Specialist, Medicaid Portal & Contract Administrator
McKesson
6h ago
0$72k - $120kOtherUnited Stateshimalayas
Medicaid-AdministrationContract-AdministrationHealthcare-ComplianceCredentialing-SpecialistPayor-RelationsMedicaid-SpecialistPayer-Portal-SpecialistMedicaid-Program-SpecialistMedicaid-Billing-SpecialistMedicaid-Medicare-SpecialistMedicaid-Eligibility-SpecialistMedicaid-Support-SpecialistMid-level
Job Description
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 ProfileMcKesson 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 & Contract Administrator.The Specialist, Medicaid Portal & Contract Administrator plays a critical role within our Payor Access team, supporting payer contract compliance, including credentialing, recredentialing, contract maintenance, and reimbursement adherence. This position serves as a key liaison between the Contracting, Compliance, Quality, and Operations teams, ensuring accurate documentation, regulatory alignment, and efficient portal management to support organizational objectives.Key ResponsibilitiesEnrollment & CredentialingOversee and maintain an efficient, effective process to ensure continuous enrollment in Medicaid programs and active credentialing status with all commercial and government payers across pharmacy locations.Contract & Compliance TrackingMaintain and archive key contract terms and critical dates within the client relationship management (CRM) platform.Generate and provide status reports to ensure organizational awareness and adherence to credentialing and enrollment deadlines.Regulatory Monitoring & Issue ResolutionMonitor, research, resolve, and document requirements across external regulatory platforms, including Medicare, NCPDP, PECOS, NPI registration, and state Boards of Pharmacy.Proactively identify compliance gaps and provide updates on status and resolution progress.Corporate Compliance SupportSupport the Manager, Contract Compliance in executing corporate updates, including office and staffing changes, site licensing, and credentialing activities, for all pharmacy locations.Documentation & Records ManagementDevelop and maintain a comprehensive, secure repository of corporate documentation, including:Ownership and governance records (board and director documentation).Delegation of signatory authority.Licensing and credentialing files.Maintain a confidential disclosure log of disciplinary actions from commercial and government payers that may impact licensing, enrollment status, or regulatory standing.Education & Minimum RequirementDegree or related, equivalent experience.Typically requires 4+ years of relevant experience.Critical Skills4+ years’ experience in healthcare working in operational or compliance roles.In-depth knowledge of the healthcare and insurance markets, including reimbursement, pricing models, and regulatory compliance within highly regulated environments.Comprehensive experience in processing documentation, analysis, and continuous improvement initiatives.Proficient in Microsoft Office Suite, including use of Excel, Word, and PowerPoint.Experience utilizing Adobe tools for document management and presentation needs.Additional SkillsProactive and self-motivated, with a strong sense of initiative.Strong written and verbal communication skills, with the ability to convey complex information clearly and effectively.Highly organized, detail-oriented, and diligent.Effective at prioritizing tasks and meeting deadlines in a fast-paced environment.Collaborative and customer-focused, with a commitment to delivering value.S
