Job DescriptionSenior Team Leader – Provider Credentialing & Enrollment
nDepartment: Credentialing / Provider Enrollment
nExperience: 6–10 Years
nLocation: Chennai
nEmployment Type: Full time
nShift: US Shift / Night Shift
nPosition Summary
nWe 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.
nKey Responsibilities
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- Lead, mentor and manage a team of Provider Credentialing / Enrollment Specialists and ensure achievement of productivity, quality and SLA targets.n
- Oversee end-to-end provider credentialing, recredentialing, enrollment, revalidation, demographic updates and terminations.n
- Manage credentialing and enrollment activities for individual providers, group practices and multiple specialties.n
- Ensure accurate and timely processing through CAQH,



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

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