Specialist, Medicaid Portal & Contract Administrator

• Specialist, Medicaid Portal & Contract Administrator
• USA, NC, Remote
• $72,000 - $120,000
• Position Description
• Mc Kesson 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 Responsibilities

• Oversee 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.
• Maintain 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.
• Monitor, 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.
• Support the Manager, Contract Compliance in executing corporate updates, including office and staffing changes, site licensing, and credentialing activities, for all pharmacy locations.
• Develop and maintain a comprehensive, secure repository of corporate documentation, including ownership and governance records, delegation of signatory authority, licensing and credentialing files, and a confidential disclosure log of disciplinary actions from payers that may impact licensing or enrollment status.

Qualifications

Location: Remote, 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.

Education: Degree or related, equivalent experience.

Experience: Typically requires 4+ years of relevant experience. 4+ years’ experience in healthcare operational or compliance roles.

In depth knowledge of 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.

• Critical Skills
• Proficient in Microsoft Office Suite (Excel, Word, Power Point).
• Experience utilizing Adobe tools for document management and presentation needs.
• Self‑motivated, proactive, strong sense of initiative.
• Strong written and verbal communication skills.
• Highly organized, detail‑oriented, diligent.
• Effective at prioritizing tasks and meeting deadlines in a fast‑paced environment.
• Collaborative and customer‑focused with a commitment to delivering value.
• Strong critical‑thinking and problem‑solving abilities.
• Experience documenting and improving processes.
• Knowledgeable in ensuring compliance with regulatory and operational requirements.
• Exceptional attention to detail paired with strong organizational and time‑management abilities.
• Proven analytical capabilities, ability to interpret large data sets, identify trends, and communicate actionable insights.
• Demonstrated ability to prioritize competing demands and consistently meet deadlines.
• Ability to work independently, maintaining productivity and accountability.
• Track record of delivering measurable value to external/internal stakeholders.
• Additional Requirements
• Able to travel overnight domestically 5% of the time.
• Travel and Work Location

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.

Applicants must be currently authorized to work in the United States on a fulltime basis without the need for employer support or sponsorship.

Equal Opportunity Employer

Mc Kesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category.

For additional information on Mc Kesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

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