Remote Provider Credentials Coordinator

Navitus Health Solutions, LLC; Saint Paul (MN); Remote; USD 28,000 - 33,000; Full time

Benefits offered by this job

Health insurance

Paid time off

Parental leave

401K match

Job summary

Navitus Health Solutions is seeking a Coordinator I, Provider Credentials to join our team. The role focuses on processing provider credentials, documenting in systems, and ensuring compliance with URAC standards and Navitus policies.

You will work with NCPDP, HMS, DEA, and state boards, reporting to the Manager of Provider Services and supporting contract analysts to credential providers accurately.

Qualifications

• Telephonic and written communication skills are essential.
• Ability to analyze medical/pharmacy claims or credentials is highly desirable.
• Experience with credentialing processes and regulatory standards is preferred.

Responsibilities

• Daily interaction with Navitus pharmacy providers to obtain and process credentials.
• Maintain and audit credential files and systems for accuracy and compliance.
• Create and share reports on credential activity with senior staff and committees.
• Monitor credential databases (HMS, NCPDP, OIG, DEA, State Boards) for data integrity.
• Assist with annual attestations and relevant regulatory reporting.

Skills

Telephonic communication

Written communication

Data mining

Analytical skills

Multitasking

Microsoft applications

Education

High school or equivalent

Advanced degree preferred

Tools

Microsoft applications

Job description

Navitus Health Solutions is seeking a Coordinator I, Provider Credentials to join our team. The role focuses on processing provider credentials, documenting in systems, and ensuring compliance with URAC standards and Navitus policies.

You will work with NCPDP, HMS, DEA, and state boards, reporting to the Manager of Provider Services and supporting contract analysts to credential providers accurately.