MI · On-site
$17 - $34.15/hr
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 ...
MI · On-site
$17 - $34.15/hr
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 ...
MI · On-site
$17 - $34.15/hr
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 ...
Grand Rapids, MI · On-site
$15 - $19.25/hr
We're thrilled that you are interested in joining us here at the Amynta Group! Provides exceptional customer service to internal and/or external customers. Responsibilities include but are not ...
Grand Rapids, MI · On-site
$15 - $19.25/hr
We're thrilled that you are interested in joining us here at the Amynta Group! Provides exceptional customer service to internal and/or external customers. Responsibilities include but are not ...
Grand Rapids, MI · On-site
$14.50 - $18.50/hr
Job Opportunity At Amynta Group We're thrilled that you are interested in joining us here at the Amynta Group! Provides exceptional customer service to internal and/or external customers.
Grand Rapids, MI · On-site
$14.50 - $18.50/hr
Job Opportunity At Amynta Group We're thrilled that you are interested in joining us here at the Amynta Group! Provides exceptional customer service to internal and/or external customers.
Detroit, MI · On-site
$20 - $24/hr
Pharmacy claims adjudication experience * Knowledge of prescription drugs, therapeutic classes, and pharmacy/medical terminology * Customer service experience * Proficiency in Microsoft Office and ...
Quick apply
Detroit, MI · On-site
$20 - $24/hr
Pharmacy claims adjudication experience * Knowledge of prescription drugs, therapeutic classes, and pharmacy/medical terminology * Customer service experience * Proficiency in Microsoft Office and ...
Marquette, MI · On-site +1
$76K - $180K/yr
In addition, continued employment is subject to a favorable adjudication of a background investigation. Residency Requirements: Assistant United States Attorneys generally must reside in the district ...
Marquette, MI · On-site +1
$76K - $180K/yr
In addition, continued employment is subject to a favorable adjudication of a background investigation. Residency Requirements: Assistant United States Attorneys generally must reside in the district ...
Grand Rapids, MI · On-site +1
$76K - $180K/yr
In addition, continued employment is subject to a favorable adjudication of a background investigation. Residency Requirements: Assistant United States Attorneys generally must reside in the district ...
Grand Rapids, MI · On-site +1
$76K - $180K/yr
In addition, continued employment is subject to a favorable adjudication of a background investigation. Residency Requirements: Assistant United States Attorneys generally must reside in the district ...
Lansing, MI · On-site
$51.43 - $71.64/hr
Serve as a senior level adjudicator with jurisdiction over assigned caseload of cases handled by the General Adjudication section within the Michigan Office of Administrative Hearings and Rules ...
Lansing, MI · On-site
$51.43 - $71.64/hr
Serve as a senior level adjudicator with jurisdiction over assigned caseload of cases handled by the General Adjudication section within the Michigan Office of Administrative Hearings and Rules ...
Lead and develop a high performing claims adjudication team. Assure proper staffing levels. * Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and ...
Lead and develop a high performing claims adjudication team. Assure proper staffing levels. * Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and ...
We ground that reward in real signals - clinical policy and criteria, adjudicated outcomes, and clinical-expert judgment - so correctness is checkable rather than asserted. You will own the post ...
We ground that reward in real signals - clinical policy and criteria, adjudicated outcomes, and clinical-expert judgment - so correctness is checkable rather than asserted. You will own the post ...
Lead and develop a high performing claims adjudication team. Assure proper staffing levels. * Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and ...
Lead and develop a high performing claims adjudication team. Assure proper staffing levels. * Implement goals setting, monitoring and achieving service-levels, medical trend management savings, and ...
Troy, MI · On-site
$24.75 - $32.50/hr
Representatives provide technical support and warranty adjudication on heavy truck systems for an industry leading customer assistance call center. This position is client facing and spends much time ...
Troy, MI · On-site
$24.75 - $32.50/hr
Representatives provide technical support and warranty adjudication on heavy truck systems for an industry leading customer assistance call center. This position is client facing and spends much time ...
Representatives provide technical support and warranty adjudication on heavy truck systems for an industry leading customer assistance call center. This position is client facing and spends much time ...
Representatives provide technical support and warranty adjudication on heavy truck systems for an industry leading customer assistance call center. This position is client facing and spends much time ...
Troy, MI · On-site
$24.75 - $32.50/hr
Representatives provide technical support and warranty adjudication on heavy truck systems for an industry leading customer assistance call center. This position is client facing and spends much time ...
Troy, MI · On-site
$24.75 - $32.50/hr
Representatives provide technical support and warranty adjudication on heavy truck systems for an industry leading customer assistance call center. This position is client facing and spends much time ...
Grand Rapids, MI · On-site
We ground that reward in real signals - clinical policy and criteria, adjudicated outcomes, and clinical-expert judgment - so correctness is checkable rather than asserted. You will own the post ...
Grand Rapids, MI · On-site
We ground that reward in real signals - clinical policy and criteria, adjudicated outcomes, and clinical-expert judgment - so correctness is checkable rather than asserted. You will own the post ...
