Payer Enrollment Supervisor

• Oversee the end-to-end payer enrollment and maintenance lifecycle for individual and group providers, including initial enrollments, revalidations, re-credentialing-related activities, demographic updates, roster submissions, and other payer requirements.
• Supervise, coach, and support payer enrollment staff through workload management, training, performance oversight, and quality reviews.
• Serve as a subject matter expert on commercial payer enrollment requirements, provider participation standards, and complex enrollment matters, acting as an escalation point for payer, provider, and operational issues.
• Manage ongoing CAQH profile maintenance, including provider demographics, practice information, credentials, attestations, re-attestations, and supporting documentation, while implementing controls for expirations and outstanding updates.
• Monitor applications, payer statuses, rosters, and effective dates to identify delays, discrepancies, and risks that could affect provider participation or billing readiness.
• Communicate directly with commercial payers to clarify requirements, resolve discrepancies, address delays, and escalate complex enrollment matters when necessary.
• Partner cross-functionally with Credentialing, Contracting, Compliance, Legal, Provider Operations, Revenue Cycle, Billing, and other teams to align provider data, contracts, credentialing, enrollment, and billing readiness.
• Maintain complete and accurate enrollment records across provider data and enrollment systems, supporting data integrity, audits, and compliance reviews.
• Develop and continuously improve payer enrollment policies, procedures, workflows, and controls to strengthen consistency, scalability, compliance, and efficiency.
• Track enrollment metrics, turnaround times, application statuses, CAQH maintenance, and other KPIs, using trends and operational insights to identify risks and improvement opportunities.
• Lead process improvement and automation initiatives designed to reduce processing times, improve accuracy, increase visibility, and enhance the experience of providers and internal stakeholders.
• Stay current on payer requirements, CAQH processes, state and federal regulations, and industry practices, proactively adapting enrollment strategies to changing requirements.

Requirements

• 4+ years of payer enrollment experience within a healthcare organization, medical group, health plan, hospital, CVO, behavioral health organization, or similar environment.
• 2+ years of experience in a lead or supervisory capacity, with demonstrated ability to coach employees, manage accountability, and maintain high standards of quality and timeliness.
• Bachelor’s degree preferred, or equivalent relevant professional experience.
• Deep working knowledge of commercial payer enrollment processes, provider participation requirements, roster management, revalidations, and related enrollment activities.
• Hands-on familiarity with platforms and systems such as CAQH, NPPES, PECOS, payer portals, credentialing software, and ticketing or workflow systems such as CredentialStream, Salesforce, or Zendesk.
• Strong understanding of the connections between credentialing, contracting, payer enrollment, provider operations, and revenue cycle processes, with a track record of improving and scaling operational workflows.
• Exceptional attention to detail and the ability to manage multiple competing deadlines while maintaining strong follow-through and sound judgment.
• Strong analytical, organizational, communication, and interpersonal skills, with the ability to collaborate effectively across departments, service lines, and leadership levels.
• Demonstrated ability to identify operational gaps, build scalable processes, and drive continuous improvement.
• Ability to handle complex payer and provider escalations professionally, confidentially, and with appropriate judgment.
• A proactive, self-directed approach and the ability to thrive in a fast-paced, compliance-driven environment.

Benefits

• Annual base salary of $76,000–$115,500, with placement determined by skills, qualifications, experience, location, and other job-related factors.
• Potential eligibility for discretionary bonuses.
• Comprehensive healthcare coverage, including medical, dental, and vision insurance, plus FSA/HSA options and life and disability insurance.
• Access to employee coaching and therapy services.
• Discretionary restricted stock units providing an opportunity for equity participation.
• Competitive paid time off, including vacation, sick days, and company holidays.
• Paid parental leave.
• 401(k) plan with up to a 3% employer match.
• Monthly technology allowance.
• Well-being perks, community celebrations, surprise gifts, and other employee activities.
• Opportunities to work in a collaborative environment focused on professional growth and operational excellence.