Contracting & Credentialing Relationship Manager - Full Time - Hybrid

Experity•Machesney Park, IL

1d•$22 - $26•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

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.

Nice To Haves

Experience working with commercial and government payers.
Knowledge of credentialing and provider data management.

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.

Benefits

Medical, Dental/Orthodontia, and Vision coverage starts first day of employment.
Synthetic ownership in Experity upon one year of employment with real financial rewards.
Employee Assistance Program (includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution).
Flexible work scheduling.
Generous Paid Time Off (PTO) plan that increases with milestones.
Learning program for career development.
Team building events (family company picnic, holiday party).
Competitive pay.
Quarterly bonuses.
401(k) retirement plan with an employer match.