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To support pharmacy provider credentialing processes, the full-time remote Provider Credentialing Coordinator will manage the receipt, processing, and evaluation of provider credentials while ensuring compliance with federal and state regulations.
Key responsibilities: Communicate daily with pharmacy providers to obtain and process credentials Document and audit pharmacy credentials in compliance with URAC standards and internal policies Create and submit reports on credential activities to department leadership and Credential Committees Required qualifications High school diploma or equivalent; advanced degree preferred Experience in retail pharmacy or managed care pharmacy settings is desired Prior experience analyzing medical and/or pharmacy claims or credentials is highly preferred Proficiency in Microsoft applications and ability to manage multiple priorities Strong telephonic and written communication skills for professional interactions with providers

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Level

Senior L5

Location

Denver, CO

Occupation

Pharmacists

Industry

Pharmacies and Drug Retailers

Posted

today

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