Senior Coordinator - Providership

7505 Caremark, L.L.C.; Rhode Island; Hybrid; USD 26,000 - 54,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Senior Coordinator, Providership to oversee provider enrollment, credentialing, and ongoing maintenance for Caremark and related networks. You will prepare and submit enrollment forms, liaise with pharmacies, payers, and regulators, and ensure provider data is accurate for uninterrupted reimbursement.

The role requires 2+ years of experience and strong attention to detail, with the ability to manage multiple priorities and work EST business hours remotely from a US

Qualifications

• 2+ years of relevant professional experience.
• 3+ years in healthcare, pharmacy operations, provider enrollment, credentialing, contracting, compliance, paralegal services, or related environment.
• Strong attention to detail with ability to manage multiple priorities.
• Excellent organizational, communication, and problem-solving skills.
• Must be comfortable working remotely and able to work EST hours.

Responsibilities

• Manage provider enrollment, credentialing, and maintenance for Caremark and affiliated networks, including applications, agreements, and documentation to obtain/maintain provider status.
• Prepare, review, and submit state, federal, and commercial payer enrollment applications, ensuring accurate disclosures and regulatory compliance.
• Serve as primary liaison between pharmacies, payers, government agencies, and internal partners to facilitate enrollment, communicate status, and resolve issues.
• Ensure timely reporting of regulatory changes, ownership, control, accreditation, and leadership updates; maintain accurate provider records for ongoing compliance.
• Coordinate responses to government surveys, audits, and payer requests; monitor provider status and transaction access to ensure uninterrupted reimbursement.

Skills

Attention to detail

Organization

Communication

Problem-solving

Remote work capability

Education

High School Diploma or GED

Bachelor's degree

Job description

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

The Senior Coordinator, Providership is responsible for ensuring the accurate and timely completion of provider enrollment applications, agreements, and credentialing activities for Caremark and affiliated pharmacy networks. This role supports pharmacy participation in private, state, federal, and third-party payer programs related to new store openings, acquisitions, relocations, and ongoing business operations. The Senior Coordinator plays a critical role in maintaining provider status and ensuring uninterrupted access to reimbursement for pharmacy services. This position serves as a key resource for pharmacy enrollment and credentialing activities, partnering with internal stakeholders, pharmacy teams, and external payer organizations to ensure compliance with applicable state and federal regulations, payer requirements, and company policies. Additionally, the role acts as a liaison between pharmacy operations, third-party agencies, and internal business partners to research and resolve provider enrollment issues, support regulatory requirements, and facilitate continued participation in government and commercial payer networks. This position is accountable for maintaining accurate provider information with federal, state, and private payers; preparing and submitting legally binding enrollment documentation; and managing key aspects of the provider enrollment and credentialing process across the assigned pharmacy network.

What You Will Do:

• Manage provider enrollment, credentialing, and maintenance activities for Caremark and affiliated pharmacy networks, including the completion of applications, agreements, and supporting documentation required to obtain and maintain provider status
• Prepare, review, and submit state, federal, and commercial payer enrollment applications, ensuring accurate disclosures and compliance with regulatory requirements, payer guidelines, and provider participation standards
• Serve as the primary liaison between pharmacies, payers, government agencies, and internal business partners to facilitate enrollment activities, communicate status updates, and resolve provider-related issues
• Ensure timely reporting of organizational and regulatory changes, including ownership, control, accreditation, and leadership updates, while maintaining accurate provider records and supporting ongoing compliance obligations
• Coordinate responses to government surveys, audits, and payer requests, monitor provider status and transaction access information, and help ensure uninterrupted reimbursement and access to revenue for pharmacy services

Required Qualifications

• 2+ years of relevant professional experience
• 3+ years of experience in healthcare, pharmacy operations, provider enrollment, credentialing, contracting, compliance, paralegal services, or a related environment
• Strong attention to detail and ability to manage multiple priorities while maintaining accuracy
• Excellent organizational, communication, and problem-solving skills
• Must be comfortable working remotely and able to work standard Eastern Time (EST) business hours

Preferred Qualifications

• Experience with provider enrollment, credentialing, Medicare, Medicaid, pharmacy operations, or healthcare administration
• Knowledge of state and federal healthcare regulations and payer requirements
• Bachelor's degree

Education

• High School Diploma or GED

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $18.50 - $38.82. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/20/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that’s unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it’s our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.