Revenue Cycle Analyst

ExactCare Pharmacy; Ohio; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading pharmacy care management company seeks a Pharmacy Credentialing Manager. This remote role involves managing Medicaid enrollment and ensuring compliance with payer contracts. Candidates should have significant pharmacy experience, organizational skills, and be self-motivated. A comprehensive benefits package is offered.

Benefits

Medical, dental, and vision insurance

401(k) with company match

Paid Time Off

Flexible spending account

Company-paid life insurance

Short-term disability

Qualifications

• 5+ years pharmacy experience required.
• Licensed Pharmacy Technician.
• Ability to maintain confidentiality and meet time-sensitive deadlines.

Responsibilities

• Manage Medicaid enrollment and pharmacy credentialing.
• Oversee contract repository for payer and vendor contracting.
• Develop multiple skill sets based on organizational needs.

Skills

Organizational Skills

Communication Skills

Critical Thinking

Self-Motivated

Education

High School Diploma

Job description

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

This role will report to the Sr Vice President of Contracting and Purchasing and be responsible for managing the Medicaid enrollment and pharmacy credentialing with AnewHealth payers. Additionally, this individual will manage the contract repository for payer and vendor contracting ensuring contracts are renewed/terminated as appropriate by working the business partner to understand business needs.

Areas of responsibility will fluctuate based on organizational needs, allowing the Revenue Cycle Director to develop multiple skillsets.

This is a remote-based position in a fast-paced and high-energy environment, allowing employees to excel in many areas of the company.

Responsibilities

5+ years pharmacy experience

High School Diploma

Licensed Pharmacy Technician

High Organizational Skills

Excellent internal and external communication skills

Ability to complete work in time sensitive circumstance

Ability to prioritize and adapt to quickly changing demands and deadlines

Ability to work independently

Self-motivated and goal oriented

Maintain a high degree of confidentiality

Ability to think critically and document pertinent details in a world class manner that is compliant with PBM payer contracts, state and federal regulations

Ability to exhibit Anewhealth’s Core Values in daily work

AnewHealth offers a comprehensive benefit package for full-time employees that includesmedical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits,401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire .

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

About Us

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. The company enables better health and quality of life for patients while helping the healthcare organizations who support them improve key clinical and cost outcomes. Established in 2023 through the combination of ExactCare Pharmacy and Tabula Rasa HealthCare, AnewHealth provides a suite of solutions that includes comprehensive pharmacy services with national dispensing; proprietary science-based technology to optimize medication therapy; full-service pharmacy benefit management; and specialized support services for PACE (Program of All-Inclusive Care for the Elderly). Today, AnewHealth cares for more than 100,000 people nationwide through strong healthcare partnerships with risk-bearing providers, primary and specialty care providers, kidney care and dialysis providers, home health organizations, and managed care plans.

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Visit our website to learn about AnewHealth, our award-winning culture and benefits!

AnewHealthand its affiliated companies is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.