Adjudication Associate (Omnicare) - Overnight

CVS Health • South Dakota, South Dakota • 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 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

CNC Machinist - Evening Shift

Astec Industries • Yankton, SD • 20h ago

Manufacturing & Warehouse

Description The Machinist (CNC/Manual) position programs and operates one or more CNC machining center to perform drilling, tapping, milling, boring and other machining operations over a range of surfaces, diameters, and...

20h ago

Go to Apply

SCA Aircraft Mechanic 2/3

Northrop Grumman • South Dakota, South Dakota • 21h ago

Manufacturing & Warehouse

RELOCATION ASSISTANCE: Relocation assistance may be available CLEARANCE REQUIRED FOR START: Yes CLEARANCE TYPE: Secret TRAVEL: Yes, 10% of the Time Description At Northrop Grumman, our employees have incredible opportuni...

21h ago

Go to Apply

Distinguished AI Engineer (Remote Eligible)

Capital One • Pierre, SD • 23h ago

IT & Engineering

Distinguished AI Engineer (Remote Eligible) At Capital One, we are creating responsible and reliable AI systems, changing banking for good. For years, Capital One has been an industry leader in using machine learning to...

23h ago

Go to Apply

Software Engineer Technical Leader - Network Data Plane - Hypershield

Cisco • Pierre, SD • 1d ago

IT & Engineering

The application window is expected to close on: 08/31/2026 Job posting may be removed earlier if the position is filled or if a sufficient number of applications are received . Meet the Team The Security Innovation team...

1d ago

Go to Apply

Software Development Engineer

CVS Health • Pierre, SD • 1d ago

IT & Engineering

1d ago

Go to Apply

Customer Service / Tech Support Rep - Financial (Remote)

Concentrix • Pierre, SD • 1d ago

Finance, Accounting & Banking

Join our award-winning "One Concentrix" team as a remote Customer Service / Tech Support Representative! We're looking for passionate game-changers to deliver exceptional customer experiences and solutions for one of the...

1d ago

Go to Apply

Retail Sales Manager

Michaels • Rapid City, SD • 1d ago

Retail & Hospitality

Store - RAPID CITY, SD 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 service...

1d ago

Go to Apply

Customer Service Representative

CVS Health • South Dakota, South Dakota • 1d ago

Management & Administrative

1d ago

Go to Apply

Customer Service Representative

CVS Health • South Dakota, South Dakota • 1d ago

Management & Administrative

1d ago

Go to Apply

Behavioral Health Technician II | Behavioral Health Acute Unit

Avera • Sioux Falls, SD • 1d ago

Hospital & Medical

Location: Avera Behavioral Health Center-Sioux Falls Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Pay Range: The pay range for this position is listed below....

1d ago

Go to Apply

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