Contracting & Credentialing Manager

🔥 0 minutes ago

🥔 Idaho, Illinois, +4 more states – Remote

🥔 Idaho – Remote 🌽 Illinois – Remote ⚔️ Virginia – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $72k - $89k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Experity

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Experity is the leading software and services company for on-demand healthcare in the U.S. urgent care market, providing an integrated operating system complete with electronic medical record, practice management, patient engagement, billing, teleradiology, business intelligence, and consulting solutions. Fifty percent of the U.S. urgent care market runs on Experity solutions. With Experity, providers can best meet the demands of the evolving on-demand space and deliver high-quality, high-velocity care by streamlining operations, improving patient experiences, and optimizing revenue. A GTCR portfolio company, Experity’s leadership is comprised of growth-minded urgent care experts and business leaders committed to improving on-demand healthcare for all.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ 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.