Contracting & Credentialing Senior Manager - Full Time - Fully Remote

Experity; United States; Remote; USD 80,000 - 105,000; Full time

Job summary

A leading company in on-demand healthcare is seeking a Contracting & Credentialing Senior Manager to oversee operations and manage team development. This fully remote role requires significant experience in healthcare administration and payer contracts, and offers competitive compensation and comprehensive benefits from day one.

Benefits

Comprehensive health coverage

SYN ownership eligibility after one year

Flexibility in work scheduling

Generous Paid Time Off plan

Career Development opportunities

Quarterly bonuses

Qualifications

• Five years of leadership experience in a healthcare setting.
• Experience in payer contract administration and enrollment.
• Ability to analyze and present departmental metrics.

Responsibilities

• Oversees day-to-day operations of the department.
• Train, develop, and mentor team members.
• Prepare statistical reports for areas of responsibility.

Skills

Leadership

Contract Administration

Performance Analysis

Project Management

Customer Satisfaction

Education

Bachelor's degree in business or related field

Job description

Contracting & Credentialing Senior Manager - Full Time - Fully Remote

Join to apply for the Contracting & Credentialing Senior Manager - Full Time - Fully Remote role at Experity

Contracting & Credentialing Senior Manager - Full Time - Fully Remote

Join to apply for the Contracting & Credentialing Senior Manager - Full Time - Fully Remote role at Experity

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Experity is the leading software and services company for on-demand healthcare in the U.S. We provide software solutions that remove complexities and simplify operations for 5700+ urgent care clinics across the country. We create, maintain, and support products to facilitate the complete on-demand healthcare experience: from patients finding clinics and making appointments, to checking in, to clinical documentation, and to the final bill paid by the patient. Our team is committed to changing healthcare for the better by innovating and revolutionizing on-demand healthcare for millions of patients across the country.

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.
  
  

Job Type: Full time

Compensation: Budgeted between $80,000 and $105,000 based upon years of applicable experience.

Responsibilities:

• Oversees the day-to-day operations of the department.
• Train, develop, and mentor team members by assessing needs, addressing performance and behavior strength/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 of new team members.
• Prepare statistical reports (KPI) for areas of responsibility.
• Create and maintain, review, and enforce standardized operating procedures with team members.
• Ability to prepare, complete, review, and interpret performance reports.
• Contributes to the creation of the departmental strategy in alignment with the organization's goals and objectives.
• Foster and maintain positive, effecitve communication with payer representatives and internal teams.
• Anticipate and resolve issues related to payer enrollments, payer networks, reimbursement trends, and claims issues.
• Serves as primary departmental contact for leadership and operational teams.
• Increase customer satisfaction by understanding business needs and elevate client relationships from vendor/partner to trused business advisor.
• Manage multiple tasks, analyze complex issues, and implement effective solutions.
• Other duties as assigned.
  
  

Travel:

• Ability to travel as needed
  
  

Education and Experience:

• Bachelor's degree in business or related field or equivalent combination of education and experience.
• Five years of experience in a leadership role working in a health care or managed care setting with a specific background in payer contract administration and payer enrollment.
• Five years of experience in analyzing and presenting key performance indicators and departmental metrics to VP or Executive level leadership.
• Three years of experience managing projects, including preparation and implementation of training and educational programs.
• Five years of experience in payer enrollment & payer contracting experience in a healthcare setting to understand appropriate turnaround and processing timelines are being met.
  
  

Preferred:

• Health Plan administration experience.
• Legal contract experience.
  
  

Every Team Member Exhibits Our Core Values:

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

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Project Management and Information Technology

• Industries

  Software Development

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