Job Details

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.

Company Profile

McKesson Corporation is a global leader in healthcare supply chain management solutions, retail pharmacy, community oncology and specialty care, and healthcare information solutions. McKesson partners with pharmaceutical manufacturers, providers, pharmacies, governments, and other organizations in healthcare to help provide the right medicines, medical products, and healthcare services to the right patients at the right time, safely and cost-effectively.

United by our I2CARE shared principles, our employees work every day to innovate and deliver opportunities that make our customers and partners more successful - all for the better health of patients. McKesson has been named a “Most Admired Company” in the healthcare wholesaler category by FORTUNE, a “Best Place to Work” by the Human Rights Campaign Foundation, and a top military-friendly company by Military Friendly. For more info, visit www.mckesson.com.

We take pride in our culture of connection and believe in a workplace where everyone can be their full, authentic self. We welcome and encourage veterans, individuals with disabilities and others with diverse perspectives to join our growing team. Your unique perspective and experience are valuable assets that can translate into a rewarding career path with us.

Position Description

McKesson is seeking a Specialist, Medicaid Portal Administrator.

Reporting to the Manager, Contract Administration, the Specialist, Medicaid Portal Administrator is an integral role accountable for key duties and responsibilities related to payer contract compliance, including credentialing, recredentialing, contract documentation and reimbursement adherence. This position is a key liaison between the Contracting Team and Compliance, Quality and Operations Teams.

Key Responsibilities

Credentialing & Plan Enrollment  

• Responsible for following an efficient and effective process that ensures continuous enrollment in Medicaid programs, as well as ongoing credentialing status with commercial and government payers for all pharmacy locations.

• Archives all sentinel contract dates and key terms in client relationship management platform and provides status reports as needed to ensure awareness and compliance with credentialing and enrollment deadlines.

• Monitor, research, resolve, and document external websites required to comply with Medicare, NCPDP, PECOS, NPI registration and state pharmacy boards as needed. Identify and provide status.

• Supports Manager, Contract Compliance in all activities associated with corporate updates including office and staffing changes, site licensing and credentialing for all pharmacy locations.

• Acquires and maintains comprehensive and confidential library of corporate documentation including ownership, board and director documentation, delegation of signatory authority, licensing, credentialing files, maintain disclosure file of disciplinary actions by commercial and government payers that impact licensing, status, enrollment or standing.

Education & Minimum Requirements

• Degree or equivalent.

• Typically requires 2+ years of relevant experience.

Critical Skills

• 2+ years’ experience in healthcare working in operational or compliance roles.

• Knowledge of the insurance or healthcare market; reimbursement and pricing models, experience, and knowledge of compliance activity in heavily regulated industry.

Additional Skills

• Demonstrate initiative.

• Strong oral and written communication skills.

• Diligence and proven organizational skills.

• Demonstrated ability to communicate insights effectively.

• Ability to prioritize and meet deadlines.

• Ability to work in a self-motivated environment.

• Collaborative, customer focused, and able to create visible value to clients within the organization.

• Detailed understanding and experience with process documentation and improvement.

• Ability to solve problems and think critically to effectively resolve issues.

• Ability to ensure operational and administrative compliance with regulations, standards, procedures, laws, rules, and statutes.

• Experience with Microsoft Office Suite.

• Adobe experience.

Specialized Knowledge/Skills

• Knowledge of the insurance or healthcare market; reimbursement and pricing models, experience, and knowledge of compliance activity in heavily regulated industry.

• Strong oral and written communication skills.

• Attention to detail and proven organizational skills.

• Demonstrated analytical skills and the ability to identify trends in large amounts of data, as well as the ability to communicate insights effectively.

• Ability to prioritize and meet deadlines.

• Ability to work in a self-motivated environment.

• Collaborative, customer focused, and able to create visible value to clients within the organization.

• Detailed understanding and experience with process documentation and improvement.

• Experience with Microsoft Office Suite.

• Adobe experience.

Working Conditions

• Able to travel overnight domestically 5% of the time.

• Remote work environment – Ideally located in North Carolina (Cary/Raleigh) or a state in the East/South Region.

• Must be authorized to work in the US unrestricted – This position is not eligible for sponsorship.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

Join us at McKesson!