Provider Payer Enrollment Team Lead

The Provider Payer Enrollment Team Lead serves as a subject matter expert to the Provider Enrollment team in day-to-day provider enrollment operations. Helps support and guide accurate, timely payer enrollment and credentialing across Medicare, Medicaid, and commercial plans.

Requirements

• Provide leadership, training, and ongoing oversight to payer enrollment team members to ensure compliance with established processes, procedures, and regulatory requirements.
• Serve as a subject matter expert, offering guidance and support related to provider enrollment workflows, payer requirements, and inventory management.
• Review and assign weekly workloads based on organizational priorities, ensuring balanced distribution of work and timely completion of tasks.
• Perform quality assurance reviews and audits of team output to ensure accuracy, consistency, adherence to defined standards and workflows, and reduce team errors and improve turnaround times.
• Support onboarding, training, coaching, and mentoring of new specialists, with an emphasis on department-specific and company-wide policies, procedures, and best practices.
• Collaborate with leadership to provide updates on departmental performance, including accomplishments, progress toward goals, risks, and challenges.
• Function as a key resource to enrollment specialists for issue resolution, complex cases, and process clarification.
• Assist with client-related inquiries as needed and contribute to the development and maintenance of training materials, enrollment policies, and procedural documentation.
• Complete and oversee administrative functions within the payer enrollment platform.
• Perform administrative functions such as approving timesheets for bi-weekly payroll, approving PTO requests, and contributing to performance feedback.
• Participate in internal team and external client meetings and help support administrative functions to prepare for meetings (i.e., agendas, reports, etc.).