Payer Enrollment Lead: Revenue Readiness

Lyrahealth; United States; On-site; USD 90,000 - 130,000; Full time

Job summary

Lyra Health is seeking a Payer Enrollment Supervisor to own the enrollment lifecycle, including initial enrollments, revalidations, and roster submissions for commercial payers. The role drives scalable processes and ensures provider participation and revenue readiness.

You will supervise enrollment staff, serve as a subject matter expert on payer requirements, and collaborate with Credentialing, Contracting, Compliance, and Revenue Cycle to optimize workflows.

Qualifications

• Bachelor’s degree or equivalent work experience.
• 4+ years of payer enrollment experience in a healthcare organization.
• 2+ years in a lead or supervisory role.
• Deep knowledge of commercial payer enrollment processes and CAQH, NPPES, PECOS.
• Strong analytical, organizational and interpersonal skills.

Responsibilities

• Oversee the end-to-end payer enrollment and maintenance lifecycle for individual and group providers, including initial enrollments, revalidations, re-credentialing-related enrollment activities, demographic updates, roster submissions, and other payer requirements.
• Supervise, coach, and support payer enrollment staff through workload oversight, training, performance management, and quality review.
• Serve as a subject matter expert on commercial payer enrollment requirements and participation standards.
• Oversee ongoing CAQH profile maintenance, including provider demographics, practice information, credentials, attestations, re-attestations, and supporting documentation.
• Monitor enrollment applications, payer statuses, rosters, and effective dates to proactively identify delays, discrepancies, and risks to provider participation or billing readiness.
• Communicate directly with commercial payers to clarify requirements, resolve enrollment issues and discrepancies.
• Collaborate cross-functionally with Credentialing, Contracting, Compliance, Legal, Provider Operations, Revenue Cycle, Billing, and other teams.
• Maintain accurate and complete enrollment records and documentation across enrollment and provider data systems.
• Develop, implement, and continuously improve payer enrollment policies, procedures, workflows, and controls.
• Track and report enrollment metrics, turnaround times, and other KPIs; identify trends and risks.
• Lead process improvement and automation to reduce processing times and improve accuracy.
• Stay current on payer requirements and regulations; partner with leadership to address changes.

Skills

Detail-oriented

Strategic thinking

Cross-functional collaboration

Process improvement

Education

Bachelor's degree

Tools

CAQH

NPPES

PECOS

Payor portals

Credentialing software

CredentialStream

Salesforce

Zendesk

Job description

Lyra Health is seeking a Payer Enrollment Supervisor to own the enrollment lifecycle, including initial enrollments, revalidations, and roster submissions for commercial payers. The role drives scalable processes and ensures provider participation and revenue readiness.

You will supervise enrollment staff, serve as a subject matter expert on payer requirements, and collaborate with Credentialing, Contracting, Compliance, and Revenue Cycle to optimize workflows.