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Experity · 17 hours ago

VP, Contracting & Credentialing

Atlanta, GA

Full-time

Hybrid

Director/Executive

$138K/yr - $184K/yr

10+ years exp

Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software. The VP of Contracting & Credentialing will oversee department structure and performance, develop training programs, and ensure compliance with regulatory requirements while enhancing client experience and streamlining processes.

Electronic Health Record (EHR)Health CareInformation TechnologyMedicalOnline PortalsPrimary and Urgent CareSaaS

Hiring Manager

Jill Cook

Responsibilities

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

Qualification

Healthcare contractingPayer/provider credentialingRevenue cycle managementRegulatory complianceVendor managementSaaS healthcare servicesLeadership experienceCross-functional collaborationTeam buildingData analysisPerformance reportingClient relationship management

Required

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

Preferred

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.

All Team Members are eligible for synthetic ownership in Experity upon one year of employment with real financial rewards when the company is successful!

This robust program includes counseling, legal resolution, financial education, pet adoption assistance, identity theft and fraud resolution, and so much more.

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.

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.

Experity maintains a learning program foundation for the company that allows Team Members to explore their potential and achieve their career goals.

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.

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.