Senior Specialist, HAR Provider Enrollment
Walgreens · walgreens.com
DanvilleOn-siteSenior
Subscribers got this job on 12 October 2026.
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The job in short
Pharmacy provider enrollment specialist processing Medicaid, SNAP and WIC billing enrollments.
PharmacyLegalCompliance
Details
- Found
- 14 d ago · posted 2026-09-23
- Location as listed
- Walgreens, 1901 E VOORHEES,MS 1001,DANVILLE,IL 61832
- Role
- Medical Coding / Billing / Records
- Source
- The company’s own careers site
Full description
Job Summary:
As a Senior Specialist, HAR Provider Enrollment, you will be responsible for Provider Enrollment process management, compliance management, and client/customer relationship management. You will be expected to adhere to federal and state regulations regarding the initial application for and the renewal of the provider status to service and bill at all of the Walgreen pharmacies. You will process accurately, completely, and timely all initial applications or renewal applications required for the billing of pharmacy products and services at the commercial, state, and federal level and also ensure all contacts receive efficient and courteous service.
Job Responsibilities:
• Processes, either on paper or online, all pharmacy enrollment applications accurately, completely, and timely to support pharmacy operations. Serve as a subject matter expert related to the enrollments of their assigned state Medicaids.
• Research applicable enrollment or participation rules and regulations within each state funded programs, not limited to Medicaids, for changes.
• Maintain current pharmacy demographic, ownership, and managing employee/officer information on file with NCPDP, NPPES, and the various state and governmental payers and DMEPOS Accreditation vendor
• Processes, either on paper or online, all SNAP and WIC enrollment applications accurately, completely, and timely to support operations
• Serves as first escalation point for enrollment problem resolution. Anticipates the needs of the customer, takes ownership of the issue and proactively identifies solutions. Seeks guidance from supervisory or managerial staff only for the most complex or critical escalated questions or problems.
• Investigate, troubleshoot, and solve operational issues as it relates to being a recognized billing provider.
• Apply WAG policies in the security of the personal information and the internal Legal guidance for the credentialing responses.
• Obtains and maintains governmental portal web access for enrollments, prior auths, claim status, and remittance detail for pharmacy personnel and HAR team members
• Coordinates with other functional and operational areas as necessary
• Contacts state Medicaid offices or processors, as needed, for clarification or issue resolution
• Cultivates an innovation mindset, looks for ways to improve current processes with enhancements and ideas, working within the regulatory framework.
• Assist in training process and mentoring new Provider Enrollment Coordinators and assumes a mentorship role.
• Plans, prioritizes, organizes and completes work to meet established objectives/SLAs/Timelines.
• Monitors trends and notifies supervisor of recurring or high priority issues.
About Walgreens
Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
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