Contracting & Credentialing Manager

This is a fully remote position, open to applicants in Idaho, +5 more states.

📋 Description

• Supervise the daily operations of the department.

• Train, develop, and mentor team members by evaluating their needs and addressing performance and behavioral strengths and weaknesses through timely coaching feedback, performance evaluations, and corrective action plans.

• Diligently monitor team attendance, work schedules, payroll, quality assurance of tasks, and productivity records.

• Engage in the interviewing and hiring process for new team members.

• Generate statistical reports (KPI) for areas of oversight.

• Establish, maintain, review, and enforce standardized operating procedures with team members.

• Capable of preparing, completing, reviewing, and interpreting performance reports.

• Cultivate and sustain positive, effective communication with payer representatives and internal teams.

• Anticipate and address issues related to payer enrollments, payer networks, reimbursement trends, and claims challenges.

• Strategically plan, evaluate, and enhance the efficiency of business processes and procedures to improve overall effectiveness.

• Elevate customer satisfaction by understanding business needs and transforming client relationships from vendor/partner to trusted business advisor.

• Manage multiple responsibilities, analyze complex issues, and implement effective solutions.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree in business, healthcare management, or an equivalent combination of education and experience.

• Three years of experience in a leadership capacity, such as clinic administrator, hospital departmental manager, health plan contract manager, or team lead.

• Two years of experience in project management, including the development and implementation of training and educational programs.

• Proficiency in preparing, analyzing, and interpreting data.

• Experience in applying organizational standards when crafting resource requests, including staff and equipment.

• Preferred: Experience in health plan administration.

• Preferred: Familiarity with legal contracts.

🏝️ Benefits

• Comprehensive coverage begins on the first day of employment and includes Medical, Dental/Orthodontia, and Vision.

• Ownership - All team members are eligible for synthetic ownership in Experity after one year of employment, with real financial rewards when the company succeeds!

• Employee Assistance Program - This extensive program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and much more.

• Flexibility – Experity is dedicated to helping team members manage the challenges of balancing work, family, and life-related issues by offering flexible work scheduling for better work-life balance.

• Paid Time Off (PTO) - Experity provides a generous PTO plan that increases with milestones to ensure our team members have time to recharge, relax, and spend quality time with loved ones.

• Career Development – Experity supports a learning program foundation that enables team members to explore their potential and achieve their career aspirations.

• Team Building – We strive to unite our team members whenever possible to strengthen relationships, build camaraderie, and enjoy fun activities, including a family company picnic and a holiday party.

• Total Compensation - Competitive salary, quarterly bonuses, and a 401(k) retirement plan with employer matching to assist you in saving for your future and ensuring a financially secure retirement.