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Pharmacy Credentialing Analyst Jobs (NOW HIRING)

Avita Pharmacy

Pharmacy Technician

Bellaire, TX · On-site

$17 - $21/hr

Proactively identify and analyze problems and provide effective solutions * Work schedule will vary ... Pay range: $17- $21 per hour, based on credentials and geographic location. Avita Care Solutions ...

Avita Pharmacy

Pharmacy Technician

Kissimmee, FL · On-site

$18 - $25/hr

Proactively identify and analyze problems and provide effective solutions * Embrace and perform in ... Pay range: $18- $25 per hour, based on credentials and geographic location. Avita Care Solutions ...

Avita Pharmacy

Pharmacy Technician

Fort Lauderdale, FL · On-site

$18 - $26/hr

Proactively identify and analyze problems and provide effective solutions * Embrace and perform in ... Pay range: $18- $26 per hour, based on credentials and geographic location. Avita Care Solutions ...

Avita Pharmacy

Pharmacy Technician

Fort Lauderdale, FL · On-site

$18 - $26/hr

Proactively identify and analyze problems and provide effective solutions * Embrace and perform in ... Pay range: $18- $26 per hour, based on credentials and geographic location. Avita Care Solutions ...

Avita Pharmacy

Pharmacy Technician

Fort Lauderdale, FL · On-site

$18 - $26/hr

Proactively identify and analyze problems and provide effective solutions * Embrace and perform in ... Pay range: $18- $26 per hour, based on credentials and geographic location. Avita Care Solutions ...

Avita Pharmacy

Pharmacy Technician

Brea, CA · On-site

$20 - $28/hr

Proactively identify and analyze problems and provide effective solutions * Embrace and perform in ... Pay range: $20- $28 per hour, based on credentials and geographic location. Avita Care Solutions ...

Bmc

Senior Analyst, Pharmacy Finance

$87K - $109K/yr

POSITION SUMMARY: As a Senior Analyst, Pharmacy Finance, you will play a critical role in ... party credentials] is highly desired. EXPERIENCE: * 6+ years of financial/accounting experience ...

Avita Pharmacy

Bilingual Pharmacy Technician

Brea, CA · On-site

$20 - $28/hr

Proactively identify and analyze problems and provide effective solutions * Embrace and perform in ... Pay range: $20- $28 per hour, based on credentials and geographic location. Avita Care Solutions ...

Gerimed Inc

Pharmacy Network Associate

Louisville, KY · On-site

$40K - $50K/yr

Responsible for the enrollment, account management, and analysis of all current and future pharmacy ... This involves maintaining multiple excel spreadsheets as well as ensuring all credentials are up to ...

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All JobsPharmacy Credentialing Analyst Jobs

Pharmacy Credentialing Analyst information

See salary details

$15

$25

$43

How much do pharmacy credentialing analyst jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for pharmacy credentialing analyst in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $27.40 per hour, depending on experience, location, and employer.

What does a pharmacy credentialing analyst do?

A Pharmacy Credentialing Analyst is responsible for verifying and maintaining the credentials of pharmacists and pharmacy providers to ensure they meet regulatory and organizational standards. They review applications, check licenses, certifications, and background information, and ensure compliance with healthcare regulations. Their role supports patient safety and legal requirements by ensuring only qualified individuals are authorized to provide pharmacy services. Additionally, they often communicate with pharmacies, regulatory bodies, and insurance companies to resolve any credentialing issues.

How does a pharmacy credentialing analyst typically collaborate with pharmacists and healthcare providers during the credentialing process?

A Pharmacy Credentialing Analyst works closely with pharmacists, pharmacy managers, and healthcare providers to collect and verify credentials, ensure compliance with regulatory standards, and resolve any discrepancies in documentation. This often involves regular communication via email and phone, coordinating the submission of required forms, and clarifying credentialing requirements. Building strong relationships and maintaining clear, timely communication are essential, as the analyst serves as a liaison between the credentialing department and pharmacy staff to facilitate a smooth and accurate credentialing process.

