Academy of Managed Care Pharmacy
Enrollment Ancillary Specialist
Academy of Managed Care Pharmacy, Florida, New York, United States
Our promise to you
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
All the benefits and perks you need for you and your family
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule Full time
Shift Day (United States of America)
Address 900 HOPE WAY
City ALTAMONTE SPRINGS
State Florida
Postal Code 32714
Job Description Ensures credentialing information is complete based on the requirements of the specific provider entity and/or Facility. Ensures that credentialing applications are secured and stored for future use and submits to contracted payer plans for ancillary sites. Assists in maintaining a complete database of all credentialing materials for all contracted ancillary sites supported by corporate Managed Care. Works with internal and external partners to resolve issues concerning credentialing delays related to ancillary sites. Tracks and follows up on initial applications and re-credentialing applications related to ancillary sites coming into the department. Researches and resolves routine ancillary site operational issues with internal and external partners. Coordinates process with Negotiators to ensure contracts are in place prior to sending applications to payer. Supports ancillary contracting and operation services by auditing and analyzing data, verifying applications, preparing amendment letters. Ensures ancillary site credentialing materials are processed efficiently, professionally, and as expeditiously as possible. Other duties as assigned.
The expertise and experiences you’ll need to succeed QUALIFICATION REQUIREMENTS:
Bachelor's, High School Grad or Equiv (Required)
Pay Range: $19.76 - $36.75 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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together
we are even better.
All the benefits and perks you need for you and your family
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule Full time
Shift Day (United States of America)
Address 900 HOPE WAY
City ALTAMONTE SPRINGS
State Florida
Postal Code 32714
Job Description Ensures credentialing information is complete based on the requirements of the specific provider entity and/or Facility. Ensures that credentialing applications are secured and stored for future use and submits to contracted payer plans for ancillary sites. Assists in maintaining a complete database of all credentialing materials for all contracted ancillary sites supported by corporate Managed Care. Works with internal and external partners to resolve issues concerning credentialing delays related to ancillary sites. Tracks and follows up on initial applications and re-credentialing applications related to ancillary sites coming into the department. Researches and resolves routine ancillary site operational issues with internal and external partners. Coordinates process with Negotiators to ensure contracts are in place prior to sending applications to payer. Supports ancillary contracting and operation services by auditing and analyzing data, verifying applications, preparing amendment letters. Ensures ancillary site credentialing materials are processed efficiently, professionally, and as expeditiously as possible. Other duties as assigned.
The expertise and experiences you’ll need to succeed QUALIFICATION REQUIREMENTS:
Bachelor's, High School Grad or Equiv (Required)
Pay Range: $19.76 - $36.75 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
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