Credentialing Specialist

Duration: 6 months

Position Summary

The Credentialing Specialist is responsible for administering and fulfilling pharmacy credentialing and recredentialing activities. This role involves reviewing pharmacy submissions, performing primary source verification, maintaining accurate credentialing records, and providing support to pharmacies throughout the credentialing process. The position requires daily use of MS Outlook, Excel, and Access and involves direct communication with the pharmacy community via phone, email, and fax. Accuracy, attention to detail, and professional communication are critical due to the high-volume and compliance-driven nature of the work.

Key Responsibilities

• Enter and maintain accurate credentialing status and key pharmacy details in internal systems
• Perform primary source verification of pharmacy credentials
• Review pharmacy submissions, surveys, and recredentialing documentation ...