Remote Provider Credentialing Coordinator

Navitus; City of Albany (NY); Remote; USD 52,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Parental leave

401K company match

Education assistance plan

Job summary

Navitus Health Solutions seeks a Coordinator I, Provider Credentials to facilitate credentialing for pharmacy providers. Responsibilities include processing credentials, documenting in systems, auditing for compliance, and generating reports for VP and committees.

The role requires knowledge of pharmacy processing practices, regulatory statutes, and strong written and verbal communication. Remote-friendly with supportive team environment.

Qualifications

• Experience in credentialing processes in pharmacy or managed care settings.
• Ability to analyze credentialing data and generate reports.
• Proficiency with Microsoft Office and database systems.

Responsibilities

• Process receipt, evaluation, and creation of credential reports.
• Maintain credentials in systems and audit for compliance.
• Create credential activity reports for leadership and committees.
• Monitor credential databases (NCPDP, HMS, OIG, DEA, State Boards).
• Support network programs and respond to processing inquiries.

Skills

Credentialing

Data analysis

Microsoft Office

Database querying

Education

High school diploma

Tools

NCPDP

HMS

DEA databases

Job description

Navitus Health Solutions seeks a Coordinator I, Provider Credentials to facilitate credentialing for pharmacy providers. Responsibilities include processing credentials, documenting in systems, auditing for compliance, and generating reports for VP and committees.

The role requires knowledge of pharmacy processing practices, regulatory statutes, and strong written and verbal communication. Remote-friendly with supportive team environment.