Adjudication Associate (Omnicare) - Overnight

CVS Health • Ohio, Ohio • 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

ADMINISTRATIVE OFFICER

Commander, Navy Installations • California, California • 55min ago

Management & Administrative

Summary You will serve as an Administrative Officer in the Special Programs Division of COMNAVREGSW SDIEGO. Responsibilities You will review completed staff actions (letters, memos, reports, studies, factsheets, informat...

55min ago

Go to Apply

Deputy Director Strategic Planning

U.S. Air Force - Agency Wide • Virginia, Virginia • 1h ago

Summary Click on "Learn more about this agency" button below for IMPORTANT additional information. The primary purpose of this position is to plan and direct all Department of the Air Force (DAF) auditing operations in t...

1h ago

Go to Apply

SAFETY AND OCCUPATIONAL HEALTH MANAGER

Department of the Navy/Assistant for Administration • Virginia, Virginia • 4h ago

Hospital & Medical

Summary You will serve as a SAFETY AND OCCUPATIONAL HEALTH MANAGER in the OFFICE OF THE ASSISTANT SECRETARY OF NAVY (ENERGY, INSTALLATIONS and ENVIRONMENT) of ASN EI-E WASHINGTON DC. Responsibilities You will develop and...

4h ago

Go to Apply

Business Development Industrial Account Manager - Fastenal Dedicated- Remote - Midwest / East Region

Stanley Black and Decker • Virginia, Virginia • 4h ago

Legal & Paralegal

Business Development Industrial Account Manager - Fastenal Dedicated- Remote - Midwest / East Region United States 60% Travel Come make the world and accelerate your success. It takes great people to achieve greatness. P...

4h ago

Go to Apply

Business Development Industrial Account Manager - Fastenal Dedicated- Remote - Midwest / East Region

Stanley Black and Decker • Ohio, Ohio • 4h ago

Legal & Paralegal

4h ago

Go to Apply

Finance Manager

24 Hour Fitness, INC. • California, California • 4h ago

Finance, Accounting & Banking

FULL-TIME Full-time LOCATION CA ABOUT US For over 40 years, 24 Hour Fitness has been a leader in the industry, driven by our mission to help our community live healthier and happier through the transformative power of fi...

4h ago

Go to Apply

Mechanical Commissioning Engineer II

Bureau Vertias North America • Virginia, Virginia • 4h ago

IT & Engineering

**- - - -**

4h ago

Go to Apply

Assistant Manager - $19.00-$21.00/hr

Kinder's Corporation • California, California • 9h ago

Retail & Hospitality

Job Descriptions: WE ARE LOOKING FOR A RESPONSIBLE, HIGH ENERGY, POSITIVE, CUSTOMER SERVICE DRIVEN ASSISTANT MANAGER!! Come join a team with a long standing reputation for serving high quality meat, deli and BBQ items! O...

9h ago

Go to Apply

Litigation Attorney Workers' Compensation (Southern California)

ICW Group • California, California • 22h ago

Legal & Paralegal

Are you looking to make an impactful difference in your work, yourself, and your community? Why settle for just a job when you can land a career? At ICW Group, we are hiring team members who are ready to use their skills...

22h ago

Go to Apply

Case Manager - Registered Nurse - South Region

CVS Health • Ohio, Ohio • 22h ago

Hospital & Medical

22h ago

Go to Apply

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