What are the key skills and qualifications needed to thrive as a pharmacy credentialing analyst, and why are they important?

To thrive as a Pharmacy Credentialing Analyst, you need strong attention to detail, knowledge of pharmacy regulations, and a background in healthcare administration, often supported by a relevant degree or certification. Familiarity with credentialing software, healthcare databases, and compliance management systems is typically required. Excellent organizational skills, effective communication, and problem-solving abilities help distinguish top performers in this role. These skills ensure accurate credentialing processes, regulatory compliance, and efficient collaboration with pharmacies and healthcare providers.

What is the difference between Pharmacy Credentialing Analyst vs Pharmacy Compliance Coordinator?

AspectPharmacy Credentialing AnalystPharmacy Compliance Coordinator
Required CredentialsCertification in pharmacy or healthcare, knowledge of credentialing processesCompliance certifications, understanding of pharmacy regulations
Work EnvironmentHealthcare organizations, insurance companies, pharmacy networksPharmacy settings, regulatory agencies, healthcare compliance departments
Employer & Industry UsageUsed in pharmacy chains, insurance providers, healthcare systemsFound in pharmacy operations, regulatory bodies, healthcare compliance firms

The Pharmacy Credentialing Analyst primarily focuses on verifying and maintaining provider credentials within pharmacy networks, ensuring compliance with industry standards. The Pharmacy Compliance Coordinator handles broader regulatory adherence and policy implementation. While both roles require knowledge of pharmacy regulations, the Credentialing Analyst emphasizes credential verification, whereas the Compliance Coordinator oversees overall compliance programs.

More about Pharmacy Credentialing Analyst jobs

What states have the most Pharmacy Credentialing Analyst jobs?

States with the most job openings for Pharmacy Credentialing Analyst jobs include:

What job categories do people searching Pharmacy Credentialing Analyst jobs look for?

The top searched job categories for Pharmacy Credentialing Analyst jobs are:

Pharmacy Credentialing Analyst jobs near you
Infographic showing various Pharmacy Credentialing Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 28% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $52,870 per year, or $25.4 per hour.

Credentialing Representative

UnitedHealth Group

Eden Prairie, MN • On-site

$18 - $32/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

192nd of 898 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.
Optum has an immediate opening for a Credential Representative. Credential Representative will be responsible for enrolling behavioral health providers with appropriate payers for associated entities.
Schedule: Monday through Friday from 6:00AM - 6:00PMCST. The schedule will be determined by the supervisor upon hire.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Process provider applications and re - applications including initial communications, verifications, review and loading into the databases
  • Conduct quality audits and provide feedback to reduce errors and improve processes and performance
  • Solve complex problems on own; proactively identifying new solutions to problems
  • Apply knowledge / skills to a range of moderately complex activities
  • Demonstrate great depth of knowledge / skills in own function and function as an information resource to others
  • Analytical skills for data analysis from multiple sources
  • Ability to prioritize daily responsibilities
  • Get ready for some significant challenge. This is a performance driven, fast paced environment where accuracy is key. You'll be helping us confirm to very exacting standards such as NCQA, CMS and state credentialing requirements
  • Performs other duties as assigned

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
  • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
  • Medical Plan options along with participation in a Health Spending Account or a Health Saving account
  • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
  • 401(k) Savings Plan, Employee Stock Purchase Plan
  • Education Reimbursement
  • Employee Discounts
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • High School Diploma/GED
  • 1+ years of healthcare customer service and/or administration experience
  • 1+ years of healthcare provider credentialing experience
  • Intermediate level of proficiency with Microsoft Excel and Microsoft Word
  • Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
  • Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:
  • Experience working with compliance workflows and processes, including NCQA policies and practices
  • Experience researching and applying government regulatory information

Soft Skills:
  • Ability to work independently and as a team, and maintain good judgment and accountability
  • Demonstrated ability to work well with health care providers and team members
  • Strong organizational and time management skills
  • Ability to multi-task and prioritize tasks to meet all deadlines
  • Ability to work well under pressure in a fast-paced environment
  • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18.00 to $32.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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