---
title: 'Pharmacy Credentialing & Enrollment Specialist (Payer Networks) at Shields Health Solutions'
canonical: 'https://feeny.ai/job/pharmacy-credentialing-enrollment-specialist-payer-networks-shields-health-c71zwfhzhade'
type: 'job'
last_seen: '2026-10-30'
---

# Pharmacy Credentialing & Enrollment Specialist (Payer Networks) at Shields Health Solutions

- **Company:** Shields Health Solutions
- **Location:** Remote
- **Work type:** remote
- **Posted:** 2026-10-27
- **Last confirmed live:** 2026-10-30
- **Apply:** https://job-boards.greenhouse.io/shieldshealthsolutions/jobs/7997753003

## Job description

Job Purpose:

The Company is seeking a highly motivated, self-starter who is looking for a challenging career with a fast-growing company in the Healthcare Services sector. Applicant should be results-oriented with a positive outlook, and a clear focus on high quality. A natural forward-planner who critically assesses own performance. Mature, credible, well-presented, professional and comfortable in dealing with others both in-person and on the phone. Critical to this position is a person who is able to work well under deadlines and time pressures. Applicant must be reliable, tolerant, and determined; an empathetic communicator, able to see things from the other person's point of view. Most importantly, person must be able to work as a member of a close-knit team.

The Payor Access / Contracting Analyst is responsible for numerous workflows involved in establishing and maintaining specialty pharmacy payor contracts on behalf of each partnering health system.

Job Duties:

- Play a key role the assessment and fulfillment of clinical and operational reporting requirements mandated by payor and PBM networks
- Participate in the preparation and submission of applications related to specialty network access on behalf of Shields partners;
- Conduct primary and secondary research in support of the contracting process; with a focus on payor access and specialty formularies
- Perform investigative research into pharmacy network access at the BIN/PCN/Group level; inclusive of running test claims and other data-driven methods
- Support workstreams related to state licensing matters, including new applications, credentialing, and re-credentialing;
- Independently manage numerous workstreams related to contracting and payor access;
- Provide exceptional and timely customer service to our partners on all matters related to contracting and payor access;
- Identify solutions to non-standard requests and problems;
- Willingness to do whatever is necessary for the betterment of the Company;
- Protect organization's value by keeping information confidential;
- Other duties as assigned;

Experience/ Education:

- Experience with pharmacy claims, pharmacy benefit plans (BIN/PCN/Group), specialty medications, and specialty pharmacy clinical and operational care models
- Ability to communicate results in a clear and concise manner via Excel tables, email communication, and PowerPoint slides
- Exceptionally organized and data driven
- Comfortable and successful handling numerous concurrent work streams

Preferred: Project management and/or, healthcare contracting experience; clinical, pharmacy, 340B, or pharmacy benefit management knowledge

Traits: Organized, high-integrity, strict attention to detail, dependable, quality focus, empathetic, good listener/communicator, self-motivated

Other: Energetic, highly motivated, team player, extreme discretion and confidentiality are essential as this position deals with highly sensitive and private data in a HIPAA compliant environment California residents employed by or applying for work at Shields have certain privacy rights. Please review our: [California Workforce Privacy Notice](https://www.shieldshealthsolutions.com/wp-content/uploads/2023/01/CPRA-Notice-Shields-Website-January-1-2023.pdf) and [Privacy Policy.](https://www.shieldshealthsolutions.com/privacy-policy/)

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

## About Shields Health Solutions

## Company Overview
- **One-liner**: Shields Health Solutions is the nation’s first integrator of specialty pharmacies into health systems, helping hospitals and clinics manage complex medications and improve patient outcomes.
- **Entity Type**: Private (funding stage not disclosed)
- **Headquarters**: Not explicitly stated in search results; likely based in the United States (Quincy, MA, per external sources, but not confirmed in the provided data)
- **Founded**: 2012
- **Founders**: Jack Shields

## Core Business
- Primary industry: Healthcare (specialty pharmacy integration, health system partnerships)
- Target customers: B2B – health systems (hospitals, clinics, academic medical centers) and drug manufacturers
- Mission: Break down barriers between patients and the specialty medications they critically need; elevate what specialty pharmacy can do for health systems.

## Products & Services
- **TelemetryRx®**: A purpose-built technology platform that identifies eligible specialty patients, provides customized data reporting, and standardizes specialty pharmacy operations across a health system.
- **Integrated Clinical Services**: Trained, certified clinical pharmacists and technicians embedded in health systems to help patients navigate treatment, manage medication adherence, and reduce administrative burden.
- **Payer & Drug Access Solutions**: Trade relations experts secure access to 90%+ of limited distribution drugs and specialty medications; payer teams expand network access 3x; financial support teams ensure affordable care for patients.
- **Patient Support Center**: Prior authorization and financial assistance services to help patients obtain and afford their medications.

