Clinicians & staffing leaders: is healthcare staffing and credentialing broken?

Hey everyone, Marc here, physician and builder behind Saile. After years working across multiple hospitals, the same pattern keeps coming up:

• Agencies control access to gigs, take a big cut, and still move slowly. Many clinicians never see the best shifts or rates.​

• Facilities pay huge markups yet still wait 60–120+ days for credentialing and payer enrollment before a new doctor can work.​

• Credentialing for any gig type (per diem, locums, etc) was designed for one‑off placements, not a world where clinicians want flexible, multi‑site work.​

Saile is our attempt to fix this with a reusable, verified clinician profile and a more transparent marketplace for shifts, so credentialing doesn’t have to restart every time, and clinicians can see and book gigs directly.

Would really value honest feedback on three questions:

1. If you’re a clinician, what’s the worst part of working with staffing agencies or finding side gigs (consulting, per diem, locums, tele)?

2. If you work in staffing/medical staff services, what slows you down the most today (paperwork, back‑and‑forth with agencies, payer enrollment, something else)?

3. What would you need to see in a “credential once, work many places” model to actually trust and adopt it?

Happy to swap stories about agency pain, credentialing delays, or anything about building in healthcare staffing.