Contracting & Credentialing Manager

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Experity

501 - 1000 funcionários

A Experity é a principal empresa de software e serviços para saúde sob demanda no mercado de atendimento emergencial dos EUA, oferecendo um sistema operacional integrado completo com prontuário eletrônico, gestão de práticas, engajamento do paciente, faturamento, telerradiologia, inteligência de negócios e soluções de consultoria. Cinquenta por cento do mercado de atendimento emergencial dos EUA opera com as soluções da Experity. Com a Experity, os prestadores de serviço podem atender melhor às demandas do espaço sob demanda em evolução e fornecer cuidados de alta qualidade e alta velocidade ao simplificar operações, melhorar experiências dos pacientes e otimizar receitas. Como uma empresa do portfólio da GTCR, a liderança da Experity é composta por especialistas e líderes empresariais voltados para o crescimento, comprometidos em melhorar os cuidados de saúde sob demanda para todos.

Descrição

• 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.

🎯 Requisitos

• 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. • Preferred: Legal contract experience.

🏖️ Benefícios

• 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.

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