Payer Enrollment Supervisor

About Lyra Health Lyra Health is a leading provider of evidence-based mental health care, serving more than 20 million people globally in partnership with employers and more than 100 million through health plan and partner relationships. The company has delivered more than 15 million sessions of mental health care, published more than 35 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness, and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. Responsibilities: - 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, ensuring accuracy, timeliness, and compliance. - Supervise, coach, and support payer enrollment staff through workload oversight, training, performance management, and quality review to ensure consistent and high-quality execution. - Serve as a subject matter expert on commercial payer enrollment requirements and participation standards, providing guidance on complex enrollment matters and serving as an escalation point for payer, provider, and enrollment issues. - Oversee ongoing CAQH profile maintenance, including provider demographics, practice information, credentials, attestations, re-attestations, and supporting documentation; establish controls to monitor expirations and outstanding updates. - Monitor enrollment applications, payer statuses, rosters, and effective dates to proactively identify delays, discrepancies, and risks to provider participation or billing readiness, ensuring providers remain active with contracted payers. - Communicate directly with commercial payers to clarify requirements, resolve enrollment issues and discrepancies, address delays, and escalate complex matters as needed.

- Collaborate cross-functionally with Credentialing, Contracting, Compliance, Legal, Provider Operations, Revenue Cycle, Billing, and other teams to ensure alignment across provider data, contracts, credentialing, enrollment, and billing readiness. - Maintain accurate and complete enrollment records and documentation across enrollment and provider data systems, ensuring data integrity and readiness for internal audits and compliance reviews. - Develop, implement, and continuously improve payer enrollment policies, procedures, workflows, and controls to support consistency, scalability, compliance, and operational efficiency. - Track and report enrollment metrics, turnaround times, application statuses, CAQH maintenance, and other key performance indicators; identify trends, operational risks, and opportunities for improvement. - Lead process improvement and automation initiatives to reduce enrollment processing times, improve accuracy, enhance visibility, and strengthen the provider and internal stakeholder experience. - Stay current on payer requirements, CAQH processes, state and federal regulations, and industry best practices, partnering with leadership to proactively address changes and strengthen payer enrollment strategy and provider revenue readiness. Qualifications: - 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.