Senior Coordinator Provider Licensing & Credentialing

November 4, 2022 0 Comments

Senior Coordinator, Pharmacy Licensing & Credentialing

We’re looking for a Pharmacy Licensing & Credentialing Sr. Coordinator to join the Pharmacy Operations Team, within our Strategy and Operations Organization. In this role, you will work closely with our business stakeholders to support pharmacy licensing and credentialing for our pharmacies.  You must be comfortable speaking with others across various channels (primarily email/message) compassionately and professionally. You are a good fit for the role if you are detail-oriented and ready to serve as the subject matter expert for pharmacy licensing and credentialing.  Above all, you embody the Thirty Madison mission of providing access to healthcare for all who suffer from chronic conditions

Comp | Perks | Benefits 

The base pay for this position is $22.00 per hourAnnual Incentive Plan + Stock Option Package100% coverage on many health, dental, and vision insurance plans401k with a match, commuter benefits, and FSABudget for the technology tools you need — whether it’s a laptop, monitor, or special softwareAnnual $750 vacation stipend and $750 wellness allowance

What you get to do every day 

Credentialing:Reviews and screens initial and recredentialing applications based on policies and proceduresCollects and validates documentation for completeness and accuracyAnalyzes and resolves discrepancies, time gaps, and other adverse eventsMonitors files to ensure completeness and accuracyEnters, updates and maintains data from facility applications into credentialing databaseLicensingPerform functions necessary to maintain pharmacy licensesProcess applications for pharmacy licensing renewals and all applicable updatesMaintain facility regulatory profiles as required, including NCPDP (National Council for Prescription Drug Programs) and NABP (National Association of Boards of Pharmacy)Internal point of contact for licensing questions regarding new licenses, renewals, and ongoing updatesGeneralParticipates in the development and implementation of process improvements for credentialing and licensingProvide support to organization as needed during accreditation and re-accreditation periodsOther ad-hoc, pharmacy-operations related tasks

What you bring to the role 

At least 1 year of experience in a credentialing or licensing roleExperience with PBM (Pharmacy Benefit Manager) applications and other credentialing toolsExperience communicating with regulatory and licensing boardsExcellent organization and prioritization skills Knowledge of URAC (Utilization Review Accreditation Commission), ACHC (Accreditation Commission for Health Care) a plusKnowledge of state Medicaid enrollment requirements and procedures a plusAptitude and enthusiasm to learn the ins and outs of a fast-moving startup in the healthcare worldGreat written and verbal communicationGoogle Suite knowledge and the ability to navigate spreadsheets are a must Superb judgment, the ability to think quickly on your feet, and with deep empathy

Physical Requirements

Manual dexterity, arm and upper body range of motion sufficient for use of a keyboard, mouse and telephone 7 to 8 hours per day.Vision sufficient for use of a computer monitor.

Required IT

Reliable at home internet with a download speed of at least 25 Mbps and an upload speed of at least 5 Mbps

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