Vitable Health

• Own mission-critical systems: Design, build, and operate reliable backend systems that support money movement, benefit spending, account verification, transaction processing, reconciliation, and related workflows. • Lead ambiguous projects end-to-end: Take large, complex problems from discovery and technical design through implementation, release, monitoring, and iteration. • Drive product and business impact: Partner with product, operations, finance, and business teams to understand user needs, business goals, and operational constraints. • Shape technical direction: Make architectural decisions that balance speed, reliability, security, compliance, maintainability, and user experience. • Build reliable financial infrastructure: Develop systems with strong guarantees around correctness, idempotency, auditability, observability, and failure recovery. • Contribute across the stack: While the role is backend-focused, contribute to frontend experiences when needed to deliver complete product outcomes. • Raise the engineering bar: Write clean, maintainable code; participate in thoughtful code reviews; mentor other engineers; and champion engineering best practices. • Operate with urgency and ownership: Move quickly while maintaining high standards for quality, security, and reliability.

• Own the Partner API Platform: Design, build, and operate the backend systems, APIs, integrations, and platform capabilities that enable partners to connect with Vitable’s benefits infrastructure. • Lead ambiguous projects end-to-end: Take large, complex problems from discovery and technical design through implementation, release, monitoring, documentation, and iteration. • Set the standard for API design: Create simple, consistent, secure, and scalable APIs with strong conventions around authentication, authorization, pagination, filtering, error handling, idempotency, versioning, and backward compatibility. • Build a world-class developer experience: Develop and maintain partner-facing API documentation, sandbox environments, API key management, integration guides, testing tools, and examples that make integrations easy to understand and adopt. • Drive product and business impact: Partner with product, operations, implementation, customer success, sales, and business teams to understand partner needs, business goals, operational workflows, and integration constraints. • Shape technical direction: Make architectural decisions that balance speed, reliability, security, compliance, maintainability, developer experience, and customer impact. • Build reliable integration infrastructure: Develop systems with strong guarantees around correctness, idempotency, auditability, observability, access control, and failure recovery. • Scale partner operations: Build internal tools and automation that reduce manual implementation effort, improve partner onboarding, and make integrations easier to monitor, debug, and support. • Contribute across the stack: While the role is backend-focused, contribute to frontend and internal tooling experiences when needed to deliver complete product outcomes. • Raise the engineering bar: Write clean, maintainable code; participate in thoughtful code reviews; mentor other engineers; and champion engineering best practices. • Operate with urgency and ownership: Move quickly while maintaining high standards for quality, security, reliability, and long-term platform health.

• Build and own critical integrations: Design, build, maintain, and operate integrations with payroll providers, HRIS systems, benefits administration platforms, and other third-party systems that power Vitable’s benefits products. • Automate employee and payroll workflows: Develop systems that support employee syncing, eligibility updates, dependent management, payroll deduction automation, enrollment changes, terminations, and related benefits administration workflows. • Own outcomes end-to-end: Take projects from problem discovery and technical design through implementation, launch, monitoring, support, and iteration. • Work closely with stakeholders: Partner with product, operations, implementation, customer success, sales, and business teams to understand customer needs, operational pain points, integration constraints, and business priorities. • Build reliable integration infrastructure: Develop systems with strong guarantees around correctness, idempotency, auditability, observability, access control, and failure recovery. • Improve operational efficiency: Build tooling and automation that reduce manual work, improve onboarding speed, make integrations easier to configure and monitor, and help internal teams resolve issues quickly. • Handle messy real-world data: Design systems that can safely process inconsistent, incomplete, delayed, or changing data from external systems while maintaining data integrity and a strong user experience. • Contribute across the stack: While the role is backend-focused, contribute to frontend and internal tooling experiences when needed to deliver complete product outcomes. • Maintain high engineering standards: Write clean, maintainable code; participate in thoughtful code reviews; and follow engineering best practices around testing, reliability, security, and documentation. • Operate with urgency and ownership: Move quickly while maintaining high standards for quality, reliability, data privacy, and long-term maintainability.

