Provider Enrollment Team Lead

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

Job summary

Beth Israel Lahey Health seeks a Supervisor of Provider Enrollment to lead the enrollment team and coordinate with payors to ensure accurate, timely enrollment transactions and revenue capture.

The role requires 3–5 years in provider enrollment/credentialing, strong Medicare/Medicaid knowledge, and advanced Microsoft Office skills, with leadership responsibilities including staff supervision and cross-functional projects.

Qualifications

• High School diploma or GED required; Bachelor's degree preferred.
• 3-5 years related work experience required and 0-1 years supervisory/management experience.
• 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 (Outlook, Word, Excel, PowerPoint or Access) and other web-based applications.

Responsibilities

• Provide daily ongoing supervision and feedback to the enrollment team; supervise, update, and oversee policy and procedures of enrollment function.
• Maintain delegated credentialing agreements and coordinate audits with PSA on health plans.
• Track performance metrics and implement quality initiatives to enrollment operations; ensure enrollment with payors is completed within required time frames.
• Ensure compliance with enrollment criteria in payor contracts and understand provider information needed for risk contracting.
• Oversee quarterly reconciliation of provider lists and binding authority documentation; manage participating provider agreements and amendments.
• Manage relationships with payors to resolve operational issues between providers and payors affecting enrollment or revenue capture.
• Assist cross-functional projects relating to provider and hospital data; represent enrollment to committees.
• Develop educational programs for participating providers in response to new legislative directives (HIPAA, Medicare Reform Act, NPI).

Skills

Provider enrollment

Policy development

Team leadership

Microsoft Office

Education

Bachelor's degree

High School diploma or GED

Tools

Microsoft Office

Job description

Beth Israel Lahey Health seeks a Supervisor of Provider Enrollment to lead the enrollment team and coordinate with payors to ensure accurate, timely enrollment transactions and revenue capture.

The role requires 3–5 years in provider enrollment/credentialing, strong Medicare/Medicaid knowledge, and advanced Microsoft Office skills, with leadership responsibilities including staff supervision and cross-functional projects.