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Provider Enrollment Team Lead Jobs (NOW HIRING)

Alegis

Provider Enrollment Manager

Brecksville, OH

As well as oversee process, work and team members during the execution of the enrollment process. ESSENTIAL DUTIES AND RESPONSIBILITIES * Oversee all aspects of the provider enrollment process.

Aspen Dental

Provider Enrollment Specialist

New York, NY · On-site +1

$24 - $26/hr

S., supporting 15,000 healthcare professionals and team members at more than 1,000 health and ... The Provider Enrollment Specialist plays a vital role within our Payor Strategy team. This position ...

MyMichigan Health

Provider Enrollment Coord

Midland, MI · On-site

Coordinates and completes all provider enrollment activities for enrolling new and locum tenens ... Keeps team members and other stakeholders informed of progress on enrollment process by electronic ...

NorthBay Health

Provider Enrollment Analyst

Fairfield, CA · On-site

$38.09 - $46.32/hr

... an effective team member. * Ability to integrate information from multiple sources into an ... manage provider health plan enrollment. PREFERRED: * NCQA health plan accreditation training ...

Ventra Health, Inc.

Provider Enrollment Specialist

Come Join Our Team! * As part of our robust Rewards & Recognition program, this role is eligible ... The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ...

Ventra Health, Inc.

Provider Enrollment Specialist

Come Join Our Team! * As part of our robust Rewards & Recognition program, this role is eligible ... The Provider Enrollment Specialist works in conjunction with the Provider Enrollment Manager to ...

REGENCY GROUP

Provider Enrollment Analyst (84849)

TX · On-site

Regency's Provider Enrollment Department is seeking a detail-oriented and highly organized Provider Enrollment Analyst to join our corporate team in Victoria, TX. This role plays a critical part in ...

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Provider Enrollment Team Lead information

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How much do provider enrollment team lead jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for provider enrollment team lead in the United States is $23.04, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $24.76 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Provider Enrollment Team Lead, and why are they important?

To thrive as a Provider Enrollment Team Lead, you need in-depth knowledge of healthcare provider credentialing processes, regulations, and experience in provider enrollment, often supported by a relevant degree or certification (such as CPCS or CPMSM). Familiarity with credentialing software, payer portals, and healthcare compliance systems is typically required. Strong leadership, attention to detail, and effective communication skills are essential for managing teams and collaborating with providers and payers. These skills ensure accurate, timely provider onboarding and compliance with regulatory standards, which are critical for maintaining organizational operations and reimbursement.

What is a Provider Enrollment Team Lead?

A Provider Enrollment Team Lead is a professional responsible for overseeing a team that manages the enrollment and credentialing of healthcare providers with insurance plans and government programs. They ensure that all provider applications are accurate, complete, and compliant with regulatory requirements. The Team Lead also monitors workflow, provides training and support to staff, and serves as a point of contact between providers, payers, and internal departments. Their work helps healthcare organizations maintain timely reimbursements and compliance with industry standards.

What are the typical challenges faced by a Provider Enrollment Team Lead, and how can they be addressed?

Provider Enrollment Team Leads often navigate challenges such as managing complex regulatory requirements, ensuring timely processing of provider applications, and coordinating communication between healthcare providers, payers, and internal teams. Staying up-to-date with evolving payer guidelines and maintaining accuracy in documentation are crucial. Successful leads address these challenges by fostering clear communication, implementing efficient tracking systems, and providing ongoing training to their team members. Collaboration with compliance and credentialing departments is also essential to streamline workflows and minimize processing delays.
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What cities are hiring for Provider Enrollment Team Lead jobs? Cities with the most Provider Enrollment Team Lead job openings:
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Provider Enrollment Team Lead jobs near you
Infographic showing various Provider Enrollment Team Lead job openings in the United States as of July 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 93% In-person, and 7% Hybrid job distribution, with an average salary of $47,922 per year, or $23 per hour.
Provider Enrollment Specialist III

