At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Administers Credentialing strategy to achieve area objectives. Serves as a subject matter expert to staff and customers for the pre-credentialing processes within the Medicaid credentialing team.. Sets and manages action plans for network initiatives, workflow, and quality improvement projects. Manages coordination with network staff for issue resolution. **What you will do** + Executes both routine and non-routine business support tasks for the Credentialing area under limited supervision, referring deviations from standard practices to managers. + Follows area protocols, standards, and policies to provide effective and timely support. + Prepares education and training to providers and internal customers on credentialing policy and procedures. + Organizes ongoing audits to evaluate compliance with standards, outcomes, and deliverable timelines. + Maintains collections of data, tracking, and reporting, and coordinates receipt of provider data with outside vendors and organizations. + Takes direction to execute techniques, processes, and responsibilities. + Work as team lead for process and workflow support. **Required Qualifications** - 1+ years of Credentialing experience - Performs data collection, analytical research and analysis. - Ability to handle multiple processes. - Tracks and monitors individual work against timeline and metrics. - Actively participates in team meetings. **Preferred Qualifications** - Strong desk management skills. - 3+ years of Credentialing experience - Knowledge of EPDB, Microsoft Outlook, Excel **Education** + High school diploma or equivalent required. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $38.82 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 09/12/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.