支付方注册主管
Payer Enrollment Supervisor
关于 Lyra Health
Lyra Health 是一家领先的循证心理健康护理服务提供商,与雇主合作为全球超过 2000 万人提供服务,并通过健康计划和合作伙伴关系覆盖超过 1 亿人。公司已提供超过 1500 万次心理健康护理,发表了 35 多篇同行评审研究,并在可及性、临床效果和成本效率方面取得了无与伦比的成果。大量同行评审研究表明,Lyra 的创新护理模式使人们恢复速度提高一倍,并导致整体医疗费用每年减少 26%。Lyra 通过 Lyra Empower 平台,彻底改变了获得改变生命的心理健康护理的方式,这是唯一一个完全集成的、基于人工智能的平台,结合了最高质量的护理和科技解决方案。
Lyra 正在寻找一位注重细节且具有战略眼光的 Payer Enrollment Supervisor(保险公司注册主管),能够在快节奏、合规驱动的环境中工作,并对保险公司注册运营、供应商参与和注册项目完整性负责。该职位将领导并监督保险公司注册活动,重点关注准确性、及时性、保险公司要求以及在签约网络中持续保持供应商参与度。
Payer Enrollment Supervisor 将负责管理整个保险公司注册生命周期,包括初始注册、重新验证、与重新认证相关的注册活动、个人信息更新、名单提交和保险公司维护。该职位将推动可扩展的流程,确保注册准备就绪,并主动识别和解决可能影响供应商参与或收入周期运营的问题。
平衡运营管理与项目开发,该职位将监督和支持保险公司注册团队,作为商业保险公司注册要求的专家,并作为 Enrollment(注册)、Credentialing(认证)、Contracting(合同)、Revenue Cycle(收入周期)、Billing(计费)、Provider Operations(供应商运营)和保险公司代表之间的关键联络人,以确保供应商已注册、活跃并具备收入准备能力。
我们是一家平等机会雇主。我们不会基于种族、肤色、宗教、性别(包括怀孕)、国籍、年龄、残疾、遗传信息或其他受法律保护的类别进行歧视。
通过申请此职位,您确认您的个人信息将按照 Lyra Health 的用工政策进行处理。
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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.
Lyra is seeking a detail-oriented and strategic Payer Enrollment Supervisor who thrives in a fast-paced, compliance-driven environment and takes ownership of payer enrollment operations, provider participation, and enrollment program integrity. This role will lead and oversee payer enrollment activities with a strong focus on accuracy, timeliness, payer requirements, and maintaining continuous provider participation across contracted networks.
The Payer Enrollment Supervisor will be responsible for overseeing the full payer enrollment lifecycle, including initial enrollments, revalidations, re-credentialing-related enrollment activities, demographic updates, roster submissions, and payer maintenance. This individual will drive scalable processes, ensure enrollment readiness, and proactively identify and resolve issues that could impact provider participation or revenue cycle operations.
Balancing operational execution with program development, this role will supervise and support payer enrollment staff, serve as a subject matter expert on commercial payer enrollment requirements, and act as a key liaison between Enrollment, Credentialing, Contracting, Revenue Cycle, Billing, Provider Operations, and payer representatives to ensure providers are enrolled, active, and revenue-ready.
"We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.
By applying for this position, you acknowledge that your personal information will be processed as per the Lyra Health Workforce Privacy Notice. Through this application, to the extent permitted by law, we will collect personal information from you including, but not limited to, your name, email address, gender identity, employment information, and phone number for the purposes of recruiting and assessing suitability, aptitude, skills, qualifications, and interests for employment with Lyra. We may also collect information about your race, ethnicity, and sexual orientation, which is considered sensitive personal information under the California Privacy Rights Act (CPRA) and special category data under the UK and EU GDPR. Providing this information is optional and completely voluntary, and if you provide it you consent to Lyra processing it for the purposes as described at the point of collection, for example for diversity and inclusion initiatives. If you are a California resident and would like to limit how we use this information, please use the Limit the Use of My Sensitive Personal Information form. This information will only be retained for as long as needed to fulfill the purposes for which it was collected, as described above. Please note that Lyra does not “sell” or “share” personal information as defined by the CPRA. Outside of the United States, for example in the EU, Switzerland and the UK, you may have the right to request access to, or a copy of, your personal information, including in a portable format; request that we delete your information from our systems; object to or restrict processing of your information; or correct inaccurate or outdated personal information in our systems. These rights may be subject to legal limitations. To exercise your data privacy rights outside of the United States, please contact globaldpo@lyrahealth.com. For more information about how we use and retain your information, please see our Workforce Privacy Notice."
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.
- 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.