Remote Medicaid Credentialing Specialist - Pharmacy
$65k - $72kCrawford Thomas Recruiting
Crawford Thomas Recruiting is seeking a Credentialing & Medicaid Specialist for a fully remote position. This role focuses on managing Medicaid provider enrollments and revalidations, ensuring compliance with payer networks. Ideal candidates will have 3–5+ years of experience in Medicaid enrollments, particularly within specialty pharmacies. The position offers a competitive salary range of $65,000–$72,000, depending on experience, in a stable work environment that promotes long-term growth. #J-18808-Ljbffr
$65k - $72k
...Credentialing & Medicaid Specialist – Specialty Pharmacy $65,000–$72,000 (flexible based on experience) Fully Remote (Working EST hours) Summary Our client, a growing specialty pharmacy organization with bi‑coastal operations and nationwide licensure, is seeking...Remote workContract workFlexible hours$33 - $36 per hour
...PM Pediatrics is looking for a part-time, remote position focused on provider enrollment, revalidation, and maintenance across various... ...include resolving enrollment issues, overseeing Medicaid applications, and supporting telehealth workflows. The ideal candidate...Remote workHourly payPart time- Lutheran Child and Family Services of Illinois is seeking a Medicaid Billing and Credentialing Coordinator in Oak Brook, Illinois. This position is... ...flexible work arrangement post-training, with up to two remote workdays per week. #J-18808-Ljbffr Lutheran Child and Family...Remote workFlexible hours
- ...Overview: We are seeking a detail-oriented Credentialing Specialist to support a growing healthcare... ...following a recent merger. This is a fully remote opportunity with strong potential for... ...payer enrollments with Medicare, Medicaid, and commercial insurers Communicate with...Remote workTemporary workWork from homeMonday to FridayFlexible hours
- ...JOB DESCRIPTION Title: Credentialing Specialist FLSA Category: Exempt Reports... ...dental care, behavioral health, WIC, pharmacy services, and the Ryan White HIV/AIDS... ...population is primarily made up of Medicaid and uninsured individuals. We are...SuggestedContract workWork experience placementWork at officeLocal area
$56.32k - $75.26k
...Credentialing Specialist Recognized as a "Best Place to Work Modern Healthcare" – Join a team where... ...matters. Vital Care is the premier pharmacy franchise business with franchises... ...credentialing activities across Medicare, Medicaid, commercial, and pharmacy enrollments...Full timeTemporary workWork at officeLocal areaFlexible hours$54.67k - $66k
...love, and purpose. The role The Senior Credentialing Specialist plays a critical role in overseeing... ...otherwise specified, this position is remote (work from home). Candidates must reside... ...and internal enrollment with Medicare, Medicaid, Managed Care, and Commercial Plans...Remote workFull timeWork from home- ...seeking a Healthcare Provider Enrollment & Credentialing Specialist (Volunteer) to support the launch of... .... This role is pivotal for ensuring Medicaid enrollment and managing credentialing... ...strong organizational skills. This is a remote position offering a chance to...Remote work
- ...Nimble Solutions is seeking a Credentialing Specialist to support provider credentialing and payer enrollment... ...ensuring compliance with Medicare and Medicaid policies, and maintaining accurate... ...processes. This position allows for remote work while collaborating cross-...Remote work
- ...detail-oriented and highly organized Credentialing Specialist who thrives in a fast-paced environment... ...seamlessly connected across Medicare, Medicaid, and commercial payers, supporting our... ...Self-starter who is able to thrive in a remote position. Extensive knowledge of...Remote workWork at office
- ...Title: Healthcare Provider Enrollment & Credentialing Specialist (Volunteer) Organization: LoopRoots Foundation Location: Remote Commitment: 20–25 hours per week Description... ...is properly enrolled with state Medicaid programs and insurance payers so we can bill...Remote work
$75k
...Overview & Highlights Position: Senior Provider Enrollment & Credentialing Specialist Location: Remote Schedule: Full-time; flexible scheduling options... ...time Strong knowledge of commercial payer, Medicare, Medicaid, and government enrollment workflows Experience resolving...Remote workFull timeFlexible hours$50k - $70k
...Position Summary The Provider Enrollment & Credentialing Specialist is a vital role that ensures our... ...enrollment applications for Medicare (PECOS), Medicaid, and commercial insurance panels (e.g.... ...and location). Environment: Remote Premium Medical, Dental, and Vision insurance...Remote work- ...Credentialing Specialist - Payer Enrollment & Health Plan Experience Full-Time Contract • Remote (United States) • US Citizenship Required POSITION OVERVIEW: Experienced Credentialing... ...across commercial, Medicare, and Medicaid health plans, ensuring accurate and timely...Remote workFull timeContract work
