Licensing Specialist
KPH Healthcare Services•Village of Gouverneur, NY
•Onsite
About The Position
Assists and supports the Third-Party Administrator in the achievement of maintaining all Pharmacy Licensing and credentialing necessary for our current business model. This is not a remote opportunity and will be in office only.
Requirements
- Minimum: High School Diploma or GED
Nice To Haves
- Previous experience in retail pharmacy, Third Party operations, and/or Finance/Accounting
- AS Degree or Higher in Business Administration, or related field
Responsibilities
- Responsible for the submission of Medicare/Medicaid Revalidations, Change of Information applications and general compliance.
- Responsible for notifying stores of changes to existing plans, acceptance of new plans and terminations of plans.
- Responsible for resolving Third Party pharmacy questions received from Store Systems Help Desk.
- Responsible for maintaining licensing and credentialing in NCPDP.
- Responsible for maintaining NPPES application.
- Responsible for maintaining a Master Store List of all divisions.
- Responsible for yearly renewal process for DEA Certificates and Meth Certificates.
- Responsible for yearly Primary Source Validations
- Assist Third Party Administrator with licensing and credentialing.
- Assist Third Party Administrator/Pharmacy Reimbursement Specialist in the review of plan set up within the pharmacy application.
- Assist Third Party Administrator for tracking, maintaining, and renewing store pharmacies registrations, new store registrations, licenses, and DEA Certificates.
- Assist Pharmacy Reimbursement Specialist with change of Supervising Pharmacist process.
- Assist Pharmacy Reimbursement Specialist with yearly immunization Third Party configuration
- Perform other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
