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Contracting & Credentialing Relationship Manager - Full Time - Hybrid

Full-time

Experity

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 $21.50 and $25.64 dependent upon applicable experience. Hybrid: Experity offers Team Members the opportunity to work remotely or in an office. While this position allows remote work, we require Team Members to live within a commutable distance from one of our locations to ensure you are available to come into the office as needed. Responsibilities: Facilitate client calls related to contracting and payer enrollments. Run and analyze client KPI's, providing regular reports. Research and interpret payer enrollment requirements under guidance, including basic state or payer-specific rules. Prepare and submit payer enrollment applications and follow up to ensure completion. Build approved payers in the enrollment software. Create and assign contract analyst workflows upon receipt of payer contracts to review. Manage client health throughout the full contracting and payer enrollment process. Review and analyze client contracting and payer enrollment data within the enrollment software platform. Ensure timely processing of location additions, demographic updates, and revalidations. Conduct payer research to determine enrollment requirements, contract effective dates, and contract types. Other duties as assigned. Education and Experience: Associates degree in business, healthcare administrator, related field or equivalent combination of education and experience. Two years experience in healthcare contracting, payer enrollment, or a related field. Strong analytical skills with the ability to interpret and report on KPI's. Proficiency in enrollment software and workflow management. Excellent communication skills, both verbal and written. Ability to manage multiple tasks and work efficiently in a fast-paced environment. Experience facilitating client calls, meetings and presentations. Proficiency in provider contracting, credentialing, or payer enrollment. Proficiency of CAQH, Medicare PECOS, state Medicaid portals, and major commercial payer systems. Preferred: Experience working with commercial and government payers. Knowledge of credentialing and provider data management. Every team member exhibits our core values: Team First Lift Others Up Share Openly Set and Crush Goals Delight the Client 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. At Experity we're committed to changing on-demand healthcare for the better with innovative advancements that keep patients at the center of the solutions we build and the services we provide. We share that same level of commitment to providing a postive workplace where out team can develop and thrive to become leaders in the healthcare industry. At Experity we lift eachother up and put our teams first, encourage each other to share openly, and work together to set and crush our goals. United by these values, we know where we want to go and how to get there.

Vacancy posted more than 2 months ago

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