H&W CREDENTIALING SPECIALIST

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.

Responsibilities

• 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

Requirements

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

Schedule

Full time

Location

1014 Vine St, Cincinnati, OH, 45202, US

Hourly position in the Health and Wellness line of business at Kroger Health & Wellness.