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Overnight Claims Adjudication Jobs (NOW HIRING)

Peraton

Enterprise Architect, Senior Advisor

$176K - $282K/yr

Support high-volume batch processing operations including overnight claims adjudication cycles, capitation runs, and eligibility file processing with performance optimization * Develop and maintain ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Overnight & Weekend shifts required. Must have pharmacy claims or adjudication background. What We Offer: * DailyPay * Flexible Schedules * Competitive Pay with Shift Differentials * Health, Dental ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Overnight & Weekend shifts required. Must have pharmacy claims or adjudication background. What We Offer: * DailyPay * Flexible Schedules * Competitive Pay with Shift Differentials * Health, Dental ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Overnight & Weekend shifts required. Must have pharmacy claims or adjudication background. What We Offer: * DailyPay * Flexible Schedules * Competitive Pay with Shift Differentials * Health, Dental ...

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Overnight Claims Adjudication information

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$15

$29

$45

How much do overnight claims adjudication jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for overnight claims adjudication in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

What is overnight claims adjudication?

Overnight claims adjudication is the process of reviewing and processing insurance claims during overnight hours, typically when regular business operations are closed. This role ensures that claims are evaluated, approved, or denied efficiently so that policyholders and healthcare providers receive timely decisions. Overnight adjudicators often work with specialized software to verify information, check policy coverage, and detect potential errors or fraud, helping maintain the flow of claims processing around the clock.

What are the key skills and qualifications needed to thrive as an overnight claims adjudicator?

To thrive as an Overnight Claims Adjudication Specialist, you need strong analytical skills, attention to detail, and a foundational understanding of insurance policies and claims processing, often supported by a high school diploma or relevant experience. Familiarity with claims management systems, insurance databases, and sometimes certifications like AAPA or similar are common requirements. Excellent problem-solving ability, time management, and effective written communication are valuable soft skills in this role. These competencies ensure accurate, timely claim evaluations and maintain compliance and customer satisfaction during off-hour shifts.

What are some common challenges faced by overnight claims adjudicators, and how can they be managed effectively?

Overnight claims adjudicators often face challenges such as working with limited real-time support, handling high volumes of claims during off-peak hours, and maintaining accuracy despite the late shift. To manage these effectively, it's important to develop strong organizational skills, stay proactive in communication with daytime teams, and utilize available digital resources for quick reference. Additionally, maintaining a consistent routine and prioritizing self-care can help with the unique demands of overnight work.
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Overnight Claims Adjudication jobs near you
Infographic showing various Overnight Claims Adjudication job openings in the United States as of August 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 55% In-person, and 45% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Enterprise Architect, Senior Advisor

Peraton

Remote

$176K - $282K/yr

Full-time

Re-posted 6 days ago

Peraton rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

51st of 224 rated it services

Job description

Responsibilities
Peraton Health, State and Local Sector is seeking a Facets Architect to support the modernization of CMS Claims Processing systems. This role is responsible for designing, implementing, and optimizing Facets platform deployments on Amazon Web Services (AWS) infrastructure in support of CMS Medicare operations.
The Architect will serve as the technical lead for Facets implementation initiatives, providing end-to-end architectural guidance from infrastructure provisioning through application configuration and integration. This individual will work within a persistent, collaborative Agile development team and interface directly with CMS stakeholders to ensure solutions meet regulatory, performance, and security requirements.
The ideal candidate combines deep expertise in Facets platform architecture with hands-on AWS cloud engineering experience, enabling the design of scalable, secure, and HIPAA-compliant solutions for high-volume Medicare claims processing environments.
This position requires staying current with industry trends in cloud-native healthcare IT, claims processing modernization, and CMS regulatory changes to continuously improve system architecture and operational efficiency.
Responsibilities:
  • Lead the architecture, design, and implementation of Facets platform environments on AWS, including compute (EC2, ECS), storage (S3, Oracle), and networking (VPC, Direct Connect) components
  • Design and maintain cloud infrastructure using Infrastructure-as-Code (IaC) tools such as AWS CloudFormation and Terraform to enable repeatable, automated environment provisioning
  • Architect scalable and highly available solutions for Medicare claims processing, ensuring compliance with CMS performance requirements, HIPAA security standards, and FedRAMP controls
  • Configure and optimize Facets platform modules including Claims Adjudication, Membership/Enrollment, Provider Network Management, Benefits Configuration, and Pricing Engine components
  • Design integration architectures for EDI transaction processing (X12 837, 835, 834) leveraging AWS services such as Lambda, SQS, SNS, and Kinesis for event-driven workflows
  • Establish and maintain CI/CD pipelines for Facets application deployments using DevSecOps best practices, containerization (Docker/EKS), and automated testing frameworks
  • Collaborate with CMS stakeholders, business analysts, and development teams to translate Medicare regulatory requirements into technical architecture decisions and system configurations
  • Provide technical leadership and mentorship to development team members on Facets platform capabilities, AWS cloud services, and healthcare IT best practices
  • Design and implement monitoring, logging, and alerting solutions using AWS CloudWatch, CloudTrail, and GuardDuty to ensure system health, security compliance, and batch cycle reliability
  • Support high-volume batch processing operations including overnight claims adjudication cycles, capitation runs, and eligibility file processing with performance optimization
  • Develop and maintain architecture documentation, system diagrams, runbooks, and technical specifications for all Facets-on-AWS implementations
  • Participate in technical design sessions, sprint planning, and architecture review boards to ensure alignment with enterprise standards and CMS directives
  • Troubleshoot complex production issues spanning Facets application logic, Oracle database performance, and AWS infrastructure, providing root cause analysis and remediation

Qualifications
Basic Qualifications:
  • Minimum of 12 years with BS/BA or a Minimum of 10 years with MS/MA.
  • 8+ years of hands-on experience with Facets platform, including configuration, implementation, and administration across Claims, Membership, Provider, and Benefits modules
  • 5+ years of experience designing and implementing solutions on Amazon Web Services (AWS), including EC2, EKS, RDS, S3, Lambda, VPC, Terraform, and IAM
  • Strong experience with Oracle RDBMS including stored procedures, performance tuning, query optimization, and database architecture in the context of Facets implementations
  • Demonstrated experience with healthcare claims processing systems
  • Experience with EDI transaction standards (X12 837, 835, 834) and healthcare interoperability protocols (HL7, FHIR)
  • Proficiency in Infrastructure-as-Code (Terraform, CloudFormation) and DevSecOps practices including CI/CD pipeline design and automated deployment
  • Experience with containerization technologies (Docker, AWS ECS/EKS) and microservices architecture patterns
  • Strong understanding of HIPAA Security Rule, FedRAMP, and CMS security requirements for cloud-hosted healthcare systems
  • Agile/SCRUM methodology experience, preferably within SAFe (Scaled Agile Framework) environments
  • Experience with monitoring and observability tools (CloudWatch, Splunk, or equivalent) for enterprise healthcare applications
  • Familiarity with Windows Server administration as it relates to Facets platform hosting and operations
  • Must be able to achieve Public Trust clearance
  • US Citizen.

Preferred Qualifications:
  • AWS Certified Solutions Architect (Associate or Professional) certification

Peraton Overview
Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can't be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we're keeping people around the world safe and secure.
Target Salary Range
$176,000 - $282,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual's experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.
EEO
EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

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About Peraton

Sourced by ZipRecruiter

At Peraton, we re at the forefront of delivering the next big thing every day. We re the partner of choice to help solve some of the world s most daunting challenges, delivering bold, new solutions to keep people around the world safer and more secure.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Herndon, VA, US

Year founded

2017

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