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Contracting & Credentialing Manager - Full Time - Remote

Remote · USA Full-time New today

Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Joining us means doing meaningful work that directly improves the healthcare experience for millions—from helping families access care quickly to ensuring clinics run smoothly behind the scenes. If you want to make a real impact alongside innovative, dedicated teammates while contributing to a trusted platform that’s becoming the operating system for on-demand care, Experity is the place to grow your career. Experity offers the following:

  • Benefits – Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
  • Ownership - All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!
  • Employee Assistance Program - This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.
  • Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
  • Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
  • Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
  • Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
  • Total Compensation - Competitive pay, quarterly bonuses and a 401(k) retirement plan with an employer match to help you save for your future and ensure that you can retire with financial security.

Compensation: Budgeted between $90,900 and $115,000 dependent upon applicable experience. Remote: Experity offers Team Members the opportunity to work remotely or in an office. Responsibilities:

  • Oversee the day-to-day operations of the department.
  • Train, develop, and mentor team members by assessing needs, addressing performance and behavior strengths/weaknesses through timely use of coaching feedback, performance appraisals, and corrective action plans.
  • Accurately track team attendance, work schedules, payroll, quality assurance of work, and recording of productivity.
  • Participate in interviewing and hiring new team members.
  • Prepare statistical reports (KPI) for areas of responsibility.
  • Create, maintain, review, and enforce standardized operating procedures with team members.
  • Ability to prepare, complete, review, and interpret performance reports.
  • Foster and maintain positive, effective communication with payer representatives and internal teams.
  • Anticipate and resolve issues related to payer enrollments, payer networks, reimbursement trends, and claims issues.
  • Plan, evaluate, and improve the efficiency of business processes and procedures to enhance overall effectiveness.
  • Increase customer satisfaction by understanding business needs and elevating client relationships from vendor/partner to trusted business advisor.
  • Manage multiple tasks, analyze complex issues, and implement effective solutions.
  • Other duties as assigned.

Education and Experience:

  • Bachelor’s degree in business, healthcare management or equivalent combination of education and experience.
  • Three years of experience in a leadership role such as clinic administrator, hospital departmental manager, health plan contract manager, or team lead.
  • Two years of experience managing projects, including preparation and implementation of training and educational programs.
  • Proficiency in preparing, analyzing, and interpreting data.
  • Experience in applying organizational standards when developing requests for resources, including staff and equipment.

Preferred:

  • Health Plan administration experience.
  • Legal contract experience.

Travel:

  • Ability to travel

Every team member exhibits our core values:

  • Team First
  • Lift Others Up
  • Share Openly
  • Set and Crush Goals
  • Delight the Client

#LI-REMOTE Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. Apply tot his job Apply To this Job

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