Vice President, Clearinghouse & Payer Operations

Experian

Vice President leading payer operations and strategic initiatives at Experian Health. Overseeing clearinghouse and payer processes to enhance transactional efficiency and compliance.

Posted 7/22/2026full-timeRemote • 🇺🇸 United StatesLead💰 $200,000 - $300,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive leadership in healthcare operations, focusing on payer operations and clearinghouse services, with a strong emphasis on compliance with industry standards and operational performance metrics.

Highest-signal resume keywords

Healthcare Operations LeadershipHealthcare EDI Standards ExpertiseOperational Transformation ExperiencePayer-Provider Workflow UnderstandingCross-Functional Team Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer OperationsClearinghouse ServicesRevenue Cycle TechnologyTransaction ProcessingAutomationAI-Driven OperationsHIPAA ComplianceX12 StandardsEPICOracle

Soft Skills

LeadershipProblem-SolvingCommunication

Tools & Technologies

MeditechHealthcare IT Systems

Industry Keywords

Payer ContractingOperational PerformanceService-Level AgreementsRegulated EnvironmentsNational Payer Networks

Tech Stack

Tools & technologies

Oracle

About the role

Key responsibilities & impact

Define and execute the clearinghouse and payer operations strategy in alignment with Experian Health's growth, margin, and platform modernization objectives
Translate enterprise strategy into scalable operating models, KPIs, and service-level commitments across payer-facing clearinghouses
Lead transformation initiatives focused on automation, AI-driven operations, and modernization
Own end-to-end operational performance of Experian Health's real-time and batch clearinghouses
Ensure high availability, throughput, accuracy, and SLA conformance across transaction types
Oversee payer contracting, onboarding, connectivity, testing, certification, and ongoing operational performance
Serve as the executive escalation point for payer-related incidents, outages, and performance issues
Ensure compliance with HIPAA, X12, CMS, FHIR, etc. state regulations, and payer contractual obligations

Requirements

What you’ll need

15+ years of applicable leadership experience in healthcare operations, clearinghouse services, payer operations, revenue cycle technology/services, or health IT
Demonstrated experience leading large-scale, high-volume transaction processing organizations
Deep expertise in healthcare EDI standards and transactions (837, 835, 270/271, 276/277, 278)
Understanding of EPIC, Oracle, Meditech registration workflow
Strong understanding of payer-provider workflows and reimbursement processes
Proven ability to lead cross-functional teams in complex, regulated environments
Experience working with national and regional payer networks
Preferred experience in operational transformation, automation, or AI-enabled healthcare operations

Benefits

Comp & perks

Comprehensive executive level total rewards package
Flexible time off including unlimited vacation, volunteer time off, and 12 paid holidays
Core benefits including medical, dental, vision, and matching 401K