Senior Director of Credentialing

Senior Director Of Credentialing

Meet knownwell , weight-inclusive healthcare for all . Join a dynamic company that is changing the way care is delivered for patients with obesity. Knownwell is a weight-inclusive healthcare company offering metabolic health services, primary care, nutrition counseling and health coaching services for anyone of any size. Our hybrid model allows for both in-clinic and virtual care to bring support to patients where and when they need it. To learn more about our recent Series B funding, led by Andreessen Horowitz and CVS Ventures , please check out this article.

We are seeking a strategic and execution-focused Senior Director of Credentialing to oversee Payor Contracting, Credentialing & Licensing to build and lead a best-in-class national function. This leader will be accountable for knownwell's full lifecycle payor strategy, including contract negotiation, provider credentialing, and licensure across 50 states. You will architect the operational systems, lead and grow a high-performing team, and collaborate with cross-functional and executive leadership to support knownwell's hybrid care delivery modelboth virtually and through our clinics in markets aligned with health systems, clinically integrated networks (CINs), and IPAs.

This role is ideal for a seasoned healthcare leader who thrives in dynamic environments, has a deep understanding of managed care and payor dynamics, and is motivated to drive change in how care is accessed and reimbursed nationally.

What You'll Do :

• Define and own the enterprise-wide strategy for payor contracting, credentialing, and licensing to support scalable growth across 50 states.
• Serve as a key member of the leadership team, regularly engaging with C-suite executives to align on business goals, clinical partnerships, and market expansion strategy.
• Design and implement a scalable operational infrastructure (people, process, technology) for contracting, credentialing, and licensing functions.
• Lead contracting strategies to secure competitive terms with Commercial, Medicare Advantage, and Managed Medicaid plans, including Value-Based Care models.
• Partner closely with legal, operations, growth, and clinical leadership to support service line expansion, new market entry, and integration with CINs / IPAs.
• Lead national and regional negotiations with health plans, managing relationships across multiple geographies and payor types.
• Develop robust payor segmentation and targeting strategies based on value, access, and growth priorities.
• Oversee contract lifecycle management, including pipeline development, rate analysis, renewals, escalations, and performance monitoring.
• Establish consistent and compliant contract templates, reimbursement standards, and term guidelines in collaboration with legal and finance teams.
• Serve as subject matter expert on health plan dynamics, market access trends, and reimbursement innovation.
• Build and oversee a centralized team responsible for timely and accurate credentialing of providers and licensure across all 50 states and telehealth requirements.
• Ensure regulatory and payor compliance across all provider enrollment and maintenance workflows.
• Optimize systems, tools, and reporting to increase efficiency, reduce turnaround time, and proactively manage renewals and expirations.
• Act as the enterprise liaison between growth, clinical operations, revenue cycle, compliance, and legal to ensure seamless alignment on contract execution and provider access.
• Provide timely, data-driven updates and insights to executive leadership regarding network coverage, payor performance, credentialing timelines, and strategic risks / opportunities.
• Hire, lead, and mentor a high-performing team with expertise in payor contracting, credentialing, and regulatory compliance.
• Establish clear OKRs and performance metrics for individual and team success.
• Foster a mission-driven, inclusive culture focused on collaboration, accountability, and continuous improvement.

Who You Are :

$160,000 - $190,000 a year

The annual salary range for this position is part of a comprehensive benefits package that includes health insurance, a 401(k) plan, and bonus opportunities. In compliance with applicable state laws, knownwell provides this reasonable compensation estimate. Final pay will be determined based on various factors, including qualifications, experience, skills, and internal equity.

Pay & Perks :