Sr Manager Provider Enrollment

Hyderabad - India

Monthly Salary: Not Disclosed

Posted on: 10 hours ago

Vacancies: 1 Vacancy

Job Summary

Key Responsibilities: Leadership & Team Management:

Lead mentor and manage Team Leads SMEs and Provider Enrollment Associates
Conduct regular 1:1s performance reviews coaching sessions and development planning
Support hiring onboarding and training to build a scalable and high-performing enrollment organization
Foster a culture of accountability ownership collaboration and continuous improvement

Provider Enrollment Operations:

Oversee end-to-end provider enrollment and revalidation workflows across Medicare Medicaid and commercial payers
Ensure accurate preparation submission and tracking of enrollment applications
Act as an escalation point for complex enrollment issues payer rejections delays and discrepancies
Ensure compliance with federal state and payer-specific enrollment requirements

Operational Excellence & Compliance:

Monitor SLAs turnaround times quality metrics and productivity across teams
Review enrollment files and workflows to ensure consistency accuracy and timeliness
Maintain strong working knowledge of payer-specific rules documentation standards and timelines

Process Improvement & Scalability:

Analyze enrollment pipelines volumes and trends to forecast staffing and capacity requirements
Identify operational gaps and implement SOPs controls and process improvements
Partner with internal stakeholders to introduce new payer types workflows or service offerings
Leverage enrollment platforms and tools (e.g. CAQH NPPES payer portals) to drive efficiency

Stakeholder & Client Engagement:

Serve as a senior escalation point for client and provider concerns
Communicate enrollment status risks and resolutions clearly to leadership and clients
Prepare and present operational updates metrics and insights
Collaborate cross-functionally with Credentialing Licensing and Product teams

Strategic Responsibilities (Senior Manager Scope):

Contribute to enrollment strategy capacity planning and long-term operational scalability
Support leadership initiatives related to growth regulatory changes or market expansion
Ensure alignment between day-to-day execution and organizational objectives

Qualifications & Experience:

Bachelors degree in healthcare administration business or a related field (preferred)
Mandatory strong hands-on experience in Provider / Payer Enrollment
Manager Level
- 6 8 years of experience in Provider Enrollment
- 3 years of people management experience in a high-volume environment
Senior Manager Level
- 10 12 years of experience in Provider Enrollment
- 6 8 years of experience managing managers team leads or large operational teams

Key Responsibilities: Leadership & Team Management: Lead mentor and manage Team Leads SMEs and Provider Enrollment Associates Conduct regular 1:1s performance reviews coaching sessions and development planning Support hiring onboarding and training to build a scalable and high-performing enro...