Provider Credentials Coordinator

To support pharmacy relations, the full-time remote Provider Credentials Coordinator will facilitate the receipt and processing of provider credentials, ensure compliance with federal and state regulations, and create internal and external reports. Key responsibilities Communicate daily with pharmacy providers to obtain, review, and process credentials Document and audit pharmacy credentials to ensure compliance with URAC and company policies Create and submit reports on credential activity to department leadership and Credential Committees Required qualifications High school diploma or equivalent; advanced degree preferred Retail pharmacy or managed care pharmacy experience desired Prior experience analyzing medical and/or pharmacy claims or credentials highly desired Proficiency in Microsoft applications and ability to manage multiple priorities Strong telephonic and written communication skills for professional interactions with providers