Team Lead Provider Enrollment

6 days ago

Chennai India Assured Full time

Job Description Job Title: Team Lead Payor Enrollment Work Mode: Work From Office (WFO) Location: Chennai Job Summary We are seeking an experienced and detail-oriented Team Lead Payor Enrollment to oversee and guide the payor enrollment team. The ideal candidate will manage day-to-day operations, ensure timely and accurate provider enrollments, coordinate with internal and external stakeholders, and drive process improvements for operational excellence. Key Responsibilities - Lead, mentor, and support the payor enrollment team to achieve productivity and quality targets. - Oversee the complete payor enrollment process: credentialing, CAQH updates, NPI, payor applications, follow-ups, and status tracking. - Review and validate documentation required for enrollment submissions. - Coordinate with providers, payors, credentialing teams, and internal stakeholders to resolve issues and ensure timely approvals. - Maintain accurate records and dashboards, ensuring all enrollments are tracked and updated. - Conduct quality checks and audits to minimize errors and improve process accuracy. - Train new team members and provide ongoing coaching to existing staff. - Generate periodic performance reports and present updates to management. - Identify process gaps and recommend improvements to enhance efficiency. - Ensure compliance with payor guidelines, industry regulations, and organizational policies. Required Qualifications & Skills - Bachelor's degree in any discipline (Healthcare/Management preferred). - Minimum 35 years of experience in payor enrollment/credentialing, with at least 12 years in a lead or supervisory role. - Strong understanding of US healthcare payors, enrollment workflows, credentialing requirements, and provider data management. - Excellent communication, coordination, and stakeholder-management skills. - Proficiency in MS Office, enrollment platforms, and CRM tools. - Strong analytical and problem-solving abilities. - Ability to manage a high-volume workload with accuracy and timelines.

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