; Dental; Vision * 401k with a match * Paid Time Off and Paid Holidays * Quarterly Incentive ... Adjudication Supervisor Essential Functions: * Supervises adjudication staff in a leadership role ...

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Medical Adjudication information

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$36.5K

$164.7K

$337K

How much do medical adjudication jobs pay per year?

As of Aug 10, 2026, the average yearly pay for medical adjudication in the United States is $164,731.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,000.00 and $268,500.00 per year, depending on experience, location, and employer.

What is the difference between Medical Adjudication vs Medical Coding?

AspectMedical AdjudicationMedical Coding
Primary RoleReviewing and deciding insurance claim outcomes based on policy and medical documentationAssigning standardized codes to medical diagnoses and procedures for billing and record-keeping
Required CertificationsOften requires claims processing or adjudication certifications, knowledge of insurance policiesCertified Professional Coder (CPC), Certified Coding Specialist (CCS)
Work EnvironmentInsurance companies, healthcare providers, third-party payersHospitals, clinics, billing companies, insurance companies

Medical Adjudication involves evaluating insurance claims to determine coverage and payment, while Medical Coding focuses on translating medical services into codes for billing. Both roles require understanding healthcare documentation, but they serve different functions in the claims process.

More about Medical Adjudication jobs
What cities are hiring for Medical Adjudication jobs? Cities with the most Medical Adjudication job openings:
What states have the most Medical Adjudication jobs? States with the most job openings for Medical Adjudication jobs include:
What job categories do people searching Medical Adjudication jobs look for? The top searched job categories for Medical Adjudication jobs are:
Medical Adjudication jobs near you
Infographic showing various Medical Adjudication job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $164,731 per year, or $79.2 per hour.

Adjudication Project Manager

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Blue Bell, PA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 25 days ago

Job description

Adjudication Project Manager - United States (Remote)

ICON is a global healthcare intelligence and clinical research organisation united by a mission to bring new medicines and treatments to patients faster.


As a values-driven organisation, integrity, collaboration, agility, and inclusion are at the heart of how we work and interact with each other, customers, patients and suppliers.


We have an incredible opportunity for an Adjudication Project Manager to join ICON's Full Service Independent DMC and Endpoint Adjudication (IDEA) team. The Adjudication Project Manager is primarily responsible for managing all endpoint adjudication processes for a clinical trial.

Location: United States (Remote)

What you will be doing:

  • Manages project(s) in a timely manner in adherence with ICON's SOP's, ICH-GCP, and appropriate regulations
  • Delivers projects in accordance with the contract, timelines, and study budget
  • Identifies out of scope activities and initiates budget change orders and contract amendments
  • Performs project finance reporting activities
  • Attends and presents at Investigator Meetings, Client Kick-Off Meetings, and other client meetings
  • Performs user acceptance testing of electronic endpoint adjudication system
  • Ensures all necessary study specific training is provided to study team to improve performance and knowledge
  • Develops and maintains all trial documentation (i.e. Charter, Procedure Manual, Site Manual, Adjudication Forms, Communication Plan, System Requirement Specifications, Data Transfer Specifications, and Committee Training Manual)
  • Serves as the primary study contact for client and internal and external study teams
  • Leads internal endpoint adjudication processing team
  • Develops and monitors endpoint adjudication processing workflows to maintain efficiency
  • Facilitates the development of project reports and distributes reports to the study team
  • Implements Quality Control measures for adjudication process and adjudication outcomes as necessary

Your profile:

  • 2 years of project management experience in clinical research
  • Experience with timeline and budget management
  • Endpoint adjudication experience preferred
  • Strong written and verbal communication skills
  • Time management skills with the ability to prioritize efficiently
  • Detail-oriented
  • Bachelor's degree

#LI-TP1

#LI-Remote


Employment with ICON is contingent upon having the legal right to work in the country where the role is based.


Rewards & Benefits

ICON offers a competitive and comprehensive total rewards package designed to support your health, wellbeing, and career development.


Benefits may include:

  • Competitive base salary and performance related incentives
  • Health and wellbeing programmes including medical, dental, and vision coverage where applicable
  • Retirement and pension plans
  • Life assurance and disability coverage
  • Employee assistance programmes and wellbeing resources
  • Learning and development opportunities through structured training and career pathways

Benefits may vary depending on role and location.


Visit our careers site to read more about the benefits ICON offers.


Inclusion and Accessibility

ICON is an equal opportunity employer. We are committed to building an inclusive and accessible workplace where everyone feels valued and supported.


If you require reasonable accommodations during the recruitment process, please let us know or submit a requesthere.

Are you a current ICON Employee? Please click here to apply

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