- ...Provider Credentialing Specialist Qualifacts is a leading provider of behavioral health software... ...hybrid schedule in either office location. Remote candidates will not be considered.... ...insurance paneling requirements for Medicare, Medicaid, and Commercial payers Assists with...Remote workWork at office
- ...profitable, fast-growing company with a fully remote U.S. team and a large in-office... ...-oriented, and execution-focused Credentialing Specialist who will own provider enrollment, credentialing... ..., and Cigna, as well as Medicare and Medicaid. Manage CAQH ProView including...Remote workWork at office
$26 per hour
...Credentialing Specialist Evenflow Solutions has a client that is searching for a goal-oriented... ...great company This is a full-time remote position for those who currently reside... ...credentialing vendor. • Supports Medicare and Medicaid Revalidation efforts....Remote workHourly payFull timeContract workTemporary workWork at office- ...Credentialing Specialist At Anne Arundel Dermatology we give exceptional care - to our patients... ...and office locations with Medicare, Medicaid and commercial insurance payers. Responsibilities... ...software Experience working remotely preferred Physical Requirements:...Remote workFull timeTemporary workWork at office
- ...is seeking a Clinical Pharmacist for a remote position within the United States. This... ...conducting clinical reviews for Medicare-Medicaid coverage, supporting drug utilization programs... ...candidates will hold a Doctor of Pharmacy degree and have experience in managed care...Remote work
$20 per hour
...Payer Credentialing Specialist Are you looking for an opportunity to advance your career while working... ...rate starting at $20/hr This is a remote position available for candidates... ...providers Maintain active Medicare and Medicaid enrollments for all eligible providers...Remote workWork experience placement$28.94 - $51.63 per hour
...requirements and all functions related to credentialing and re-credentialing. Provider... ...you will have the flexibility to work remotely* as you take on some tough challenges.... ...and deliverables Possess knowledge in Medicaid and LongTerm Care programs and services...Remote workHourly payMinimum wageFull timeContract workWork experience placementLocal area$40k - $53k
...love to meet you. About the Role The Credentialing Specialist will be responsible for owning health... ...and individual submissions for both Medicaid and Commercial payors. You will be responsible... ...Health-sponsored benefits. #LI-Remote Our Values Connection: Care...Remote workFull timeLocal area$20.14 - $30.21 per hour
...Thursdays , and enjoy the flexibility of remote work on other days. Benefits... ...Health) Days and Holidays The Credentialing & Licensing Specialist performs diversified duties in connection... ...of payers including Medicare, Medicaid, and commercial payers Monitor...Remote workHourly payFull timeTemporary workWork at office- ...Government Pricing to provide advanced analytical support for Medicaid pharmacy programs. Candidates should have at least 5 years of... ...offers comprehensive benefits and a supportive work environment. Remote work is available, with some limitations based on location. #J...Remote work
- ...Refer a Friend ~ Back Remote Work from Home Share... ...lives with lines of business in Medicaid, Medicare, commercial,... ...for future growth. The Credentialing Legal Appeals Coordinator is... ...Certified Provider Credentialing Specialist) certification preferred but...Remote workFull timeLocal areaWork from homeDay shift
- ...Enhancement is seeking a Clinical Pharmacist for a remote position. This role focuses on reviewing Medicare-Medicaid coverage determinations and involves... ...communication skills, clinical experience, and a Doctor of Pharmacy degree. The expected weekly hours are 40, and...Remote job
$106.2k - $225k
...Alliance for Career Enhancement is seeking a Clinical Pharmacist - AMA Dual for a remote role open to candidates throughout the United States. This position requires managing Medicare-Medicaid coverage determinations and supporting clinical programs aimed at optimizing...Remote job- ...Responsibilities include overseeing provider applications and managing credentialing processes. A successful candidate will possess advanced Excel... ...managing spreadsheets, and have substantial experience in Medicaid and Long-Term Care programs. This role guarantees recognition...Remote job
$106.2k - $225k
...Enhancement is seeking a Clinical Pharmacist to handle Medicare-Medicaid coverage determinations and support clinical programs from a remote location. This role requires proficiency in Microsoft tools and clinical pharmacy experience. Candidates must possess a Doctor of...Remote job$106.2k - $225k
...seeking a Clinical Pharmacist to manage Medicare-Medicaid coverage determinations and support various clinical programs. This remote role is available to qualified candidates in... ...Required qualifications include a Doctor of Pharmacy degree and managed care pharmacy experience....Remote job
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