Minnesota Licensed Pharmacy Analyst

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