Adjudication Associate (Omnicare) - Overnight

CVS Health • New Mexico, New Mexico • 1w 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

Service Desk Technician (Intermediate-Level)

Link Solutions Inc • White Sands Missile Range, NM • 3min ago

Hospital & Medical

Link Solutions, Inc. delivers reliable and effective Information Technology services to government clients in support of critical mission needs. Delivering a broad range of Infrastructure Operations, Application Developm...

3min ago

Go to Apply

Pharmacy Technician

UnitedHealth Group • Las Cruces, NM • 9min ago

Hospital & Medical

Requisition number: 2367267 Job category: Pharmacy "A Day in the Life" video ( https://youtu.be/wR5bzhHlT7k ) Opportunities with Genoa Healthcare. A career with Genoa Healthcare means you're part of a collaborative effor...

9min ago

Go to Apply

Store Sales Manager

Tractor Supply Company • Hobbs, NM • 2h ago

Retail & Hospitality

Store Sales Manager Overall Job Summary This position is responsible for proficiency in all areas of a retail operation. The position serves as the second in charge of sales initiatives and functions to the Store Manager...

2h ago

Go to Apply

Part Sales Manager - Full Time

AutoZone, Inc. • Belen, NM • 2h 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...

2h ago

Go to Apply

Senior Manager, Supply Chain Engineering

Oracle • Santa Fe, NM • 3h ago

Management & Administrative

Job Description Manages a team of engineers responsible for evaluating and qualifying supplier components at varying degrees of complexity and integration level. Leads supplier development initiatives, collaborating with...

3h ago

Go to Apply

Day Shift Warehouse Associate

Aerotek • Albuquerque, NM • 5h ago

Manufacturing & Warehouse

Compressed Schedule Warehouse Worker Job Description The Warehouse Worker is responsible for utilizing tablets and computers to access orders and perform necessary duties throughout the facility. This role involves trans...

5h ago

Go to Apply

Director, Federal Engagement Management

Oracle • Santa Fe, NM • 6h ago

Management & Administrative

Job Description We're on a journey to advance how health happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission? To create a human-centric healthcare experien...

6h ago

Go to Apply

Registered Nurse - Hospice

Amergis • Albuquerque, NM • 7h ago

Hospital & Medical

The Registered Nurse - Hospice is responsible for providing care, comfort and support to terminally ill patients. The Registered Nurse - Hospice assumes the responsibility and accountability for the delivery of hospice p...

7h ago

Go to Apply

Graduate Nurse

Genesis Healthcare • Gallup, NM • 7h ago

Hospital & Medical

Overview Are you a new graduate nurse waiting to take your NCLEX? Apply today to learn more about this unique opportunity at Red Rocks Care Center. Part Time and Full Time Roles available! At Genesis Healthcare, we are d...

7h ago

Go to Apply

Nurse Informatics Executive

Oracle • Santa Fe, NM • 7h ago

Hospital & Medical

Job Description We're on a journey to advance how health happens with technologies that support clinicians, inspire innovation, empower patients, and save lives. Our mission? To create a human-centric healthcare experien...

7h ago

Go to Apply

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