Contracting & Credentialing Relationship Manager

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

📋 Description

• Facilitate client communications concerning contracting and payer enrollments.

• Conduct analysis of client KPIs and deliver regular reports.

• Research and interpret payer enrollment criteria with guidance, including fundamental state or payer-specific regulations.

• Prepare and submit applications for payer enrollment, following up to ensure their completion.

• Build approved payers within the enrollment software systems.

• Create and allocate workflows for contract analysts upon receipt of payer contracts for review.

• Oversee client health throughout the entire contracting and payer enrollment journey.

• Review and analyze client contracting and payer enrollment data using the enrollment software platform.

• Ensure the timely processing of location additions, demographic updates, and revalidations.

• Conduct research on payers to ascertain enrollment prerequisites, contract effective dates, and contract types.

• Perform other duties as assigned.

⛳️ Requirements

• Associate's degree in business, healthcare administration, a related field, or an equivalent combination of education and experience.

• Two years of experience in healthcare contracting, payer enrollment, or a similar field.

• Strong analytical capabilities with the ability to interpret and report on KPIs.

• Proficient in enrollment software and workflow management.

• Exceptional communication skills, both verbal and written.

• Ability to handle multiple tasks and work effectively in a fast-paced environment.

• Experience in facilitating client calls, meetings, and presentations.

• Proficiency in provider contracting, credentialing, or payer enrollment.

• Familiarity with CAQH, Medicare PECOS, state Medicaid portals, and major commercial payer systems.

• Preferred: Experience with commercial and government payers.

• Knowledge of credentialing and provider data management.

🏝️ Benefits

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

• All Team Members qualify for synthetic ownership in Experity after one year of employment, with real financial rewards tied to the company's success!

• This extensive program offers counseling, legal resolution, financial education, pet adoption support, identity theft and fraud resolution, and much more.

• Experity is dedicated to assisting team members in balancing work, family, and life-related challenges by providing flexible work schedules to enhance their work-life balance.

• Experity provides a generous PTO plan, which increases with milestones to ensure our Team Members have ample time to recharge, relax, and spend quality time with their loved ones.

• Experity supports a foundational learning program that allows Team Members to explore their potential and achieve their career aspirations.

• We bring our Team Members together whenever possible to strengthen the team, build relationships, and enjoy fun activities! This includes a family company picnic and a holiday party.

• Competitive compensation, quarterly bonuses, and a 401(k) retirement plan with an employer match to help you save for your future and ensure a financially secure retirement.