Team Lead Provider Enrollment

Job Title: Team Lead Provider Enrollment

Work Mode: Work From Office (WFO)

Location: Chennai

Job Summary

We are seeking an experienced and detail-oriented Team Lead Provider 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.