What are the responsibilities and job description for the Licensing and Credentialing Specialist position at Omnicell?
The Licensing & Credentialing Specialist is responsible for the submission, follow-up, and maintenance of all components of pharmacy licensing, credentialing, and regulatory research; and serves in the capacity of a Subject Matter Expert (SME). This role also supports managed care contracting efforts and special projects.
ESSENTIAL FUNCTIONS:
- Responsible for completing and submitting initial applications, following up on application submission, and the ongoing maintenance of State pharmacy licenses for the organization.
- Fulfill all legal requirements with State and Federal agencies to include licensure for new locations and updates to current registrations.
- Initial credentialing and maintenance of government pharmacy contracts to include Medicare and Medicaid.
- Communicate frequently with internal and external customers on pharmacy licensure status.
- Act as the liaison for any inquiries related to licensure issues.
- Maintain a database of license expiration dates for renewals as necessary.
- Maintain a database of Pharmacist license and Pharmacy Technician registration expiration dates.
- Recordkeeping of state licensure, DEA, Controlled Substance licenses.
- Proactively identify and escalate potential licensure issues.
- Strict confidentiality of pharmacist-in-charge and ownership information.
- Assist in managing formal communication with Pharmacy Benefit Managers and Managed Care Organizations.
- Other duties as assigned.
REQUIRED QUALIFICATIONS:
- Certified Pharmacy Technician License/Registration (Required)
- Two years’ experience in Specialty Pharmacy or Five years experience in Retail Pharmacy (Required)
PREFERRED QUALIFICATIONS:
- Associate degree in healthcare administration or related field (Preferred)
- PBM/Payor or PSAO experience (Preferred)
- Pharmacy licensing (Preferred)
COMPETENCIES:
- Initiative, professional in conduct and appearance, punctual, efficient.
- Must be able to multi-task and work well under pressure. Able to work in the office or remotely.
- Must be proactive, responsive, and resourceful with excellent follow-up and organizational skills.
- Highly flexible and motivated individual with an ability to work independently as well as in a team setting.
- Must consistently demonstrate the highest level of professionalism and discretion.
- Strong interpersonal skills with the ability to interact well with all levels of clients, customers, and internal personnel.
- Must be receptive to instruction with a high regard for customer service.
- Excellent computer skills in a Microsoft Windows environment.
- Must exhibit a high level of confidentiality.
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