Vice President, Payer Contracting & Credentialing

Jobot; Windy Hills (KY); Remote; USD 200,000 - 230,000; Full time

Benefits offered by this job

Top compensation & bonus

Remote with travel

Full benefits package

Retirement

CTO

Job summary

Jobot is seeking a strategic Vice President, Payer Contracting & Credentialing to lead enterprise payer strategies across multiple states and optimize reimbursement through complex negotiations and structured contracting.

You will partner with clinical, finance, revenue cycle, compliance, and operations leaders to build scalable processes that drive measurable performance and provider readiness while expanding network participation.

Qualifications

• 10+ years of progressive experience in healthcare payer contracting, enrollment or credentialing leadership.
• Proven success leading payer negotiations and evaluating reimbursement terms.
• Experience with value-based and risk-based contracting and NCQA standards.

Responsibilities

• Lead enterprise payer contracting strategy, including negotiations, renewals and network participation.
• Develop and negotiate fee-for-service, value-based and risk-based contracting aligned with goals and patient care.
• Oversee payer enrollment, provider enrollment, credentialing, re-credentialing and delegated credentialing.

Skills

Payer contracting

Credentialing

Executive leadership

Negotiations

Healthcare standards

Job description

Vice President, Payer Contracting & Credentialing/$$$/Drive technology-enabled business optimization!!

Salary: $200,000 - $230,000 per year

A bit about us

Our client fast-growing healthcare services and value-based care organization that partners with physician groups and health systems nationwide to improve operational performance, revenue outcomes, and patient care.

Why join us?

• TOP COMPENSATION & BONUS
• REMOTE with travel
• Full Benefits package
• Retirement
• CTO

Job Details

Lead the strategy. Strengthen payer partnerships. Build the infrastructure that helps providers deliver exceptional care.

We are seeking a permanent Vice President, Payer Contracting & Credentialing to drive payer contracting performance and operational excellence across a growing healthcare organization. This executive leadership opportunity combines complex negotiations, value-based and risk-based contracting, and oversight of payer enrollment and credentialing in a multi-site, multi-state environment.

You will connect contracting strategy with operational execution, helping expand network participation, protect reimbursement, accelerate provider readiness, and support sustainable growth. Partnering with clinical, finance, revenue cycle, compliance, and operations leaders, you will build scalable processes that deliver measurable results.

Responsibilities

• Lead enterprise payer contracting strategy, including payer negotiations, contract renewals, reimbursement improvements, and network participation initiatives.
• Develop and negotiate fee-for-service, value-based contracting, and risk-based contracting arrangements aligned with organizational capabilities, financial goals, and patient care priorities.
• Partner with finance and analytics teams on contract modeling, reimbursement analysis, scenario planning, and evaluation of financial and operational risk.
• Oversee payer enrollment, provider enrollment, credentialing, re-credentialing, and delegated credentialing to support timely provider participation and continuity of reimbursement.
• Establish credentialing policies, controls, and audit readiness practices aligned with applicable NCQA standards, payer requirements, and regulatory obligations.
• Direct accurate, timely maintenance of CAQH profiles, PECOS records, enrollment applications, and supporting provider documentation.
• Strengthen roster management and provider data management across payer networks, internal systems, and organizational entities.
• Implement and optimize a contract management system to track agreements, obligations, renewal dates, reimbursement terms, and performance commitments.
• Build scalable workflows for onboarding providers, opening new sites, entering new states, and integrating acquired physician groups or MSO-supported practices.
• Track and improve key performance indicators, including enrollment turnaround times, credentialing cycle times, roster accuracy, contract performance, and payer-related reimbursement barriers.
• Use process improvement and root cause analysis to resolve recurring issues, reduce administrative delays, and strengthen accountability across teams.
• Build, coach, and lead high-performing teams while establishing clear priorities, service standards, and development opportunities.
• Serve as an executive escalation point for payer disputes, enrollment barriers, credentialing concerns, and complex contracting matters.

Qualifications

• 10+ years of progressive experience in healthcare payer contracting, enrollment, credentialing, or related leadership roles, with demonstrated responsibility for strategic initiatives and operational results.
• Proven success leading payer negotiations and evaluating reimbursement terms, contract provisions, and network participation opportunities.
• Experience with value-based contracting and risk-based contracting, including assessment of financial exposure, performance requirements, and operational readiness.
• Strong knowledge of payer enrollment, provider enrollment, credentialing, re-credentialing, and delegated credentialing.
• Hands-on familiarity with CAQH, PECOS, applicable NCQA standards, roster management, and provider data management.
• Experience using contract modeling and a contract management system to inform decisions and manage the contract lifecycle.
• Experience supporting a multi-site, multi-state healthcare organization, MSO, physician group, or comparable provider organization.
• Demonstrated ability to lead process improvement, conduct root cause analysis, and implement sustainable solutions.
• Strong financial and analytical skills, with the ability to translate complex contracting and operational information into clear executive recommendations.
• Excellent negotiation, communication, relationship management, and cross-functional leadership skills.
• Ability to build effective teams, manage competing priorities, and deliver results in a dynamic healthcare environment.
• Equivalent combinations of relevant experience, skills, and demonstrated achievement will be considered.

Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

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