Enrollment Lead

Job Summary

Overseeing and executing payer enrollment activities for providers across a national behavioral health network, the full-time remote Enrollment Lead will serve as a subject-matter expert in payer enrollment, manage enrollment specialists, and collaborate with internal and external stakeholders to ensure compliance and efficiency.

Key responsibilities

• Lead end-to-end payer enrollment and revalidation activities for behavioral health providers across various plans
• Provide guidance and support to enrollment specialists, ensuring accuracy and compliance in submissions
• Act as a primary contact with payer enrollment departments to build relationships and resolve issues

Required qualifications

• 3+ years of experience in provider credentialing and payer enrollment, preferably in behavioral health or healthcare services
• Demonstrated expertise in commercial, Medicare, and Medicaid enrollment processes
• Experience leading or mentoring team members in an operational setting
• Strong knowledge of CAQH, NPI, PECOS, and payer enrollment portals
• Excellent organizational skills and experience in process improvement