• Build and own EMR infrastructure: Design, build, maintain, and operate the core backend systems and product workflows that power Vitable’s EMR platform. • Support clinical care delivery: Develop systems for encounters, care plans, diagnoses, clinical notes, medications, labs, referrals, member history, tasking, follow-ups, and other workflows clinicians and clinical operations teams rely on every day. • Own outcomes end-to-end: Take projects from problem discovery and technical design through implementation, launch, monitoring, support, and iteration. • Partner deeply with clinical stakeholders: Work closely with clinical product managers, clinicians, clinical operations leadership, compliance, and business teams to understand clinical workflows, patient safety concerns, operational needs, and product priorities. • Build for patient safety and clinical correctness: Design systems that reduce risk, minimize data ambiguity, support accurate clinical decision-making, and preserve the integrity of the medical record. • Protect sensitive health data: Build with strong practices around PHI/PII security, access control, auditability, data privacy, and compliance-aware engineering. • Improve clinician and operations efficiency: Build tooling and workflows that reduce administrative burden, improve documentation quality, streamline care coordination, and help clinical teams deliver better care at scale. • Design reliable healthcare systems: Develop systems with strong guarantees around correctness, auditability, observability, data integrity, uptime, and failure recovery. • Contribute across the stack: While the role is backend-focused, contribute to frontend and internal tooling experiences when needed to deliver complete product outcomes. • Maintain high engineering standards: Write clean, maintainable code; participate in thoughtful code reviews; and follow engineering best practices around testing, reliability, security, documentation, and monitoring. • Operate with urgency and ownership: Move quickly while maintaining high standards for quality, patient safety, privacy, reliability, and long-term maintainability.

• Own the member experience from first contact to resolution across phone, email, chat, and SMS • Resolve member questions related to appointments, prescriptions, lab work, ICHRA/HRA benefits, and plan details • Triage and prioritize member needs in real time — handle high-impact issues with urgency and sound judgment • Identify when members need services outside Vitable's scope and connect them to the right external resources • Conduct proactive outreach to educate members and drive activation and engagement • Identify workflow gaps and partner with leadership to improve processes and tooling

• Ensure that all self-funded health plans administered by the Company comply with applicable federal and state regulations, including but not limited to ERISA, the Affordable Care Act (ACA), HIPAA, COBRA, and the Mental Health Parity and Addiction Equity Act (MHPAEA) — including maintaining the required NQTL comparative analysis documentation. • Manage and execute regulatory filings on behalf of customers and plan sponsors, including Summary Plan Descriptions (SPDs), Form 5500 filings, PCORI fee filings, plan documents, and other state and federal filings required in connection with TPA operations. • Review and approve all customer-facing marketing, sales, and enrollment materials to ensure regulatory compliance prior to publication or distribution. • Act as the primary compliance liaison with TPA partners, PBMs, stop-loss carriers, fully insured carriers, and other third-party vendors. Ensure that vendor contracts, data handling practices, and operational processes meet applicable compliance standards, including PBM data reporting obligations (e.g., RxDC) and TPA state licensure/registration requirements. • Monitor developments in federal and state health plan regulation, including guidance issued by state Departments of Insurance and the Department of Labor, and translate regulatory changes into operational requirements across the organization. • Serve as the primary point of contact for regulatory inquiries, audits, and customer due-diligence requests. Maintain documentation and internal controls sufficient to withstand regulatory examination and investor or acquirer due diligence. • Develop, implement, and maintain internal compliance policies and procedures. Provide compliance training to personnel involved in plan administration, sales, and customer data handling. Serve as the Company's designated HIPAA Privacy and Security Officer.

