Credentialing Specialist
Blank StreetFull Time
Junior (1 to 2 years)
Key technologies and capabilities for this role
Common questions about this position
The typical pay range is $17.00 - $28.46 per hour. The actual base salary will depend on factors like experience, education, geography, and other relevant factors, and the position is eligible for a CVS Health bonus, commission, or short-term incentive program.
Benefits include affordable medical plan options, a 401(k) plan with matching company contributions, an employee stock purchase plan, no-cost wellness programs like screenings and counseling, and financial coaching.
This information is not specified in the job description.
Required qualifications include 3 years of experience in a centralized credentialing office and direct provider enrollment experience, knowledge of health plan and governmental payer credentialing (CPCS certification or equivalent), proficiency in Microsoft Word and Excel, knowledge of PECOS and State Medicaid Enrollment applications, and knowledge of standards interpretation as related to NCQA.
CVS Health fosters a workplace where every colleague feels valued and belongs, with teams that reflect the customers, patients, and communities served, and emphasizes passion for transforming health care with heart.
Comprehensive pharmacy and healthcare services
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.