Provider Relations Specialist (Temp)

Judi Health, LLC; Colorado; Hybrid; USD 52,000 - 65,000; Full time

Job summary

The Provider Relations Specialist at Judi Health, LLC provides credentialing review and management to support the Judi Rx pharmacy networks. You will determine eligibility of pharmacies, collect licenses and certificates, and verify information in the NCPDP database and federal/state sources.

This six-month engagement may convert to full-time. You will maintain credentialing databases, respond to reporting requests, and assist leadership with contracting and policy development while partnering

Qualifications

• Bachelor's degree preferred.
• 2+ yrs. of experience in healthcare, pharmacy credentialing, contracting, provider relations, pharmacy, account management or related field.
• Intermediate proficiency with Microsoft Excel, Word, and PowerPoint.
• Proven ability to manage multiple tasks in a fast-paced environment and maintain persistence in outreach to pharmacies.
• Ability to work independently and meet deadlines.
• Strong communication with internal and external stakeholders.
• PBM and pharmacy technician experience preferred.

Responsibilities

• Manage credentialing for applicable pharmacies for inclusion in the provider networks and maintain the information related to credentialing so that Judi Rx has the most relevant information available. This includes getting applicable licenses and certificates of insurance from pharmacies as well as verifying eligibility in the NCPDP database and federal and state websites (e.g. OIG, GSA, SAM).
• Ensure the applicable pharmacies are valid by reviewing exclusion lists on an ongoing basis to identify any excluded pharmacies and referring those pharmacies to the appropriate team members/departments for removal.
• Manage the development and maintenance of a credentialing database to ensure proper tracking of all relevant credentialing information.
• Manage credentialing reporting requests working with the appropriate internal teams.
• Manage gathering and tracking annual pharmacy required attestations to ensure compliance with contractual and accreditation requirements.
• Develop applicable credentialing policies and procedures.
• Gather pertinent information from pharmacies regarding services offered and opportunities and provide direct contracting support to Provider Relations leadership as needed.
• Provide other assistance as assigned to the Provider Relations team.

Skills

Healthcare credentialing experience

Contracting experience

Provider relations

Excel proficiency

Communication skills

Independent / self-starter

Education

Bachelor's degree preferred

Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing™ architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Location: Hybrid (at least 3 days per week in our NYC, Denver, or Charlotte offices)

Position Summary

The Provider Relations Specialist provides essential credentialing review and management to support the Judi Rx networks of pharmacies. This work involves deciding whether pharmacies meeting Judi Rx's credentialing requirements allowing for inclusion in the Judi Rx pharmacy networks and maintaining the information related to credentialing. The ideal candidate will have experience in credentialing providers, managing reporting requests, and contribute to scalable solutions to streamline processes.

Six-month temporary engagement with possible conversion to full-time.

Position Responsibilities

• Manage credentialing for applicable pharmacies for inclusion in the provider networks and maintain the information related to credentialing so that Judi Rx has the most relevant information available. This includes getting applicable licenses and certificates of insurance from pharmacies as well as verifying eligibility in the NCPDP database and federal and state websites (e.g. OIG, GSA, SAM).
• Ensure the applicable pharmacies are valid by reviewing exclusion lists on an ongoing basis to identify any excluded pharmacies and referring those pharmacies to the appropriate team members/departments for removal.
• Manage the development and maintenance of a credentialing database to ensure proper tracking of all relevant credentialing information.
• Manage credentialing reporting requests working with the appropriate internal teams.
• Manage gathering and tracking annual pharmacy required attestations to ensure compliance with contractual and accreditation requirements.
• Develop applicable credentialing policies and procedures.
• Gather pertinent information from pharmacies regarding services offered and opportunities and provide direct contracting support to Provider Relations leadership as needed.
• Provide other assistance as assigned to the Provider Relations team.

Required Qualifications

• Bachelor's degree preferred.
• 2+ yrs. of experience in healthcare, pharmacy credentialing, contracting, provider relations, pharmacy, account management or other relevant experience.
• Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint.
• Proven track record of working in a fast-paced environment, managing multiple tasks at once and having a go-get attitude to provide persistent outreach to pharmacy providers to close out contracts and tasks.
• Ability to work independently, track work/projects appropriately and remain on task.
• Strong communication skills with the ability to develop effective working relationships with providers and internal and external stakeholders.
• PBM and pharmacy technician experience preferred.

New York, NY Salary Range $56,800-$71,000 USD

Denver, CO Salary Range $52,000-$65,000 USD

Charlotte, NC Salary Range $47,200-$59,000 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at https://www.judi.health/legal/privacy-policy.