Base: $23.70 to $39.10 ph; bonus/equity: not speci...
Hybrid
Credentialing and re-credentialing compliance
Pharmacy license tracking and renewal
Medicaid and medicare application processing
The Credentialing Analyst, Clinics is responsible for accurate and prompt credentialing for health plans and pharmacy benefit managers for all pharmacy sites
Job Summary
The Credentialing Analyst, Clinics is responsible for accurate and prompt credentialing for health plans and pharmacy benefit managers for all pharmacy sites.
Elevance Health offers a comprehensive benefits package including incentive and recognition programs, equity stock purchase, and 401k contributions subject to eligibility requirements.
This role requires associates to be in-office 1-2 days per week to foster collaboration while supporting productivity and work-life balance.
Matching Summary
The Credentialing Analyst, Clinics is responsible for accurate and prompt credentialing for health plans and pharmacy benefit managers for all pharmacy sites.
Salary
Base: $23.70 to $39.10 per hour; Bonus/Equity: Not specified; Benefits: Comprehensive benefits package including 401k and stock purchase plan
Skills & Requirements
Must-have
Credentialing and re-credentialing compliance
Pharmacy license tracking and renewal
Medicaid and Medicare application processing
Collaboration with managed care plans and PBMs
Confidentiality of pharmacy and provider information
Nice-to-have
Hybrid work environment with in-office days
Knowledge of managed care and PBM providers
Effective communication with clinical and billing teams
Support during accreditation renewals
Problem-solving payor departmental issues
Key Requirements
High school diploma or equivalent
Minimum 3 years experience
Knowledge of Medicaid, Medicare, managed care, and PBM providers