Vice President, Contracting & Credentialing
Experity
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $138,000 - $184,200 per year
Job Level
Lead
About the role
- Oversee department structure, staffing, team development, and accountability, including budget planning, data analysis, and performance reporting aligned to department and organizational goals.
- Build and sustain a high-performance, inclusive team culture where team members are empowered and supported to thrive.
- Manage team performance by establishing clear goals and expectations, tracking progress, ensuring timely feedback, and addressing performance issues promptly.
- Develop and deliver training programs for internal staff and clients on C&C standards and best practices.
- Continuously assess and improve department workflows to optimize speed, quality, compliance, and cost-effectiveness.
- Establish and monitor internal service-level agreements (SLAs) for contract processing and enrollment turnaround times.
- Track and report on metrics that demonstrate the department’s contribution to RCM revenue performance, client satisfaction, and overall business outcomes.
- Ensure enrollment and contracting processes support efficient revenue generation and operational integration across departments.
- Oversee and ensure the integrity and security of client contracts and provider information in internal systems and databases.
- Hold vendors accountable for processes that are effective and efficient, meeting both internal and client-facing needs.
- Serve as the primary departmental contact and escalation point for leadership and operational teams on C&C-related issues.
- Collaborate with Sales to support prospect discussions, pricing strategy, and proposal development.
- Partner with Client Success, RCM Operations, Implementation, Legal, and Accounting to ensure alignment on regulatory, contractual, and operational priorities.
- Maintain strong working relationships with payer representatives and stay current on payer enrollment requirements.
- Develop and implement departmental policies on enrollment and contracting standards by market, informed by regulatory requirements and best practices.
- Enforce principles of integrity, compliance, and data security across all department functions.
- Ensure all contracts and enrollment practices meet legal and regulatory requirements and are audit-ready.
- Other duties as assigned.
Requirements
- Bachelor's degree in business, healthcare management or equivalent combination of education and experience.
- 10+ years of progressive leadership experience in healthcare contracting, payer/provider credentialing, revenue cycle management, or healthcare operations.
- Five years in a senior leadership role with responsibility for departmental performance, cross-functional collaboration, and strategic initiatives.
- Proven experience managing third-party vendors, including holding partners accountable to SLAs and operational KPIs.
- Strong understanding of payer enrollment, provider credentialing workflows, and regulatory/compliance frameworks across multi-state operations.
- Demonstrated success in building high-performing teams and scaling operational infrastructure.
- Prior experience in a SaaS-enabled healthcare services environment or credentialing platforms is highly desirable.
Benefits
- Comprehensive coverage starts first day of employment and includes Medical, Dental/Orthodontia, and Vision.
- Ownership - 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.
- Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.
- Paid Time Off (PTO) - Experity offers a generous PTO plan and increases with milestones to ensure our Team Members have time to recharge, relax, and spend time with loved ones.
- Career Development – Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.
- Team Building – We bring our Team Members together when we can to strengthen the team, build relationships, and have fun! We even have a family company picnic and a holiday party.
- Total Compensation - 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.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisperformance reportingbudget planningtraining program developmentworkflow optimizationcontract processingenrollment turnaroundmetrics trackingregulatory compliancedata security
Soft skills
team developmenthigh-performance culturegoal settingtimely feedbackcross-functional collaborationrelationship managementstrategic initiativesvendor managementaccountabilityproblem-solving
Certifications
Bachelor's degree in businessBachelor's degree in healthcare management