Contracting & Credentialing Manager - Full Time - Hybrid

Experity • Machesney Park, IL

5d • $72,000 - $89,025 • Hybrid

About The Position

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.

Requirements

• Bachelor’s degree in business, healthcare management or equivalent combination of education and experience.
• Three years of experience in a leadership role such as clinic administrator, hospital departmental manager, health plan contract manager, or team lead.
• Two years of experience managing projects, including preparation and implementation of training and educational programs.
• Proficiency in preparing, analyzing, and interpreting data.
• Experience in applying organizational standards when developing requests for resources, including staff and equipment.
• Ability to travel

Nice To Haves

• Health Plan administration experience.
• Legal contract experience.

Responsibilities

• Oversee the day-to-day operations of the department.
• Train, develop, and mentor team members by assessing needs, addressing performance and behavior strengths/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 new team members.
• Prepare statistical reports (KPI) for areas of responsibility.
• Create, maintain, review, and enforce standardized operating procedures with team members.
• Ability to prepare, complete, review, and interpret performance reports.
• Foster and maintain positive, effective communication with payer representatives and internal teams.
• Anticipate and resolve issues related to payer enrollments, payer networks, reimbursement trends, and claims issues.
• Plan, evaluate, and improve the efficiency of business processes and procedures to enhance overall effectiveness.
• Increase customer satisfaction by understanding business needs and elevating client relationships from vendor/partner to trusted business advisor.
• Manage multiple tasks, analyze complex issues, and implement effective solutions.
• Other duties as assigned.

Benefits

• Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
• 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.
• Flexible work scheduling to manage your work-life balance.
• Generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
• Learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
• Team building events such as a family company picnic and a holiday party.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level