Contracting Credentialing Senior Manager - Full Time - Hybrid

Experity is the leading software and services company for ondemand 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 ondemand 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 ondemand 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 liferelated issues by offering flexible work scheduling to manage your worklife 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 $80000 and $105000 based upon years of applicable experience.

Responsibilities:

• Oversees the daytoday 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 organizations 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:

• Bachelors 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

#LIHYBRID

Required Experience:

Senior Manager