Adjudication Associate (Omnicare) - Overnight

CVS Health • Wisconsin, Wisconsin • 2w ago

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Adjudication Associate (Omnicare) is responsible for the preparation and submission of claims for accounts to ensure timely reimbursements. This person will communicate with the nursing facility staff, physician offices, and insurance companies to maintain payment deliverables for online claim submissions.

Responsibilities:

Follows established procedures to execute routine business support tasks for the Adjudication Omnicare function under general supervision.

Develops effective relationships with all team members to ensure daily communication to resolve issues and prevent delays in service.

Conducts review and research of rejected claims and takes action for resolution.

Handles work backlog of denied claims for timely resubmission.

Ensures compliance with all government and regulatory requirements.

Takes direction to execute techniques, processes, and responsibilities.

Required Qualifications

At least 1 year of experience in customer service.

Basic proficiency with desktop software applications, particularly Microsoft Excel and Microsoft Access.

Must be able to work overnight (9pm-5:30am EST), as well as be willing to work weekends and holidays on a rotating schedule.

Preferred Qualifications

Pharmacy technician certification.

Experience in pharmacy, managed care, Medicaid and/or Medicare organizations.

Ability to perform multiple tasks effectively.

Ability to work both independently and as part of a team.

Education

High School Diploma or GED.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $34.15

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 02/05/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

Similar Jobs

Customer Service Representative

BORDER STATES INDUSTRIES INC • Pewaukee, WI • 29min ago

Management & Administrative

JOB REQUIREMENTS: Be part of a growing, successful company in an exciting and challenging field. Border States is 100% employee-owned, which means you\'re empowered to make decisions, find solutions and receive rewards f...

29min ago

Go to Apply

Customer Service Analyst

ULINE INC • Kenosha, WI • 30min ago

Management & Administrative

JOB REQUIREMENTS: Customer Service Analyst Kenosha Branch 12355 Uline Way, Kenosha, WI 53144 Elevate the customer experience at Uline! As a Customer Service Analyst at our Corporate Headquarters, you\'ll turn our contact...

30min ago

Go to Apply

Customer Service Analyst

ULINE INC • Kenosha, WI • 30min ago

Management & Administrative

30min ago

Go to Apply

IT Technical Support Specialist

GENESIS 10 • Oshkosh, WI • 30min ago

IT & Engineering

JOB REQUIREMENTS: Genesis10 is currently seeking a IT Technical Support Specialist for a 9+ month contract role with our client in, Oshkosh, WI. This role will be 100% onsite. Compensation: \$24.00 - \$26.00 per hour, de...

30min ago

Go to Apply

Customer Service Associate

Walgreens • Little Chute, WI • 30min ago

Management & Administrative

Job Description: Models and delivers a distinctive and delightful customer experience. Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service. Custome...

30min ago

Go to Apply

Manager Software Development

NAVITUS HEALTH SOLUTIONS LLC • Madison, WI • 31min ago

Management & Administrative

JOB REQUIREMENTS: Manager, Software Development Location US- ID 2026-5449 Category Information Technology Position Type Full-Time Remote Yes Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus w...

31min ago

Go to Apply

Manufacturing Controls Engineer

Eaton Corporation • Waukesha, WI • 32min ago

IT & Engineering

Eaton's Electrical Division is currently seeking a Manufacturing Controls Engineer to join our team. This position is based at our Waukesha, WI facility.(Relocation offered) The expected annual salary range for this role...

32min ago

Go to Apply

Senior Manufacturing Engineer

Oshkosh Corporation • Appleton, WI • 32min ago

IT & Engineering

About Pierce, an Oshkosh company At Pierce Manufacturing, we build trucks that protect people and communities around the world. To our team, there is no room for anything less than providing the absolute best. Since 1913...

32min ago

Go to Apply

Senior Technical Risk Engineer

Ford Motor Company • Madison, WI • 32min ago

IT & Engineering

We are seeking a Technical Risk Engineer with strong technical acumen to design, prioritize, and enable risk-reducing technical solutions across complex cloud and enterprise environments. This role emphasizes solution en...

32min ago

Go to Apply

Manufacturing Engineering Co Op

PARKER HANNIFIN CORP HPD • Manitowoc, WI • 33min ago

IT & Engineering

JOB REQUIREMENTS: Position Summary The Engineering Co-op will be responsible for determining and developing production processes for manufacturing operations consistent with team objectives. This individual will interact...

33min ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.