• Own your territory — manage the full sales cycle from prospecting to close • Run discovery calls with SMB and mid-market employers, map their needs to Vitable's health benefits platform • Navigate broker and consultant influence in the sales process • Become a product and pricing expert — know why Vitable beats traditional health plans • Maintain accurate forecasting and pipeline hygiene in HubSpot • Work closely with SDRs, RevOps, and Customer Success to hit revenue targets

• Own and deliver multiple company-critical financial infrastructure initiatives — on time, with a high bar for reliability and auditability. • Materially improve the integrity, observability, and scalability of Vitable's payment and transactional systems. • Raise the technical bar: stronger design reviews, clearer architectural patterns, better-tested and more traceable systems. • Be the person the team reaches for when the problem is hard, ambiguous, or high-stakes. • Build systems that can support Vitable's next phase of growth while maintaining the trust of our customers, partners, and regulators. • Design and own the systems that move, track, and reconcile money — including payment rails, ledgering, invoicing, and carrier settlement workflows. • Build bank-agnostic architectures that can integrate with multiple payment processors, banking partners, and financial data providers. • Ensure data integrity, idempotency, and correctness across all transactional systems, with end-to-end auditability and traceability built in from day one. • Lead initiatives to improve observability and operational reliability in high-stakes financial workflows. • Drive architectural decisions across multiple product and engineering teams, setting a high bar for reliability, scalability, and maintainability. • Establish technical standards and engineering practices that scale with the organization. • Serve as a force multiplier: mentor engineers, run design reviews, and help the team grow into harder problems. • Lead complex, multi-team initiatives from concept through deployment and long-term ownership. • Build systems that meet the requirements of regulated environments — including HIPAA, SOC 2, and financial compliance frameworks such as PCI or state insurance regulations. • Design audit trails, compliance controls, and reporting mechanisms that satisfy both internal and external stakeholders. • Partner with legal, compliance, and finance teams to translate regulatory requirements into durable technical solutions. • Collaborate closely with Product, Finance, and Operations to understand business challenges and translate them into scalable, resilient systems. • Influence product strategy through deep technical context — surfacing tradeoffs, flagging risks, and identifying platform leverage points. • Balance speed with architectural health; know when to move fast and when to slow down and do it right.

Role Description We're hiring a Credentialing Specialist to own provider credentialing end-to-end at Vitable. This is a dedicated, standalone function — not a secondary responsibility attached to another role. You'll be the internal expert and system owner for all things credentialing, ensuring our providers are verified, compliant, and activated without disruption. This role exists because we've reached a scale where credentialing demands dedicated ownership. You'll build the systems, own the database, and be the first line of defense on compliance — so the rest of the clinical ops team can focus on capacity planning, scheduling, and member access. What You’ll Do - Primary verification of provider licenses, board certifications, and prescriptive authority across all active states - Execution and validation of collaborative agreements and state-specific registration requirements - Independent verification of vendor-submitted credentials (e.g. DirectShifts, staffing partners) - Ownership of a centralized, auditable credentialing database - Proactive monitoring of expirations and renewals — no surprises - Direct liaison with state boards and regulatory bodies - Building standardized activation checklists and verification workflows Qualifications - 2+ years of credentialing experience in a multi-state healthcare setting — NP, PA, or physician group strongly preferred - Working knowledge of NP scope-of-practice laws and collaborative agreement requirements across states - Experience with a credentialing platform (Medallion, CAQH, Modio, or similar) - Comfortable navigating state board portals and regulatory language independently - Strong documentation habits — you build systems, love being compliant, and not just complete tasks - Able to respond quickly to compliance issues - Telehealth or virtual-first care experience is a plus Benefits - 100% Silver Plan medical coverage — plus dental and vision - Vitable Primary Care membership — the same care we give our members, yours too - 401(k) and life insurance - Unlimited PTO — and we actually mean it - Remote-first — work from wherever you do your best thinking - MacBook and home office setup stipend — the gear you need to do great work - Competitive equity — you're building something real, you should own a piece of it

• Build relationships with employee benefit brokers and turn them into a consistent source of referrals. • Partner with them to position Vitable with their clients and drive repeat business. • Prospect into larger healthcare and home care organizations, engage senior stakeholders, and run multi-step sales cycles. • Navigate benefits conversations, compliance considerations, and financial tradeoffs. • Own your pipeline end to end. Generate opportunities, run discovery, move deals forward, and close. Create structure where it doesn’t yet exist.