Provider Relations Specialist (Temp)

Responsibilities

• Manage credentialing for applicable pharmacies for inclusion in the provider networks and maintain the information related to credentialing so that Judi Rx has the most relevant information available. This includes getting applicable licenses and certificates of insurance from pharmacies as well as verifying eligibility in the NCPDP database and federal and state websites (e.g. OIG, GSA, SAM)
• Ensure the applicable pharmacies are valid by reviewing exclusion lists on an ongoing basis to identify any excluded pharmacies and referring those pharmacies to the appropriate team members/departments for removal
• Manage the development and maintenance of a credentialing database to ensure proper tracking of all relevant credentialing information
• Manage credentialing reporting requests working with the appropriate internal teams
• Manage gathering and tracking annual pharmacy required attestations to ensure compliance with contractual and accreditation requirements
• Develop applicable credentialing policies and procedures
• Gather pertinent information from pharmacies regarding services offered and opportunities and provide direct contracting support to Provider Relations leadership as needed
• Provide other assistance as assigned to the Provider Relations team

Preferred

• Bachelor's degree preferred
• PBM and pharmacy technician experience preferred

Benefits

• Hybrid (at least 3 days per week in our NYC, Denver, or Charlotte offices)
• Health benefit administration platform for employers, unions, and plans.
• New York, New York, USA
• https://www.judi.health
• Late Stage
• Total Funding
• $736M
• Key Investors
• General Catalyst,Wellington Management
• Prime Therapeutics
• B Capital
• 2025-09-23
• Series F· $252M
• Secondary Market· $148M
• 2024-03-28
• Series E· $115M
• Leadership Team
• Anthony Loiacono
• CEO & Co-Founder
• John Nicolosi
• Chief Administrative Officer
• Recent News
• MedCity News
• Judi Health Launches Medicare Part D Plan for Employers
• 2026-10-23
• EIN Presswire
• Employers Health and Judi Health Come Together to Offer New Modular PBM Solution: StarkRx
• 2026-09-09
• Judi Health Taps Color Health, WellTheory, Cylinder for Clinical Ecosystem
• 2026-09-04

Qualifications

• 2+ yrs. of experience in healthcare, pharmacy credentialing, contracting, provider relations, pharmacy, account management or other relevant experience
• Intermediate level of proficiency with Microsoft Excel, Word, PowerPoint
• Proven track record of working in a fast-paced environment, managing multiple tasks at once and having a go-get attitude to provide persistent outreach to pharmacy providers to close out contracts and tasks
• Ability to work independently, track work/projects appropriately and remain on task
• Strong communication skills with the ability to develop effective working relationships with providers and internal and external stakeholders
• Bachelor's degree preferred
• PBM and pharmacy technician experience preferred

Required skills

• Account Management, Contracting, Healthcare, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Pharmacy, Pharmacy Benefit Management (PBM), Pharmacy Credentialing, Pharmacy Technician Experience, Provider Relations

Preferred skills

• Bachelor's degree preferred, PBM and pharmacy technician experience preferred

Experience

• 2+ years