Senior Coordinator, Providership

• Apply for and maintain provider numbers or maintain credentialing on a national level through the completion of legally binding documents and review of applicable regulations/payer standards for continuing provider status and issuance of numbers appropriate for payer designated provider classifications based on services rendered
• Complete State and Federal Applications for provider status ensuring accurate and consistent disclosure of information in compliance with legal guidelines and payer requirements
• Communicate directly with governmental agencies as applicable during the application process and communicate any applicable deliverables to the respective operational areas
• Accountable for timely payer notification according to regulatory requirements related to changes in Officers and Directors, ownership and control, Accreditation, etc.
• Responsible for coordination and/or response to periodic required governmental surveys requiring detailed data related to dispensing or related costs, required to maintain ongoing provider status with the respective government payer

• 3-5 years’ experience in a contracting, paralegal, health care or pharmacy environment
• High School Diploma/GED

Enrollment Experience

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• employee stock purchase plan
• wellness screenings
• tobacco cessation and weight management programs
• confidential counseling
• financial coaching
• paid time off
• flexible work schedules
• family leave
• dependent care resources
• colleague assistance programs
• tuition assistance
• retiree medical access