Senior Coordinator - Providership
Core
Managing provider enrollment, credentialing, and maintenance for Caremark and affiliated pharmacy networks to ensure uninterrupted reimbursement and access to payer programs.
Role type
Senior Coordinator, Providership
Builds
Pharmacy participation in private, state, federal, and third-party payer programs
Domain
Healthcare / Pharmacy Operations / Payer Compliance
Required skills
Provider enrollment management, Credentialing, Payer application preparation, Regulatory compliance, Stakeholder liaison, Documentation management
Preferred skills
Medicare/Medicaid experience, Healthcare administration knowledge, State/federal regulation expertise
Responsibilities
Manage provider enrollment and credentialing activities; Prepare and submit payer enrollment applications; Serve as liaison between pharmacies, payers, and internal partners; Ensure timely reporting of organizational changes; Coordinate responses to government surveys and audits
Seniority
Senior, hands-on IC
