Sr Specialist, Credentialing, Network and Payor Relations

Sales Administration/Operations is responsible for supporting the sales organization and driving operational excellence in order to achieve the strategic and sales objectives established by the sales organization.

Responsibilities:

• Maintain up to date credentials for entire network of participating health plans
• Cultivate and maintain on-going payer relationships and Medicaid enrollments.
• Adhere to cyclical renewal, retrieval, and updates per profile
• Work closely with third party vendors to identify data needs and execute updates when required
• Report results and outcomes of network status to management at regular intervals
• Respond to third party/managed care requests in a timely manner
• Provide existing customers and third-party vendors with the best possible service and recommendations in relation to credentialing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity
• Provide product service information to customers and identifies opportunities to maintain customer relationships so they can remain in good standing.
• Comply with laws and regulations as they pertain to services provided by the Company. This includes supporting and demonstrating compliance with the Company’s Compliance and HIPAA Plans.
• Promptly report any information regarding a known or suspected violation of any applicable laws, regulations, standards or company policy.
• Represent the culture and values of the Company to other groups, agencies and the general public, and ensure accuracy of public information materials.
• Attend all required Compliance, HIPAA and other scheduled training.

Qualifications

• Bachelors degree or equivalent experience in Managed Care preferred
• 2-4 years experience in health care preferred
• Pharmacy Technician experience a plus, not required
• Familiarity with Medicare and Medicaid
• Proficient in Microsoft Office (Excel VLOOKUPS)
• Strong written and verbal communication skills
• Organized with attention to detail

What is expected of you and others at this level

• Applies working knowledge in the application of concepts, principles, and technical capabilities to perform varied tasks
• Works on projects of moderate scope and complexity
• Identifies possible solutions to a variety of technical problems and takes actions to resolve
• Applies judgment within defined parameters
• Receives general guidance may receive more detailed instruction on new projects
• Work reviewed for sound reasoning and accuracy
• Work with outside vendors to ensure compliance and network integrity is met
• Competency in Microsoft Office applications (Microsoft Excel, Word), Salesforce and Adobe applications

Anticipated salary range: $56,200 - $72,360

Bonus eligible: No

Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs

Application window anticipated to close: 09/23/2025 *if interested in opportunity, please submit application as soon as possible.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.

Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.

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