Senior Team Leader – Provider Credentialing & Enrollment

Department: Credentialing / Provider Enrollment
Experience: 6–10 Years
Location: Chennai
Employment Type: Full time
Shift: US Shift / Night Shift
Position Summary
We are looking for an experienced Senior Team Leader – Provider Credentialing & Enrollment to lead a team handling end-to-end US healthcare provider credentialing and payer enrollment activities. The role will be responsible for team performance, quality, SLA/TAT, escalations, provider enrollment, recredentialing, payer follow-ups, and stakeholder management.
Key Responsibilities
- Lead, mentor and manage a team of Provider Credentialing / Enrollment Specialists and ensure achievement of productivity, quality and SLA targets.
- Oversee end-to-end provider credentialing, recredentialing, enrollment, revalidation, demographic updates and terminations .
- Manage credentialing and enrollment activities for individual providers, group practices and multiple specialties .
- Ensure accurate and timely processing through CAQH, PECOS, NPPES/NPI,



Medicaid and commercial payer portals .
- Handle Medicare, Medicaid, Commercial, HMO/IPA and Managed Care payer enrollment activities.
- Review applications and provider documentation for completeness, accuracy and payer-specific requirements.
- Monitor application aging, pending cases, rejections, follow-ups, expirables and enrollment effective dates.
- Act as the first-level escalation point for complex credentialing and payer enrollment issues.
- Coordinate with US-based providers, clients, payer representatives and internal stakeholders to resolve issues and meet deadlines.
- Conduct quality audits, identify process gaps and implement corrective actions to improve accuracy and TAT.
- Prepare and publish MIS/KPI reports covering productivity, quality, aging, TAT and SLA performance.
- Train and coach team members on payer requirements, credentialing processes, portals and SOP updates.
- Identify opportunities for

📌 Senior Team Leader _ Provider Enrollment (India)
🏢 Saisystems Health
📍 India