Adjudication Associate (Omnicare) - Overnight

CVS Health • Oklahoma, Oklahoma • 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

Director, Federal Engagement Management

Oracle • Oklahoma City, OK • 1h 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...

1h ago

Go to Apply

Registered Nurse

Elara Caring • Oklahoma City, OK • 2h ago

Hospital & Medical

At Elara Caring, we have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying out our mission every day. Join ou...

2h ago

Go to Apply

Contact Center Customer Experience Specialist - PrePaid

U.S. Bank • Oklahoma City, OK • 2h ago

Management & Administrative

Spokane, Washington residents: If a street address is not available, enter N/A when completing a job application. At U.S. Bank, we're on a journey to do our best. Helping the customers and businesses we serve to make bet...

2h ago

Go to Apply

Regional Manager of NA Applications HCM (Industrial Manufacturing/High Tech)

Oracle • Oklahoma City, OK • 4h ago

Hospital & Medical

Job Description As the Regional Manager, you will be responsible for leading and mentoring a high-performing sales team, focused on Human Capital Management (HCM) solutions. Your expertise and strategic vision will be in...

4h ago

Go to Apply

Mechanical (Pump) Engineer

Actalent • Oklahoma City, OK • 4h ago

IT & Engineering

Pump Engineer (High-Pressure Systems) Competitive Pay (Based on Experience) Location: Duncan, OK (OKC) Full-Time | Mid-Level (3+ Years Experience) After applying, please call me directly at 316 448 4486 Design. Test. Opt...

4h ago

Go to Apply

Accounting Supervisor

Cardinal Health • Oklahoma City, OK • 4h ago

Finance, Accounting & Banking

This role will support the Global Medical Products & Distribution (GMPD) segment. What Accounting contributes to Cardinal Health Finance oversees the accounting, tax, financial plans and policies of the organization,...

4h ago

Go to Apply

Truck Driver CDL B Daily

Ryder System • Oklahoma City, OK • 5h ago

Trucking & Construction

Position Description Ryder is hiring a Class B CDL Truck Driver in Oklahoma City, OK - offering weekly pay, excellent benefits, and a driving career you can feel good about. See and Hear from a Ryder Employee who Drives...

5h ago

Go to Apply

Operations Manager

American Express Global Business Travel • Oklahoma City, OK • 6h ago

Management & Administrative

Amex GBT is a place where colleagues find inspiration in travel as a force for good and - through their work - can make an impact on our industry. We're here to help our colleagues achieve success and offer an inclusive...

6h ago

Go to Apply

Operations Program Manager 5

Oracle • Oklahoma City, OK • 6h ago

Management & Administrative

Job Description A Senior Staff position, the individual will proactively identify opportunities for Product Lifecycle process development at the strategic level to address changing business requirements; communicates and...

6h ago

Go to Apply

AD, General Accounting

Humana • Oklahoma City, OK • 9h ago

Finance, Accounting & Banking

Become a part of our caring community The AD, General Accounting for Cash Reconciliations & Cash Operations is responsible for leading enterprise cash reconciliation processes and driving strategic initiatives impact...

9h ago

Go to Apply

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