招聘

Department Specialist III - Third Party Enrollments
Itasca, IL, United States, US
·
On-site
·
Full-time
·
1mo ago
必备技能
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.
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Coordinate and submit credentialing and enrollment applications for retail pharmacists and pharmacy locations to insurance companies, PBMs, Medicare, Medicaid, and other third-party payers.
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Maintain and update credentialing files including licenses, certifications, DEA registrations, NPI numbers, and other required documentation.
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Track application status and follow up with payers to ensure timely processing and resolution of issues.
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Monitor expiration dates and proactively initiate renewals for credentials and contracts.
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Collaborate with pharmacy managers, billing teams, and compliance departments to ensure credentialing aligns with operational needs.
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Respond to internal and external inquiries regarding credentialing status, documentation, and payer requirements.
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Assist with audits and reporting related to credentialing and enrollment activities.
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Ensure compliance with federal, state, and payer-specific regulations and standards.
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Maintain confidentiality and security of sensitive provider and pharmacy information.
We are looking for candidates who possess the following:
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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:
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Strong organizational and time management skills.
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Excellent written and verbal communication.
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Proficiency in Microsoft Office and credentialing software.
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Ability to work independently and manage multiple priorities.
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Familiarity with pharmacy billing and payer requirements is a plus.
Physical Environment:
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Most work is performed in a temperature-controlled office environment.
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Ability to sit for long periods at desk or computer.
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Will use calculators, keyboards, telephone, and other office equipment.
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Stooping, bending, twisting, and reaching may be required in completion of job duties.
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We also provide a variety of benefits including:
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Competitive wages paid weekly
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Associate discounts
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Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)
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Time off (vacation, holidays, sick pay). For eligibility requirements please visit my
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ACI Benefits:
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Leaders invested in your training, career growth and development
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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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关于Albertsons

Albertsons
PublicAlbertsons Companies, Inc. is an American grocery company founded and headquartered in Boise, Idaho.
10,001+
员工数
Boise
总部位置
$8.3B
企业估值
评价
3.6
10条评价
工作生活平衡
3.8
薪酬
2.5
企业文化
3.2
职业发展
2.3
管理层
2.8
65%
推荐给朋友
优点
Flexible scheduling/hours
Supportive management and coworkers
Good benefits (health, retirement)
缺点
Limited advancement/growth opportunities
Low pay/compensation
Poor upper management communication
薪资范围
671个数据点
Junior/L3
Mid/L4
Senior/L5
Staff/L6
Intern
Junior/L3 · Pharmacy Technician
93份报告
$41,866
年薪总额
基本工资
$41,866
股票
-
奖金
-
$37,559
$46,666
面试经验
2次面试
难度
3.5
/ 5
时长
14-28周
录用率
50%
体验
正面 50%
中性 0%
负面 50%
面试流程
1
Application Review
2
Phone Screen
3
Technical Interview
4
System Design Interview
5
Onsite/Final Round
6
Offer
常见问题
Coding/Algorithm
System Design
Behavioral/STAR
Technical Knowledge
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