Credentialing, Senior Specialist

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
Administers Credentialing strategy to achieve area objectives. Serves as a subject matter expert to staff and customers for the pre-credentialing processes within the Medicaid credentialing team.. Sets and manages action plans for network initiatives, workflow, and quality improvement projects. Manages coordination with network staff for issue resolution.
What you will do

• Executes both routine and non-routine business support tasks for the Credentialing area under limited supervision, referring deviations from standard practices to managers.
• Follows area protocols, standards, and policies to provide effective and timely support.
• Prepares education and training to providers and internal customers on credentialing policy and procedures.
• Organizes ongoing audits to evaluate compliance with standards, outcomes, and deliverable timelines.
• Maintains collections of data, tracking, and reporting, and coordinates receipt of provider data with outside vendors and organizations.
• Takes direction to execute techniques, processes, and responsibilities.
• Work as team lead for process and workflow support.

• High school diploma or equivalent required.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.