Hybrid Pharmacy Licensing & Credentialing Specialist

The Elevance Health Companies, Inc.; Florida; Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k) + match

Job summary

Elevance Health is seeking a Pharmacy Licensing/Credentialing Analyst in Lake Mary, FL, with hybrid work expectations (in-office 1–2 days weekly). The role focuses on licensing tracking, credentialing and renewals across pharmacy sites, ensuring policy and regulatory compliance.

Ideal candidates have a high school diploma and 3+ years of related experience, plus knowledge of Medicaid/Medicare and PBMs. Equal opportunity employer committed to diversity and inclusion.

Qualifications

• Requires a high school diploma and 3+ years' experience or equivalent background.
• Experience with pharmacy licensure processes is preferred.
• Knowledge of Medicaid, Medicare, Managed care and PBM providers is preferred.

Responsibilities

• Manage and maintain pharmacy license tracking and communicate renewals to sites.
• Submit new pharmacy license applications and renewals for all sites.
• Administer credentialing and re-credentialing to ensure compliance with policies and standards.
• Develop relationships with managed care plans, state agencies and PBMs to facilitate credentialing.
• Update NPI profiles and insurance certificates as required.

Skills

Pharmacy licensure knowledge

Medicaid/Medicare/Managed care

Education

High School diploma

Job description

Elevance Health is seeking a Pharmacy Licensing/Credentialing Analyst in Lake Mary, FL, with hybrid work expectations (in-office 1–2 days weekly). The role focuses on licensing tracking, credentialing and renewals across pharmacy sites, ensuring policy and regulatory compliance.

Ideal candidates have a high school diploma and 3+ years of related experience, plus knowledge of Medicaid/Medicare and PBMs. Equal opportunity employer committed to diversity and inclusion.