Provider Enrollment Specialist III

Northern Light Health

Brewer, ME • On-site, Remote

$22.30 - $34.22/hr

Full-time

Posted 7 days ago

Northern Light Health rating

6.7

Company rating: 6.7 out of 10

Based on 164 frontline employees who took The Breakroom Quiz

532nd of 890 rated healthcare providers

Job description

The compensation range listed reflects the range Northern Light Health anticipates relying on in setting the wages for the position. The range may not necessarily include all additional compensation elements available, such as differentials, incentive programs and benefits.
Northern Light Health
Department: Credentialing
Position is located: Cianchette Professional Blding
Work Type: Full Time
Hours Per Week: 40.00
Work Schedule: 8:00 AM to 4:30 PM
Exempt: No
Summary:
The Provider Enrollment Specialist III is responsible for performing all provider and facility enrollment and re-credentialing activities required of all NLH contracted commercial and governmental payers. The Specialist will support the maintenance of provider CAQH profiles, partner closely with the revenue cycle and operational leaders to resolve enrollment barriers, follow-up with payers to eliminate risk associated with enrollment gaps, and monitor held claims to ensure timely action.
The specialist serves as a senior resource for complex enrollment issues and may lead or participate in payer enrollment issues or enrollment initiatives, process improvement efforts, regulatory compliance activities, system implementations, and other special projects related to payer enrollment operations.
The Specialist will comply with all CVO requirements and adhere to NCQA accreditation standards as outlined in policy.
Responsibilities:
Practitioner and Facility Enrollment
  • Assists with enrollment and re-credentialing application management in accordance with payer requirements.
  • Partners with department credentialing staff and member hospital leadership when needed to obtain required forms, signatures, and any other required documentation needed for the purpose of enrollment or revalidation.
  • Serves as department subject matter expert for all governmental payers.
  • Understands specific application requirements for each payer including pre-requisites, forms required, form completion requirements, supporting documentation and regulations.
  • Ensures that established provider IDs and enrollment effective dates are updated in the enrollment platform to ensure timely release of claims.
  • Actively engages in issue resolution efforts to resolve enrollment rejections, enrollment delays, or troubleshoot denied claims.
  • Working knowledge of the following databases: CAQH Proview, PECOS, Availity, MIMHS, and other payer portals required.
Enrollment Maintenance
  • Performs enrollment tracking and timely follow-up to ensure providers are established and linked to the appropriate facility.
  • Ensures accurate database management, including provider demographics and enrollment records.
  • Acts as a liaison between the Medical Staff and contracted payers.
  • Monitors facility enrollment and completes revalidations in accordance with payer requirements and timelines.
Policies, Procedures and Documents
In conjunction with the department leadership:
  • Control and direct the administrative maintenance and support of governance documents.
  • Ensure that all documents are reflective of current federal, state, and accreditation requirements
  • Protect permanent records by managing a secure method of retention in accordance with the organization's retention policies and the department's policies.
Operations, Financial and Quality Management
In conjunction with the department leadership:
  • Develop operational quality indicators which reflect meaningful measures of quality of services provided.
  • Ensures that workflow, information systems and policies and procedures are current and appropriately maintained.
  • Supports the completion of audits and other quality assurance activities.
CVO Operations
In conjunction with the Provider Enrollment Manager:
  • Supports department leadership in managing the day-to-day operations of the enrollment team.
  • Acts as a supportive resource for staff and users and identifies any tools and training necessary to perform their assigned tasks.
  • Serves as lead payer enrollment educator and mentor for enrollment team.
  • Promotes best practice by continually assessing payer credentialing processes and championing innovation and best practice.
  • Supports department leadership by providing ongoing communication with relevant medical staff leaders and hospital administration.
Miscellaneous and Other Tasks:
  • Maintains working knowledge of all computer applications needed for position including facility specific credentialing software database, Word, Excel and PowerPoint (as applicable)
  • The Specialist may be assigned to various tasks such as reception, filing, direct correspondence with providers offering a "best in class" experience, or other activities required to support the general operations of the CVO.
  • Continually strives to achieve individual team and departmental goals.
Other Duties
Other Information:
  • Certified Provider Enrollment Specialist (CPES) or Provider Enrollment Specialist Certificate (PESC) required.
  • Advanced knowledge of Medicare, PECOS, NPPES, CAQH and provider data management processes required. Experience resolving complex enrollment issues, payer denials, and enrollment gaps required.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) certification preferred

