Department Specialist III - Third Party Enrollments

Albertsons Companies • Boise, ID

2d

About The Position

At Albertsons Companies, we are looking for someone who’s not just seeking a
job, but someone who wants to make an impact. In this role, you’ll have the
opportunity to lead, innovate, and contribute to the growth of a company that
values great service and lasting customer relationships. This position offers
the chance to work in a fast-paced, dynamic environment that’s constantly
evolving.

The Credentialing & Enrollment Specialist is responsible for managing the
credentialing and payer enrollment processes for retail pharmacists and pharmacy
locations. This role ensures timely and accurate submission of applications to
insurance plans, Pharmacy Benefit Managers (PBMs), and government programs to
support billing and reimbursement operations. The specialist serves as a liaison
between pharmacy staff, payers, and internal departments to maintain compliance
and operational readiness.

Requirements

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.
• Minimum 2 years of experience in healthcare credentialing, pharmacy operations, or payer enrollment; retail pharmacy experience preferred.
• Strong organizational and time management skills.
• Excellent written and verbal communication.
• Proficiency in Microsoft Office and credentialing software.
• Ability to work independently and manage multiple priorities.
• Familiarity with pharmacy billing and payer requirements is a plus.

Nice To Haves

• retail pharmacy experience preferred.
• Familiarity with pharmacy billing and payer requirements is a plus.

Responsibilities

• Coordinate and submit credentialing and enrollment applications for retail pharmacists and pharmacy locations to insurance companies, PBMs, Medicare, Medicaid, and other third-party payers.
• Maintain and update credentialing files including licenses, certifications, DEA registrations, NPI numbers, and other required documentation.
• Track application status and follow up with payers to ensure timely processing and resolution of issues.
• Monitor expiration dates and proactively initiate renewals for credentials and contracts.
• Collaborate with pharmacy managers, billing teams, and compliance departments to ensure credentialing aligns with operational needs.
• Respond to internal and external inquiries regarding credentialing status, documentation, and payer requirements.
• Assist with audits and reporting related to credentialing and enrollment activities.
• Ensure compliance with federal, state, and payer-specific regulations and standards.
• Maintain confidentiality and security of sensitive provider and pharmacy information.

Benefits

• Competitive wages paid weekly
• Associate discounts
• Health and financial well-being benefits for eligible associates (Medical, Dental, 401k and more!)
• Time off (vacation, holidays, sick pay).
• Leaders invested in your training, career growth and development
• An inclusive work environment with talented colleagues who reflect the communities we serve

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED