Adjudication Associate (Omnicare) - Overnight

CVS Health • Delaware, Delaware • 6d 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 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: 06/03/2026

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

Urgent Care Nurse Practitioner

Included Health • Delaware • 9h ago

Hospital & Medical

We're seeking board certified Nurse Practitioners licensed in Delaware (multi licensed strongly preferred) with broad clinical expertise and a passion for improving healthcare access and quality. In this role, you'll del...

9h ago

Go to Apply

Delivery Truck Driver - CDL

Ferguson Enterprises, LLC. • Delaware, OH • 13h ago

Trucking & Construction

Job Posting: Since 1953, Ferguson has been a source of quality supplies for a variety of industries. Together We Build Better infrastructure, better homes and better businesses. We exist to make our customers' complex pr...

13h ago

Go to Apply

Customer Service Representative

CVS Health • Delaware, Delaware • 1d ago

Management & Administrative

1d ago

Go to Apply

Logistics Tech

ATTINDAS • Delaware, OH • 2d ago

Management & Administrative

Description Position at Attindas - US JOIN OUR CARING CULTURE AT ATTINDAS HYGIENE PARTNERS! Attindas is offering exciting opportunities for Logistics Tech (Lift Truck Drivers) -Second shift & Third Shift (02:30pm - 1...

2d ago

Go to Apply

Quality Lab Technician

Volt • Delaware, OH • 2d ago

IT & Engineering

Hi, Please see below the job posting: Volt is immediately hiring a Quality Lab Technician in Delaware, Ohio. As a Quality Lab Technician, you will: Performs various scientific analyses to evaluate the quality of raw mate...

2d ago

Go to Apply

Logistics Tech 3

ATTINDAS • Delaware, OH • 2d ago

Management & Administrative

Description Position at Attindas - US COME JOIN OUR CARING CULTURE AT ATTINDAS HYGIENE PARTNERS! Attindas is offering exciting opportunities for Warehouse Team Lead -Second shift (02:30pm - 11:00pm) at our Delaware, Ohio...

2d ago

Go to Apply

Director of Sales

Professional Pavement Services • Delaware, OH • 2d ago

Sales & Marketing

[DIRECTOR OF SALES]{segoe="" ui",="" tahoma,="" sans-serif"=""} [Management]{segoe="" ui",="" tahoma,="" sans-serif"=""} [Delaware, OH, US]{segoe="" ui",="" tahoma,="" sans-serif"=""} 30+ days ago [Requisition ID: 1048]{...

2d ago

Go to Apply

Sales Operation Coordinator

National Metal Shapes Inc. • Delaware, OH • 2d ago

Sales & Marketing

About NMS National Metal Shapes, a trusted flooring component manufacturer since 1972, is in the midst of a bold growth phase. We are revitalizing our culture and building a high-performance team focused on accountabilit...

2d ago

Go to Apply

Electrical & Instrumentation Technician

ATTINDAS • Delaware, OH • 2d ago

Hospital & Medical

Description Position at Attindas - US COME JOIN OUR CARING CULTURE AT ATTINDAS HYGIENE PARTNERS! Attindas is offering exciting opportunities for Electrical Technicians - Night Shift (06:30pm - 07:00am) at our Delaware, O...

2d ago

Go to Apply

Physician Office Specialist

OhioHealth • Delaware, OH • 3d ago

Hospital & Medical

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further...

3d ago

Go to Apply

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