Lead, Provider Enrollment & Network Relations

Beth Israel Lahey Health; Wakefield (NE); On-site; USD 68,000 - 130,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Supervisors of Provider Enrollment to lead the enrollment team, maintain policies, and ensure compliant, timely enrollment with payors. This role reports to the Director of Provider Enrollment and Network Relations.

Responsibilities include coordinating credentialing, tracking performance, and improving enrollment processes. Strong leadership and Medicare/Medicaid knowledge are essential.

Qualifications

• High School diploma or GED required; Bachelor’s degree preferred.
• 3-5 years related work experience; 0-1 years supervisory/management experience required.
• 3-5 years related work experience in physician group practice management, provider enrollment relations, contract management or credentialing.
• Knowledge of Medicare, Medicaid and behavioral health provider enrollment.
• Advanced skills with Microsoft applications including Outlook, Word, Excel, PowerPoint or Access; ability to produce complex documents and maintain databases.

Responsibilities

• Provide daily supervision and feedback to the enrollment team and maintain policies and procedures.
• Coordinate delegated credentialing and audits with health plans; manage provider notifications.
• Track performance metrics and implement quality initiatives to ensure timely enrollment with payors.
• Ensure compliance with enrollment criteria in payor contracts and risk contracting.
• Oversee quarterly provider list reconciliations and manage provider agreements and amendments.
• Manage payor relationships to resolve operational issues affecting enrollment and revenue capture.
• Identify and resolve payor or enrollment issues and build strong internal/external relationships.
• Coordinate cross-functional projects and represent BILPN on committees.
• Develop educational programs for participating providers in response to new directives.

Skills

Supervisory/management experience

Project coordination

Communication skills

Education

High school diploma or GED

Bachelor’s degree preferred

Tools

Microsoft Office

Job description

Beth Israel Lahey Health is seeking a Supervisors of Provider Enrollment to lead the enrollment team, maintain policies, and ensure compliant, timely enrollment with payors. This role reports to the Director of Provider Enrollment and Network Relations.

Responsibilities include coordinating credentialing, tracking performance, and improving enrollment processes. Strong leadership and Medicare/Medicaid knowledge are essential.