Specialist, Specialty Compliance And Ethics

Position Summary… What you’ll do… Specialist, Specialty Compliance and Ethics The (USA) Specialist, Specialty Compliance and Ethics is a key member of the Specialty Compliance & Ethics team, responsible for ensuring that all associates in regulated roles—such as pharmacy technicians, pharmacists, and vision center associates—meet credentialing requirements. This role involves managing high volumes of credentialing exceptions, conducting investigations into adverse findings, and maintaining accurate credential data across internal systems and vendor platforms.

The specialist exercises independent judgment in resolving complex cases, collaborates with cross‑functional stakeholders, and plays a vital role in mitigating regulatory and reputational risk. Their work directly supports patient safety, legal compliance, and operational continuity across healthcare services. About the team:

The Credentialing Team is a specialized group within the Specialty Compliance & Ethics function, dedicated to ensuring that only qualified and compliant associates are employed in regulated healthcare roles across pharmacy and vision center operations. The team manages the end‑to‑end credentialing lifecycle, including exception handling, adverse findings investigations, and credential data maintenance.
Operating in a high‑volume, high‑risk environment, the team applies deep regulatory knowledge, investigative rigor, and independent judgment to resolve complex credentialing issues. Their work directly supports patient safety, regulatory compliance, and operational continuity.
The team collaborates closely with third‑party vendors, internal compliance partners, and operational leaders to proactively mitigate risk and resolve credentialing escalations. Their contributions are critical to maintaining the integrity of healthcare services and upholding the organization’s commitment to excellence and accountability.

Location:

This position will be fully onsite in Bentonville, ARYou will make an impact by…

• Reviewing and resolving credentialing exceptions flagged by third‑party vendors.
• Manually validating credentials using state boards, certification bodies (e.g., PTCB, NHA), and internal systems.
• Investigating adverse findings such as disciplinary actions.
• Compiling and presenting detailed case reports to the Credentialing Committee for review.
• Maintaining accurate and current credential records to support scheduling systems.
• Coordinating credential updates with vendors and internal partners to prevent compliance gaps.
• Monitoring credentialing timelines to ensure associates remain eligible for regulated roles.
• Collaborating with compliance, legal, and operational teams to resolve escalations.
• Applying independent judgment in resolving complex credentialing and investigation cases.
• Contributing to risk mitigation efforts by preventing uncredentialed associates from working in regulated environments.

You’ll sweep us off our feet if…

• You have knowledge of state‑specific credentialing regulations and healthcare compliance standards.
• You have experience working with credentialing systems, state licensing boards, and certification bodies (e.g., PTCB, NHA).
• You have strong analytical and investigative skills, with the ability to assess complex cases independently.
• You have high attention to detail and accuracy in data entry and documentation.
• You possess excellent written and verbal communication skills for reporting and stakeholder engagement.
• You can successfully manage high volumes of work while maintaining quality and meeting deadlines.
• You have sound judgment and discretion when handling sensitive or confidential information.
• You are proficient in navigating internal systems and external databases.
• You contain a proactive, solution‑oriented mindset with a commitment to continuous improvement.
• You have prior experience in healthcare credentialing, compliance, or licensing preferred.

We are looking for someone who is…

• Detail‑oriented and highly organized — The work involves reviewing high volumes of credentialing data, disclosures, and licensure documentation, so accuracy and consistency are critical.
• Process‑minded with strong judgment — We need…