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Department Specialist III - Third Party Enrollments

Albertsons

Department Specialist III - Third Party Enrollments

Albertsons

Itasca, IL, United States, US

·

On-site

·

Full-time

·

1mo ago

필수 스킬

Go

Customer Service

Why choose us?

Are you ready to take the next step in your career? Join us for an exciting opportunity at Albertsons Companies, where innovation and customer service go hand-in-hand!

At Albertsons Companies, we are looking for someone who’s not just seeking a job, but someone who wants to make an impact. In this role, you’ll have the opportunity to lead, innovate, and contribute to the growth of a company that values great service and lasting customer relationships. This position offers the chance to work in a fast-paced, dynamic environment that’s constantly evolving.

Main responsibilities:

The Credentialing & Enrollment Specialist is responsible for managing the credentialing and payer enrollment processes for retail pharmacists and pharmacy locations. This role ensures timely and accurate submission of applications to insurance plans, Pharmacy Benefit Managers (PBMs), and government programs to support billing and reimbursement operations. The specialist serves as a liaison between pharmacy staff, payers, and internal departments to maintain compliance and operational readiness.

  • Coordinate and submit credentialing and enrollment applications for retail pharmacists and pharmacy locations to insurance companies, PBMs, Medicare, Medicaid, and other third-party payers.

  • Maintain and update credentialing files including licenses, certifications, DEA registrations, NPI numbers, and other required documentation.

  • Track application status and follow up with payers to ensure timely processing and resolution of issues.

  • Monitor expiration dates and proactively initiate renewals for credentials and contracts.

  • Collaborate with pharmacy managers, billing teams, and compliance departments to ensure credentialing aligns with operational needs.

  • Respond to internal and external inquiries regarding credentialing status, documentation, and payer requirements.

  • Assist with audits and reporting related to credentialing and enrollment activities.

  • Ensure compliance with federal, state, and payer-specific regulations and standards.

  • Maintain confidentiality and security of sensitive provider and pharmacy information.

We are looking for candidates who possess the following:

  • Education: High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.

    Experience: Minimum 2 years of experience in healthcare credentialing, pharmacy operations, or payer enrollment; retail pharmacy experience preferred.

    Skills:

  • Strong organizational and time management skills.

  • Excellent written and verbal communication.

  • Proficiency in Microsoft Office and credentialing software.

  • Ability to work independently and manage multiple priorities.

  • Familiarity with pharmacy billing and payer requirements is a plus.

Physical Environment:

  • Most work is performed in a temperature-controlled office environment.

    • Ability to sit for long periods at desk or computer.

    • Will use calculators, keyboards, telephone, and other office equipment.

    • Stooping, bending, twisting, and reaching may be required in completion of job duties.

We also provide a variety of benefits including:

  • Competitive wages paid weekly

    • Associate discounts

    • Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)

    • Time off (vacation, holidays, sick pay). For eligibility requirements please visit my

ACI Benefits:

  • Leaders invested in your training, career growth and development

  • An inclusive work environment with talented colleagues who reflect the communities we serve Our Values – Click below to view video: ACI Values

A copy of the full job description can be made available to you.

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Albertsons 소개

Albertsons

Albertsons Companies, Inc. is an American grocery company founded and headquartered in Boise, Idaho.

10,001+

직원 수

Boise

본사 위치

$8.3B

기업 가치

리뷰

3.6

10개 리뷰

워라밸

3.8

보상

2.5

문화

3.2

커리어

2.3

경영진

2.8

65%

친구에게 추천

장점

Flexible scheduling/hours

Supportive management and coworkers

Good benefits (health, retirement)

단점

Limited advancement/growth opportunities

Low pay/compensation

Poor upper management communication

연봉 정보

671개 데이터

Junior/L3

Mid/L4

Senior/L5

Staff/L6

Intern

Junior/L3 · Pharmacy Technician

93개 리포트

$41,866

총 연봉

기본급

$41,866

주식

-

보너스

-

$37,559

$46,666

면접 경험

2개 면접

난이도

3.5

/ 5

소요 기간

14-28주

합격률

50%

경험

긍정 50%

보통 0%

부정 50%

면접 과정

1

Application Review

2

Phone Screen

3

Technical Interview

4

System Design Interview

5

Onsite/Final Round

6

Offer

자주 나오는 질문

Coding/Algorithm

System Design

Behavioral/STAR

Technical Knowledge