Enrollment Lead

GeneralGeneralFull TimeRemoteLeadTeam 1-10Since 2013H1B No SponsorCompany SiteLinkedIn

Location

PST (UTC-8)

Posted

6 hours ago

Salary

$60K - $80K / year

Seniority

Lead

No structured requirement data.

Job Description

Enrollment Lead

BetterHelp

Role Description The Enrollment Lead is responsible for overseeing and executing payer enrollment activities for providers across our national behavioral health network. This role serves as a subject-matter expert in payer enrollment requirements and processes, while also providing day-to-day execution, quality oversight, and workflow coordination for enrollment specialists or contractors. The Lead partners closely with internal stakeholders and external payer representatives to ensure timely, accurate, and compliant provider enrollment. What will you do? - Enrollment Operations & Execution - Lead end-to-end payer enrollment and revalidation activities for behavioral health providers across commercial, Medicare, and Medicaid plans. - Ensure accurate and timely submission of initial enrollments, re-credentialing, and demographic updates. - Monitor enrollment timelines, identify risks or delays, and implement corrective actions to meet operational SLAs. - Serve as an escalation point for complex or stalled enrollment cases. - Team Leadership & Quality Oversight - Provide day-to-day guidance, training, and support to enrollment specialists and/or contractors. - Review enrollment submissions for accuracy, completeness, and compliance with payer and regulatory requirements. - Develop and maintain standardized workflows, checklists, and best practices. - Support onboarding and ongoing performance management of enrollment contractors. - Payer & Stakeholder Collaboration - Act as a primary point of contact with payer enrollment departments and credentialing vendors. - Build and maintain strong payer relationships to resolve issues and improve turnaround times. - Partner with internal teams including Credentialing, Provider Operations, Compliance, and Revenue Cycle to align enrollment activities with organizational goals. - Reporting & Continuous Improvement - Track and report enrollment metrics, volumes, turnaround times, and approval rates. - Identify process gaps and recommend operational improvements to increase efficiency and scalability. - Support audits, delegated credentialing requirements, and payer inquiries as needed. What will you NOT do? - You will NOT worry about "runway", "cash left", or "how much time we have until the next round". - You will NOT be confined to your "job". - You will NOT be bogged down by office politics, ego, or bad attitude. - You will NOT get yourself burned out. Requirements - 3+ years of experience in provider credentialing and payer enrollment, preferably in behavioral health or healthcare services. - Demonstrated expertise in commercial, Medicare, and Medicaid enrollment processes. - Experience leading or mentoring team members in an operational setting. - Strong knowledge of CAQH, NPI, PECOS, and payer enrollment portals. - Excellent organizational, problem-solving, and communication skills. - Payer relations and escalation management. - Process improvement and documentation. Preferred - Experience working in a national or multi-state provider organization. - Familiarity with NCQA standards and delegated credentialing environments. - Experience partnering with revenue cycle or billing teams. - Bachelor’s degree or equivalent relevant experience. Benefits - Remote work with regular in-person bonding experiences sponsored by the company. - Competitive compensation. - Holistic perks program (including free therapy, employee wellness, and more). - Excellent health, dental, and vision coverage. - 401k benefits with employer matching contribution. - The chance to build something that changes lives – and that people love. - Any piece of hardware or software that will make you happy and productive. - An awesome community of co-workers.

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