Adjudication Associate (Omnicare) - Overnight

CVS Health • Maryland, Maryland • 3w 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 a pharmacy-based environment.

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 (once every three weeks) 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 - $42.35

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: 07/18/2026

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

Operations Manger

Adams Communication & Engineering Technology • Full-time • Patuxent River, Maryland, United States • $120k - $145k / year • 3w ago

Project Management Aerospace

Adams Communication & Engineering Technology (ACET), Incorporated is a Veteran Owned Small Business (VOSB) system engineering and information technology firm, headquartered in Maryland. Incorporated in 1999, we suppo...

3w ago

Go to Apply

Market Vice President - Mid-Atlantic

GE HealthCare • Maryland, Maryland • 22h ago

Management & Administrative

Job Description Summary Job Description Role Summary/Purpose: Key Roles and Experiences Responsible to set the sales strategy for a specific geography ("market") for the commercial and service sales organizations. Drives...

22h ago

Go to Apply

Sales Manager (FT)

Michaels • Maryland, Maryland • 1d ago

Management & Administrative

Store - BALT-TIMONIUM, MD The Sales Manager leads and champions a high-performing selling culture across the store, driving strong sales results and an engaging customer experience. This role oversees front-end and servi...

1d ago

Go to Apply

RETAIL-PT Merchandise Manager

Michaels • Maryland, Maryland • 1d ago

Retail & Hospitality

Store - BALT-BEL AIR, MD The Merchandise Manager drives merchandising and operational execution, including truck processing, inventory routines, planogram sets, and visual standards. This role ensures accurate pricing, t...

1d ago

Go to Apply

Retail Store Manager (Bench)

Michaels • Maryland, Maryland • 1d ago

Retail & Hospitality

Store - BALT-ELDERSBURG, MD Store Managers are expected to spend the vast majority of their time on managerial work. This includes leading and managing a team; holding the team accountable to deliver a great customer exp...

1d ago

Go to Apply

Customer Service Representative

CVS Health • Maryland, Maryland • 1d ago

Management & Administrative

1d ago

Go to Apply

PROGRAM ANALYST (CYBER PLANNER)

United States Fleet Forces Command • Maryland, Maryland • 1d ago

IT & Engineering

Summary This is a public notice flyer to notify interested applicants of anticipated vacancies. Applications will not be accepted through this flyer. Interested applicants must follow the directions in the "How to Apply"...

1d ago

Go to Apply

Analyst, Business Analytics

CVS Health • Maryland, Maryland • 1d ago

IT & Engineering

1d ago

Go to Apply

Remote --- Customer Service Representative

Teleperformance USA • Maryland, Maryland • 2d ago

Management & Administrative

Category : Customer Service/Support As a Customer Support Specialist, you will serve as a primary point of contact for our clients, managing inbound and outbound communications with professional excellence. Utilizing a s...

2d ago

Go to Apply

Physician

Chenega Corporation • Maryland, Maryland • 2d ago

Hospital & Medical

Summary Come join a company that strives for Extraordinary People and Exceptional Performance ! Chenega Supply Chain Solutions (CSCS), a Chenega Professional Services Strategic Business Unit company, is looking for a Phy...

2d ago

Go to Apply

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