Payer Enrollment Supervisor

🔥 16 hours ago

🇺🇸 United States – Remote

💵 $76k - $115.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Lyra Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2015

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $235M Series F on 2022-01

Healthcare • Healthcare Insurance • SaaS

Lyra Health is a mental health company that partners with organizations to deliver comprehensive and effective global workforce mental health benefits. By providing evidence-based mental health care, Lyra Health boosts employee well-being and drives business impact. Their platform offers high-quality mental health support through a global network of professionals, utilizing AI matching technology to connect members quickly with suitable providers. Lyra Health serves families, couples, adults, and children, offering support for diverse mental health needs. Their programs aim to improve employee health, productivity, and reduce healthcare costs while providing a seamless member experience.

📋 Description

• 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 • Provide guidance on complex enrollment matters and serve as an escalation point for payer, provider, and enrollment issues • Oversee ongoing CAQH profile maintenance and establish controls to monitor expirations and outstanding updates • Monitor enrollment applications, payer statuses, rosters, and effective dates to identify delays, discrepancies, and risks • Communicate directly with commercial payers to clarify requirements and resolve enrollment issues • Collaborate with Credentialing, Contracting, Compliance, Legal, Provider Operations, Revenue Cycle, Billing, and other teams • Maintain accurate enrollment records and documentation across enrollment and provider data systems • Develop, implement, and improve payer enrollment policies, procedures, workflows, and controls • Track and report enrollment metrics, turnaround times, application statuses, CAQH maintenance, and other KPIs • Lead process improvement and automation initiatives • Stay current on payer requirements, CAQH processes, state and federal regulations, and industry best practices

🎯 Requirements

• Bachelor’s degree preferred (or equivalent work experience) • 4+ years of payer enrollment experience in a healthcare organization, medical group, health plan, hospital, CVO, or behavioral health setting • 2+ years of experience in a lead or supervisory role preferred • Proven ability to coach, manage accountability, and lead a team to maintain high standards of quality and timeliness • Deep working knowledge of commercial payer enrollment processes, provider participation requirements, roster management, revalidations, and platforms including CAQH, NPPES, PECOS, payor portals, credentialing software, and ticketing systems (e.g., CredentialStream, Salesforce, Zendesk) • Strong understanding of how credentialing, contracting, enrollment, and revenue cycle operations interconnect, with a track record of scaling and improving operational workflows • Highly detail-oriented self-starter who manages competing deadlines, drives process follow-through, and exercises sound judgement when resolving complex payor and provider escalations • Exceptional analytical, organizational and interpersonal skills to collaborate effectively across departments, service lines and leadership levels • Proven ability to build, improve, and scale operational processes

🏖️ Benefits

• Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances) • Lyra for Lyrians; coaching and therapy services • Equity in the company through discretionary restricted stock units • Competitive time off with pay policies including vacation, sick days, and company holidays • Paid parental leave • 401K with up to 3% matching • Monthly tech allowance • Well-being perks and activities • Surprise swag • Regular community celebration