Adjudication Associate (Omnicare) - Overnight

CVS Health • Maine, Maine • 2d 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: 03/07/2026

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

Retail Sales Associate - Part Time

AutoZone, Inc. • Marine City, MI • 1d ago

Retail & Hospitality

Job Description AutoZone's store teams are the frontline of WOW! Customer Service, ensuring that customers find the right parts and solutions for their automotive needs. Store employees maintain well-stocked inventory, a...

1d ago

Go to Apply

Regional CDL-A Truck Drivers - Earn $1,800-$2,050 Weekly

Hogan Transportation • Marine On Saint Croix, MN • 6d ago

Trucking & Construction Sponsored

CDL-A Truck Drivers – No Touch Freight – Earn $1,800-$2,050 Weekly! Pay & Benefits: Earn $94,000-$107,000 Annually $0.68-$0.72 CPM + $18 Per Stop, Starting Pay Based on Experience $5,000 Sign-On Bonus in 10 monthly p...

6d ago

Go to Apply

Regional CDL-A Truck Drivers - Earn $1,800-$2,050 Weekly

Hogan Transportation • Marine On Saint Croix, MN • 6d ago

Trucking & Construction Sponsored

CDL-A Truck Drivers – No Touch Freight – Earn $1,800-$2,050 Weekly! Pay & Benefits: ~ 5,000 Sign-On Bonus in 10 monthly payments for Experienced Drivers ~ Monthly Performance Bonus of $0.03 CPM ~ Paid time off after...

6d ago

Go to Apply

Child Transport Driver - Set Your Hours - Local Routes

Copilot Careers • North Monmouth, Maine, United States • 6d ago

Make a difference in your community while earning on your own schedule! Drive When You Want. Get Paid Well. Make an Impact. Position Overview: We partnered with HopSkipDrive to find responsible CareDrivers to provide saf...

6d ago

Go to Apply

Child Transport Driver - Set Your Hours - Local Routes

Copilot Careers • North Yarmouth, Maine, United States • 6d ago

6d ago

Go to Apply

Online Survey Taker. Earn up to $25 per survey. - Remote

Earn Haus • Atlantic Mine, Michigan, US • 6d ago

Job description We are urgently looking for people interested in taking online surveys for Fortune 500 brands. If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up to $2...

6d ago

Go to Apply