Credentialing and Licensing Specialist- Pharmacy at The Pill Club
Fort Worth, TX, US
We are a family of medical professionals, women's health advocates, and software engineers on a mission to simplify the process of getting birth control! If you are interested in working at a rapidly growing healthcare startup and want to get in on the ground floor of building a company that’s changing the way birth control is dispensed please consider joining our team! 
 
The Pill Club is expanding, and looking for a full-time experienced Credentialing and Licensing Specialist to initiate and maintain active license status for the organization and employees in multiple states. They will work closely with regulatory agencies (i.e.; Medicaid, state boards) to provide forms and supporting documentation to guarantee licenses and renewals are current to continue business operations.

Ideal Candidate Should Be:

 

    • Proficient in current technology, including Google Drive, Microsoft Word/Excel
    • Self-driven and effective at multitasking and prioritizing
    • Detail-oriented
    • Team player and problem solver
    • Strong communicator in sending written emails and making phone calls
    • Knowledge of state and federal regulations and accreditation standards

Responsibilities:

 

    • Manage and maintain employee licensing for pharmacy staff
    • Monitor staff licensing for upcoming renewals/expiration dates
    • Perform and document primary source validation for staff professional licensing at hire
    • Perform and document primary source validation for staff professional licensing annually (at minimum)
    • Perform and document OIG check at hire
    • Perform and document staff OIG checks monthly
    • Assist with the management of facility licensing compliance
    • Manage requirements and permits for all 50 states
    • Maintain online regulatory accounts (NCPDP, NPI, Medicaid, PECOS, etc.)
    • Assure all pharmacy sites keep an active status
    • Assist with the management of credentialing applications for contracts with pharmacy benefit managers
    • Maintain and submit copies of current state licenses, DEA certificates, liability insurance, and any other required credentialing documents
    • Contact payers to check on contract status
    • Assist with pharmacy compliance projects as assigned
    • Internal and external pharmacy audits
    • Monitoring federal/state regulatory changes for pharmacy impact
    • Assist with pharmacy accreditations (URAC, VIPPS, etc.).

Minimum Qualifications:

 

    • Bachelor’s Degree or equivalent experience
    • 3 years of healthcare experience

Desirable Qualifications:

 

    • 3 years of pharmacy credentialing experience
    • 2 years of managed care experience
We are an Equal Employment/Affirmative Action employer. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law.