H&W CREDENTIALING SPECIALIST

Kroger Health; Cincinnati (OH); On-site; USD 50,000 - 70,000; Full time

Job summary

Kroger Health is seeking an experienced Credentialing Specialist to manage payor credentialing and recredentialing processes. You will act as the primary contact, coordinate documentation, and report status while ensuring timely communications with payors and internal departments.

The role requires strong organizational skills, attention to detail, and the ability to work independently or in teams. Travel for conferences and hearings may be required.

Qualifications

• 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
• Proficient in Microsoft Office
• Excellent planning, organizational, and follow-up skills with close attention to detail
• Associate Degree
• Bachelor's Degree
• Any Licensing/Credentialing experience
• Any Regulatory Compliance experience

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

Skills

Pharmacy Technician

Leadership

Independent work

Organizational skills

Microsoft Office

Education

Associate Degree

Bachelor's Degree

Licensing/Credentialing experience

Regulatory Compliance experience

Tools

Microsoft Office

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

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
• - Proficient in Microsoft Office
• - Excellent planning, organizational, and follow-up skills with close attention to detail
• - Associate Degree
• - Bachelor's Degree
• - Any Licensing/Credentialing experience
• - Any Regulatory Compliance experience

Job Info

• Job Identification - 163698
• Job Category - Health & Wellness
• Posting Date - 06/09/2026, 09:16 AM
• Locations- 1014 Vine St, Cincinnati, OH, 45202, US