Competencies and Skills
  • Achieves Results: Sets high standards for their own outcomes and seizes opportunities to engage others towards objectives. Consistently moves forward with direct actions in order to attain or exceed objectives. Manages their own time effectively to accomplish assigned tasks. Successfully prioritizes multiple projects and duties as needed.
  • Adobe Acrobat
  • Demonstrates Adaptability: Learns quickly when facing a new problem or unfamiliar task; is flexible in their approach with changing priorities and ambiguity. Manages change effectively and does not give up during adversity. Capable of changing one's behavioral style and/or views in order to attain a goal. Absorbs new information readily and puts it into practice effectively.
  • Demonstrates Emotional Intelligence: Exhibits a high level of self-awareness, self-management, other awareness and relationship management. Conducts themselves in an empathic, appropriate way, with a sense of humor and stimulates a collaborative work environment. Is respectful of the attitudes, feelings, or circumstances of others and aware of the influence of their own behavior on them. Is aware of relevant social, political, system, and professional trends and developments and uses this information for the organization's benefit.
  • Develops Self and Others:Takes responsibility for engaging in professional self-development activities and programs. Strives to gain insight into their own values, strengths and weaknesses, interests and ambitions and takes action in order to enhance competencies and skills when possible. As a leader, encourages and guides employees towards growth opportunities to enhance performance and help them reach goals. Reviews and analyzes employees' strengths and weaknesses to distinguish their talents and development needs, and to ensure they are enhanced appropriately.
  • Effectively Communicates: Listens, speaks and writes appropriately, using clear language. Communication methods are fitting to the message(s), audience, and situation and follow-ups are regular and timely. Shows that important (non-) verbal information is absorbed and understood and asks further questions to clarify when necessary. Expresses ideas and views clearly to others and has ability to adjust use of language to the audiences' level.
  • Exercises Sound Judgment & Decision Making: Understands and processes complex information, which allows for appropriate and accountable conclusions. Does not react too quickly or slowly. Balances facts, goals, and potential approaches taking the appropriate criteria into account. Makes active decisions and commits oneself by communicating confidently and respectfully.
  • Fosters Innovation: Employs and encourages the use of meaningful creativity in solving challenges. Proactively identifies opportunities and uses new approaches to enhance processes, systems and services. When appropriate, suggests or initiates new strategies, products, services, and markets.
  • Influences and Inspires: Builds enthusiasm and commitment among others to move in a desired direction and models it personally. Creates a compelling vision of success that motivates workplace initiative and energizes others to follow. Provides direction and guidance to encourage cooperation between team members in order to attain an objective. Has the ability to appropriately influence others' actions and decisions with and without express authority.
  • Spreadsheet application with the ability to use calculations, formulas, graphing tools, pivot tables, and a macro programming.
  • Word processing, spreadsheets, data entry, database experience and other computer related skills.
  • Email application with the ability to manage email as well as calendars, managing tasks and contacts, note taking, journaling, and web browsing.
  • Presentation software with the ability to create presentations with the ability to incorporate animation, audio, video, time delays, as well as designing themes and variants with animations and effects.
  • MS Teams
  • Multi-line phone, scanner, photocopier, fax, and internet.
  • Experience with operating a network.
  • Public Speaking
  • Seeks Process Improvement & Applies System Thinking: Possesses and gains insight into situations, problems and processes. Understands the interconnection between organizational elements. Deconstructs problems and systematically investigates the various components. Considers the impact of actions on the entire process/system. Detects problems and opportunities, recognizes important information, and links various data to trace potential causes and relevant details.
  • Serves Others: Strives to understand, meet and exceed the expectations and requirements of internal and external customers which may include the people and communities in our service areas. Develops and maintains relationships, alliances and coalitions within and outside the organization and leverages them in order to obtain information, support, and promote cooperation and collaboration.
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  • Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
  • Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of belonging, empowerment, and cooperation.
  • Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
  • Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Education
  • Required Bachelor's DegreeIn lieu of education, two years of experience is required per year of required education, exclusive of the minimum experience identified above.

Required Experience
  • 5 year/years of Relevant Work Experience

Working Conditions
  • Work with computers, typing, reading or writing.

As an integrated health delivery system serving Maine, Northern Light Health is raising the bar with no-nonsense solutions that are leading the way to a healthier future for our state. Our care team-in hospitals, primary and specialty care practices, long-term and home healthcare, behavioral healthcare, and ground and air medical transport and emergency care-are committed to making healthcare work for you: our patients, communities, and employees.
Questions? Contact Talent Acquisition:
phone: 207-973-7100
email: talentacquisition@northernlight.org
Brewer, Maine, Corporate Office, Cianchette, Foundation, Finance, Human Resources, Legal Services

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