## Market Standing
- **Valuation/Market Cap**: Not publicly available
- **Key Metric**: More than 80 health system partners across 47 states, covering over 1,000 hospitals and clinics; ~50 specialty and rare disease states managed
- **Notable Investors/Partners**: Not disclosed in provided materials; partner health systems include leading academic medical centers and community hospitals
- **Growth Signals**: Expanded network to 80+ health systems; consistently named a Great Place to Work for 5+ years; ranked among Fortune’s Top 100 Workplaces, Best Workplaces in Healthcare™, and Becker’s Healthcare Top 150 Places to Work

## Competitive Advantages
- First-mover advantage as the first company to integrate specialty pharmacy directly into health systems
- Proprietary TelemetryRx® platform that unifies data and workflows across diverse hospital settings
- Deep payer and manufacturer relationships enabling access to 90%+ of limited distribution drugs and 3x network expansion
- High-touch, data-powered clinical model that lowers total cost of care while improving patient outcomes

## Strategic Focus
- Continue expanding health system partnerships nationwide
- Innovate new care models and patient engagement tools (e.g., refill management, oncology clinical pharmacy services)
- Enhance technology platform to deliver real-time data and analytics for specialty pharmacy operations
- Maintain a patient-first, compassionate culture while scaling the team

## Why Work Here
- **Culture**: Voted a Great Place to Work for five consecutive years; emphasis on kindness, inclusion, and intentional acts of care. Employee Resource Groups support diversity and belonging.
- **Benefits**: Competitive medical/dental/vision insurance with no waiting period, 401k matching, 4 weeks PTO plus 8 paid holidays and 2 floating holidays, paid parental leave, paid mental health & wellness coaching, short/long-term disability and life insurance.
- **Career Growth**: Entrepreneurial environment where employees can chart their own path; PGY1 Community-Based Pharmacy Residency program; opportunities across clinical, operational, and tech roles.
- **Work Policy**: Mixed – both on-site and remote roles available (e.g., Remote positions for Pharmacy Liaison, Benefit Eligibility Specialist, etc.)
- **Recruitment Integrity**: Official communications only from shieldsrx.com domains or text; no payment or sensitive info requested before offer; all applicants must apply formally.

## Sources
1. [shieldshealthsolutions.com](https://shieldshealthsolutions.com/)
2. [About Us – Shields Health Solutions](https://shieldshealthsolutions.com/about/)
3. [Our Culture – Shields Health Solutions](https://shieldshealthsolutions.com/about/our-culture/)
4. [Jobs at Shields Health Solutions (Greenhouse)](https://job-boards.greenhouse.io/shieldshealthsolutions)

## Other roles at Shields Health Solutions

- [Manager of Strategic Operations](https://feeny.ai/job/manager-of-strategic-operations-shields-health-solutions-boston-tq1yvfyaycb4) — Boston, MA
- [Specialty Pharmacy Technician](https://feeny.ai/job/specialty-pharmacy-technician-shields-health-solutions-jacksonville-gpptje3jp84v) — Jacksonville, FL
- [Outpatient Pharmacy Manager](https://feeny.ai/job/outpatient-pharmacy-manager-shields-health-solutions-jacksonville-kegskk1wvv53) — Jacksonville, FL
- [Ambulatory Pharmacy Manager](https://feeny.ai/job/ambulatory-pharmacy-manager-shields-health-solutions-jacksonville-hq8p52g5d2fm) — Jacksonville, FL
- [Corporate Strategy Associate](https://feeny.ai/job/corporate-strategy-associate-shields-health-solutions-boston-j9tk4t66z9e3) — Boston, MA
- [Specialty Pharmacy Liaison](https://feeny.ai/job/specialty-pharmacy-liaison-shields-health-solutions-california-ch66ybtmvss2) — California
- [Pharmacy Technician Outreach Calls](https://feeny.ai/job/pharmacy-technician-outreach-calls-shields-health-solutions-louisiana-gdrvhvjsg7b6) — Louisiana
- [Senior Pharmacy Technician $2,500 Sign On Bonus](https://feeny.ai/job/senior-pharmacy-technician-2-500-sign-on-bonus-shields-health-solutions-durham-0jebs2qxpczj) — Durham, NC
- [Pharmacy Technician Refill Calls](https://feeny.ai/job/pharmacy-technician-refill-calls-shields-health-solutions-mississippi-rxh1r5ap5smm) — Mississippi
- [Specialty Pharmacy Technician](https://feeny.ai/job/specialty-pharmacy-technician-shields-health-solutions-spartanburg-3nw9m91h9b2k) — Spartanburg, SC