Provider Relations Specialist

Capital Rx

Remote, US
Remote
Pharmacy credentialing review process
Ncpdp database verification experience
Oig gsa sam exclusion list monitoring
Capital Rx is seeking a Provider Relations Specialist to oversee the credentialing process for pharmacies within its networks. The role requires experience in credentialing and reporting, with a focus on maintaining accurate and up-to-date information

Job Summary

  • The role focuses on managing the standard credentialing review process to ensure pharmacies meet Capital Rx network requirements.
  • Candidates will be responsible for ongoing monitoring of exclusion lists to identify and refer excluded pharmacies for removal.
  • The position involves maintaining a comprehensive credentialing database and gathering annual attestations from pharmacy providers.

Matching Summary

Match Score: 85

Capital Rx is seeking a Provider Relations Specialist to oversee the credentialing process for pharmacies within its networks. The role requires experience in credentialing and reporting, with a focus on maintaining accurate and up-to-date information.

Skills & Requirements

Must-have

  • pharmacy credentialing review process
  • NCPDP database verification experience
  • OIG GSA SAM exclusion list monitoring
  • credentialing database management skills
  • annual pharmacy attestation tracking

Nice-to-have

  • experience with scalable process solutions
  • ability to manage reporting requests
  • direct contracting support capabilities

Key Requirements

  • Experience in provider credentialing
  • Knowledge of federal and state compliance websites
  • Ability to verify eligibility in NCPDP database

Work Rights

Not specified

Tailored Resume

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