Adjudication Associate (Omnicare) - Overnight

CVS Health • Indiana, Indiana • 22h 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 Monday-Friday from 9:00pm-5:30am Eastern Standard Time, as well as be willing to work weekends (rotating regularly) and holidays (several times per year).

Preferred Qualifications

Pharmacy technician certification.

Previous experience in managed care and Medicaid and/or Medicare organizations.

Ability to perform multiple tasks effectively.

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

Ability to operate independently.

Dedicated and reliable nature.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 04/20/2026

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

Control Systems Engineer - Field Engineering

Turner Mining Group • Indiana, Indiana • 7h ago

IT & Engineering

We are looking for an experienced Control Systems Engineer - Field Engineering to join our growing team. This role is focused on the design, configuration, testing, and commissioning of AC and DC drive systems, PLC/HMI a...

7h ago

Go to Apply

Medical Claims Adjuster

CVS Health • Indiana, Indiana • 1d ago

Hospital & Medical

1d ago

Go to Apply

Wireless Retail Sales Associate - W2502

OSL Retail Services • Latrobe, PA • 1d ago

Retail & Hospitality

Overview Ready to unlock unlimited earning potential?You will have unlimited earning potential with $14/hour base pay and uncapped commission! Employees earn $17/hour just hitting minimum expectations and top performers...

1d ago

Go to Apply

Full-Time Accountant

Pennsylvania Highlands Community College • Johnstown, PA • 1d ago

Finance, Accounting & Banking

Location: Richland Campus/Hybrid Full or Part Time: Full-Time Annual Salary: $47,000 - $52,000 plus generous benefits package. Application Deadline: Thursday, April 30, 2026 Applications will be accepted until the positi...

1d ago

Go to Apply

Home Health Physical Therapist (PT)

Adecco US, Inc. • Ebensburg, PA • 1d ago

Hospital & Medical

A Home Health Physical Therapist (PT) role is now available through Adecco Healthcare and Life Science. In this role, you will provide patient care in a home health setting across multiple communities, including developi...

1d ago

Go to Apply

Manufacturing Engineer

System One • Latrobe, PA • 3d ago

IT & Engineering

Job Title: Manufacturing Engineer Location: Latrobe, PA Type: Direct Hire Compensation: $75,000.00 - $85,000.00 Contractor Work Model: Onsite - onsite Hours: 40.0 Responsibilities: Provide advanced mechanical/process exp...

3d ago

Go to Apply

Blood Component Manufacturing Technician (3rd Shift)

American Red Cross • Johnstown, PA • 3d ago

Hospital & Medical

Please use Google Chrome or Mozilla Firefox when accessing Candidate Home. By joining the American Red Cross you will touch millions of lives every year and experience the greatness of the human spirit at its best. Are y...

3d ago

Go to Apply

Part Sales Manager - Part Time

AutoZone, Inc. • Blairsville, PA • 3d ago

Management & Administrative

Job Description AutoZone's Store Management team drives store performance, fosters a productive team, and ensures exceptional customer service. Managers and MITs play a key leadership role, expected to Live The Pledge an...

3d ago

Go to Apply

State & Local Government Account Specialist (Remote US in EST & CST)

Pitney Bowes • Indiana, Indiana • 4d ago

At Pitney Bowes, we do the right thing, the right way. As a member of our team, you can too. We have amazing people who are the driving force, the inspiration and foundation of our company. Our thriving culture can be br...

4d ago

Go to Apply

Senior Cost/Pricing Analyst

Leonardo DRS, Inc. • Johnstown, PA • 4d ago

Job ID: 113328 The Leonardo DRS Naval Electronics business provides leading naval computing infrastructure, network and data distribution and middleware enterprise services, as well as world-class manufacturing and suppo...

4d ago

Go to Apply

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