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.
