CORP H&W/CREDENTIALING SPECIALIST
JOB DESCRIPTION
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
Want more jobs like this?
Get jobs in Cincinnati, OH delivered to your inbox every week.
QUALIFICATIONS
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
Perks and Benefits
Health and Wellness
- Health Insurance
- Dental Insurance
- Mental Health Benefits
Parental Benefits
Work Flexibility
Office Life and Perks
Vacation and Time Off
Financial and Retirement
- 401(K)
- Pension
- Financial Counseling
Professional Development
- Leadership Training Program
- Tuition Reimbursement
- Promote From Within
Diversity and Inclusion
- Diversity, Equity, and Inclusion Program
Company Videos
Hear directly from employees about what it is like to work at Kroger.