Credentialing Analyst, Clinics

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Anticipated End Date: 2026-06-09 Position Title: Credentialing Analyst, Clinics Job Description: Credentialing Analyst, Clinics Hybrid: This role requires associates to be in-office 1-2 days per week , fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law The Credentialing Analyst, Clinics is responsible for accurate and prompt credentialing for health plans and pharmacy benefit managers (PBM) for all pharmacy sites. How you will make an impact: Acts as a troubleshooter in resolving payor departmental issues related to credentialing. Manages and maintains pharmacy license tracking tool to advise pharmacy sites and pharmacists of license renewals. Maintains confidentiality of all pertinent pharmacy and provider information. Administers credentialing and re-credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies and protocols, standards, and requirements. Develops and fosters collaborative relationships with managed care plans, state agencies and PBM's to facilitate timely credentialing and re-credentialing of applications. Tracks credentialing and re-credentialing to ensure compliance with time sensitive materials. Maintains all pharmacy site credentialing and re-credentialing files, electronic and paper. Effectively communicates with admission, billing, and clinical teams in a professional manner. Reviews all credentialing policies and procedures for accuracy and completeness. Suggests revisions of policies and procedures when necessary. Completes new Medicaid applications and renewals or revalidations. Medicaid portal maintenance and updates. Medicaid administrator user access for billing. Pull Medicaid remits for billing team upon request if portal access is limited. Manage PBM credentialing requests and maintenance. Medicare (PECOS) processing for all pharmacy sites. Maintain NCPDP profile for all pharmacy sites. Certificate of Insurance requests and dissemination to plans or CMS. NPI profile updates (NPPES). URAC, ACHC, NABP support during accreditation renewals. Fraud, Waste and Abuse annual attestation submission to health plans. Manage pharmacy Continuing Education Units for RFP's. Pull and maintain credentialing documents for payor applications. Submit new pharmacy license applications and renewals for all pharmacy sites. Submit Pharmacist in Charge state license changes and renewals. Additional responsibilities as assigned. Minimum Requirements: Requires a H.S. diploma or equivalent and minimum of 3 years experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Knowledge of Medicaid, Medicare, managed care, and PBM providers. Certified Provider Credentialing Specialist and college course work. For candidates working in person or virtually in the below locations, the hourly* range for this specific position is $23.70 to $39.10 Location(s): Chicago, IL; Columbus, OH In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: