Provider Enrollment Supervisor

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Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview
The Provider Enrollment Supervisor serves as an operational leader and subject matter expert in revenue cycle management and accounts receivable operations. Key responsibilities of the role include building an outstanding team culture through consistent engagement; fostering professional development of all direct and indirect reports, especially the next generation of CHOP leaders; identifying, deploying, and maintaining best practices in revenue cycle operations; understanding and monitoring Key Performance Indicators (KPIs), and taking quick and appropriate action to maintain the financial health of CHOPPA. This position collaborates with stakeholders at all levels, mentors team members, and ensures alignment with organizational financial goals.

The Enrollment Supervisor oversees a team of enrollment specialists responsible for enrolling and maintaining healthcare providers with payers and regulatory bodies. This role ensures timely, accurate, and compliant submission and follow-up of applications, roster updates, and demographic changes across both delegated and non-delegated payer agreements. The Supervisor provides day-to-day operational leadership, helps resolve escalated issues, ensures quality and productivity standards are met, and supports continuous process improvement including optimizing the CredentialStream software via workflow adjustments, alerts and reporting improvements. This role serves as a subject matter expert (SME) on best practice and regulatory changes and supports departmental planning and goal setting. This role works closely with the Enrollment Manager to align department goals with organizational objectives.

What you will do

• Team Leadership & Oversight
  * Lead and support a team of enrollment coordinators/specialists, including daily work assignments, workflow management, and issue resolution.
  * Monitor individual and team performance, providing coaching and support to ensure service level agreements (SLAs) and quality standards are met.
  * The Enrollment Supervisor is the first line of contact for internal support for questions regarding processes, policies and software use.
  * Conduct regular team huddles, one-on-ones, and provide input on performance reviews to the enrollment manager.
  * Support departmental hiring, onboarding, and training initiatives.
  * Manage staff workload distribution
• Operational Excellence
  * Oversee all aspects of enrollment processing from accuracy to timeliness and capacity including but not limited to:
  Initial and re-enrollment applications
  Revalidations
  CAQH attestations
  PECOS submissions
  Delegated roster submissions
  Demographic updates and maintenance
  * Ensure expert knowledge of payer enrollment requirements.
  * Ensure compliance with internal policies, payer requirements, and regulatory standards (e.g., CMS, NCQA, URAC).
  * Support audit preparation and response (internal and external), including delegated audits.
  * Identify and implement workflow standardization and process optimization.
  * Develop and maintain SOPs for enrollment processes.
  * Serve as SME on best practices and regulatory changes.
  * Oversee all aspects of enrollment processing (applications, revalidations, CAQH, PECOS, roster submissions, demographic updates).
  * Ensure compliance with policies, payer requirements, and regulatory standards; support audits.
• Issue Resolution & Escalation
  * Serve as the point of escalation for complex enrollment issues, payer rejections, or application delays.
  * Partner with managers, operational leaders from other departments such as Revenue Cycle, and payers to troubleshoot and resolve barriers.
  * Serve as escalation point for complex enrollment issues and delays.
  * Partner with other departments and payers to resolve barriers.
• Reporting & Metrics
  * Track and review key metrics, capacity and all turnaround times (TATs), and act appropriately on the data.
  * Establish, monitor, and report on KPIs (application submissions, turnaround times, denial rates, revenue impact).
  * Identify process bottlenecks and opportunities for improvement; collaborate with leadership to streamline workflows and enhance automation.
• Collaboration
  * Work closely with credentialing, provider relations, contracting, and IT/technology teams to ensure provider onboarding and enrollment completeness.
  * Communicate with payers, practitioners, and other partners as needed.
  * Assist Manager in departmental planning and goal setting.

Education Qualifications

• High School Diploma / GED - Required
• Bachelor's Degree - Preferred

Experience Qualifications

• At least three (3) years Provider enrollment, credentialing, or related healthcare operations - Required
• At least one (1) year supervisory or lead experience - Preferred

Skills and Abilities

• Strong knowledge of CMS, PECOS, CAQH, payer enrollment guidelines (Required proficiency)
• Strong knowledge of delegated vs direct contract structures (Required proficiency)
• Ability to lead and mentor a team in a high-volume, fast-paced environment (Required proficiency)
• Excellent communication, problem-solving, and analytical skills (Required proficiency)
• Strong organizational skills and attention to detail (Required proficiency)
• Proficiency in Microsoft Office Suite (Excel, Word, Outlook) (Required proficiency)
• Enrollment management software (CredentialStream, Echo, Symplr, MD-Staff) (Preferred proficiency)

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

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SALARY RANGE:

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

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At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.