CORP H&W/CREDENTIALING SPECIALIST
Eluq · Cincinnati, OH, United States
About The Role
Manage all aspects related to Kroger Health payor credentialing. Demonstrate the company's core values of respect, honesty, integrity, diversity, inclusion, and safety.
- Act as primary point of contact and manage all responsibilities for credentialing activities - Coordinate the credentialing/recredentialing process, including initializing the process, monitoring, follow-up on required documents, regular reporting of status of initial credentialing/recredentialing - Manage processes to track payor communications, application requests, credentialing/recredentialing procedures, attestations, or other credentialing related tasks - Coordinate with other departments to ensure credentialing requests and rosters are kept up to date and sent to payors at correct frequency - Assist with special projects at the direction of the manager - Travel to attend conferences and government/medical board hearings to keep the company abreast of the latest mandated requirements as well as occasional work with a lobbyist - Must be able to perform the essential job functions of this position with or without reasonable accommodation
Minimum - 3+ years of experience as a pharmacy technician or experience working in a healthcare-related job - Strong leadership skills - Ability to be self-directed and work independently, as well as participate on group projects - Ability to organize and prioritize work based on changing and challenging deadlines - Excellent oral/written communication skills - Proficient in Microsoft Office - Excellent planning, organizational, and follow-up skills with close attention to detail Desired - Associate Degree - Bachelor's Degree - Any Licensing/Credentialing experience - Any Regulatory Compliance experience
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