Provider Relations Specialist

Capitalrx

Remote, US
**
Pharmacy credentialing review process
Ncpdp database verification
Oig gsa sam exclusion list checks
** Capital Rx is seeking a Provider Relations Specialist to manage credentialing processes for pharmacies within their network. This remote position requires experience in credentialing providers and process management to enhance operational efficiency. **

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 developing relevant policies and procedures.

Matching Summary

Match Score: 75

** Capital Rx is seeking a Provider Relations Specialist to manage credentialing processes for pharmacies within their network. This remote position requires experience in credentialing providers and process management to enhance operational efficiency. **

Skills & Requirements

Must-have

  • Pharmacy credentialing review process
  • NCPDP database verification
  • OIG GSA SAM exclusion list checks
  • Credentialing database management
  • Annual pharmacy attestation tracking

Nice-to-have

  • Experience with scalable solutions
  • Provider relations leadership support
  • Direct contracting experience

Key Requirements

  • Experience in provider credentialing
  • Knowledge of federal and state compliance websites
  • Ability to manage reporting requests

Work Rights

Not specified

Tailored Resume

Cover Letter