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Location

Wisconsin | United States

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Job description

Are you passionate about making healthcare more accessible and affordable? Join our dynamic team as a Provider Credentials Coordinator at a forward-thinking healthcare solutions company.

About Us:
We are committed to revolutionizing the traditional pharmacy benefit manager (PBM) model to eliminate unnecessary costs from the drug supply chain. At our core, we put people first and cultivate an environment that celebrates diversity, fosters creativity, and encourages professional growth. If you share our passion for excellent service and want to contribute to making medications more affordable, we want you on our team!

Responsibilities:
As a Provider Credentials Coordinator, you'll play a vital role in ensuring that our pharmacy providers meet federal and state regulations and statutes. Your daily tasks will include:

Facilitating the receipt, processing, and first-level evaluation of provider credentials.
Collaborating with strategic vendors and pharmacy providers to obtain, review, and process credentials.
Ensuring compliance with URAC standards and company policies for a high-quality, credentialed pharmacy network.
Generating reports on credential activity, presenting to department leadership and Credential Committees.
Monitoring and extracting information from credential databases, such as HMS, NCPDP, OIG, DEA, and State Boards of Pharmacy.
Supporting pharmacy network personnel in addressing contractual pricing questions, processing requirements, and resolving issues.
What We Expect:

High school diploma or equivalent; advanced degree preferred.
Retail pharmacy experience or managed care pharmacy setting experience desired.
Proficiency in Microsoft applications.
Strong analytical skills, ability to work independently, and manage multiple priorities.
Excellent telephonic and written communication skills.
Professional interaction with providers at all levels, both internally and externally.
What You Can Expect from Us:

Flexible work hours, remote or hybrid options.
Paid volunteer hours and educational assistance programs.
Competitive benefits package, including health, dental, and vision insurance.
Referral bonus program (up to $750!).
Opportunities for professional growth and development.
If you're ready to make a positive impact in the healthcare industry and join a team that values diversity and creativity, apply now and be part of our exciting journey!
Employment Type: Full-Time
Salary: $ 19.00 Per Hour

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