Minnesota Licensed Pharmacy AnalystVirtualVocations • Appleton, Wisconsin, United States
Minnesota Licensed Pharmacy Analyst
VirtualVocations • Appleton, Wisconsin, United States
3 days ago
Job type
- Full-time
Job description
A company is looking for a Pharmacy Services Payor Credentialing & Enrollment Senior Analyst.
Key Responsibilities
Manage enrollment and credentialing processes for pharmacy services with third-party payors and government programs
Oversee communication with CMS / Medicare contractors and maintain compliance with pharmacy guidelines and regulations
Assist in revenue integrity operations and report data related to enrollments and reimbursements
Required Qualifications
Associate's degree or at least 2 years of healthcare-related experience in lieu of a degree
2-3 years of experience supporting complex business processes
Advanced understanding of compliance guidelines related to Medicare and Medicaid
Advanced knowledge of Medicare filing requirements and complex organization mapping
CPhT certification or commitment to attain certification within a reasonable timeframe
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Pharmacy Analyst • Appleton, Wisconsin, United States
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