Detroit, MI · On-site
$16 - $19.50/hr
Pharmacy claim adjudication experience * Knowledge of basic drug classes * Certified Pharmacy Technician * High School Diploma Why Should You Apply? * Health Benefits * Referral Program * Excellent ...
Detroit, MI · On-site
$16 - $19.50/hr
Pharmacy claim adjudication experience * Knowledge of basic drug classes * Certified Pharmacy Technician * High School Diploma Why Should You Apply? * Health Benefits * Referral Program * Excellent ...
Detroit, MI · On-site
$16 - $19.50/hr
Pharmacy claim adjudication experience * Knowledge of basic drug classes * Certified Pharmacy Technician * High School Diploma Why Should You Apply? * Health Benefits * Referral Program * Excellent ...
Detroit, MI · On-site
$16 - $19.50/hr
Pharmacy claim adjudication experience * Knowledge of basic drug classes * Certified Pharmacy Technician * High School Diploma Why Should You Apply? * Health Benefits * Referral Program * Excellent ...
$85K - $105K/yr
S. Citizenship and ability to obtain adjudication for the requisite background investigation. - Experience and expertise in performing the requisite services in Section 3. - Must be a US Citizen ...
$85K - $105K/yr
S. Citizenship and ability to obtain adjudication for the requisite background investigation. - Experience and expertise in performing the requisite services in Section 3. - Must be a US Citizen ...
Clinton Township, MI · On-site
$25/hr
Job Responsibilities -Present level-appropriate curriculum -Oversee students' vocal or instrumental practice -Prepare students for final assessment (adjudication) -Recommend an assessment of student ...
Clinton Township, MI · On-site
$25/hr
Job Responsibilities -Present level-appropriate curriculum -Oversee students' vocal or instrumental practice -Prepare students for final assessment (adjudication) -Recommend an assessment of student ...
$85K - $105K/yr
S. Citizenship and ability to obtain adjudication for the requisite background investigation. - Experience and expertise in performing the requisite services in Section 3. - Must be a US Citizen ...
Quick apply
$85K - $105K/yr
S. Citizenship and ability to obtain adjudication for the requisite background investigation. - Experience and expertise in performing the requisite services in Section 3. - Must be a US Citizen ...
Lead day-to-day operations for Life & Annuities claims processing, ensuring timely, accurate, and compliant adjudication of claims. * Manage and develop a team of managers, supervisors, claims ...
Lead day-to-day operations for Life & Annuities claims processing, ensuring timely, accurate, and compliant adjudication of claims. * Manage and develop a team of managers, supervisors, claims ...
$13.62 - $16.09
1% of jobs
$16.09 - $18.57
3% of jobs
$18.57 - $21.05
1% of jobs
$21.05 - $23.52
4% of jobs
$23.52 - $26
11% of jobs
$27.75 is the 25th percentile. Wages below this are outliers.
$26 - $28.48
6% of jobs
$28.48 - $30.95
16% of jobs
The median wage is $31.90 / hr.
$30.95 - $33.43
18% of jobs
$33.43 - $35.90
10% of jobs
$36.52 is the 75th percentile. Wages above this are outliers.
$35.90 - $38.38
16% of jobs
$38.38 - $40.86
13% of jobs
$13
$32
$40
An adjudication job involves reviewing and analyzing claims, applications, or cases to determine eligibility, compliance, or resolution based on established guidelines and policies. Adjudicators work in various fields such as insurance, legal disputes, government benefits, and background checks. Their role includes reviewing documents, verifying information, and making impartial decisions to ensure fair outcomes. Strong attention to detail, analytical skills, and knowledge of relevant regulations are essential for this role.
Professionals working in Adjudication are responsible for reviewing claims, appeals, or disputes to determine their eligibility or validity based on established guidelines and regulations. Daily tasks often include gathering and analyzing evidence, preparing detailed reports, and communicating decisions to involved parties while ensuring compliance with all applicable laws and policies. Adjudicators also collaborate frequently with internal teams such as customer service, legal, and compliance departments to ensure thorough and accurate decision-making. This role often involves managing multiple cases simultaneously, making strong organizational and time-management skills essential for success.
To excel in an Adjudication role, candidates typically need strong analytical abilities, attention to detail, and a background in legal, insurance, or compliance fields, often supported by a relevant degree or professional certification. Familiarity with case management systems, claims processing software, and regulatory databases is commonly required. Excellent problem-solving, communication, and impartial decision-making skills help professionals stand out in this position. These attributes are critical for ensuring fair, consistent, and efficient resolutions in complex claims or disputes.

$17 - $34.15/hr
Other
Medical, Dental, Vision, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
5.8
Based on 4,329 frontline employees who took The Breakroom Quiz
88th of 111 rated pharmacies
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
Omnicare is a leading provider of pharmacy services to long-term care facilities nationwide, supporting skilled nursing facilities, assisted living communities, and other institutional care settings. As we transition to an independent, standalone organization, we are building and strengthening internal capabilities to support our approximately 6,000 colleagues and multi-state operations.
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.
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 overnight, as well as 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
Anticipated Weekly Hours
40
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: 08/03/2026
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.
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Health care and social assistance and retail
10,000+ Employees
Woonsocket, RI, US