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 A funding, led by Andreessen Horowitz, please check out this article.
Responsibilities:
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.
Requirements:
10–15+ years of experience in healthcare payor contracting, credentialing, and licensing leadership roles.
Proven track record negotiating provider contracts with national and regional payors (Commercial, MA, and Medicaid).
Track record putting delegated credentialing agreements in place and operationalizing with CVOs
Deep knowledge of telehealth and multi-state regulatory requirements.
Experience leading functions that support both virtual and clinic-based care delivery models.
Prior leadership experience in high-growth, fast-paced healthcare organizations (e.g., value-based providers, MSOs, payors, or health tech startups).
Experience working in or closely with CINs, ACOs, or IPAs preferred.
Proficiency with contract management systems and credentialing platforms.
Bachelor’s degree required; MBA, MHA, or JD preferred.
We offer a comprehensive benefits package (Medical, Dental, Vision, 401k match, PTO), competitive salary and the opportunity to be part of a purpose-driven organization that is dedicated to making a positive impact on the lives of patients. If you are an ambitious and experienced clinician who is passionate about transforming healthcare and creating meaningful change, we invite you to apply and join our dynamic team. Please send us a note at [email protected].
knownwell, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Based on current size of the clinic and HIPAA regulation, providers cannot receive care in clinic and provider’s household members cannot receive primary care in the clinic.
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