Lead Enrollment Specialist

JOB SUMMARY The Lead Enrollment Specialist serves as the senior technical and operational expert within Enrollment Services responsible for performing complex commercial and government payor enrollment functions—the processes required to register providers and facilities with insurance payors so they can be authorized to bill and receive reimbursement—while providing day-to-day functional leadership, coordination, and support for Enrollment Specialists.

This role has primary responsibility for the ownership, coordination, and execution of non-professional/facility and provider enrollment activities across the system, in addition to managing advanced and escalated provider enrollment issues. The Lead Enrollment Specialist ensures accuracy, consistency, and timeliness of enrollment processes to support revenue cycle integrity, reduce delays in billing readiness, and mitigate reimbursement risk.

The Lead Enrollment Specialist serves as a key subject matter expert and resource for the team, providing training, mentorship, and quality oversight. In partnership with the System Manager of Enrollment Services, this role supports implementation of standardized workflows, monitors performance trends, and contributes to continuous process improvement initiatives. The position functions as a critical liaison between enrollment operations, revenue cycle, contracting, and operational stakeholders across the system.

EDUCATION Associate’s degree or equivalent experience required Bachelor’s degree preferred CPES or similar certification preferred

EXPERIENCE Minimum 4–5 years of provider enrollment experience (required) Demonstrated experience independently managing complex or escalated enrollment issues (required)

Experience serving as a subject matter expert in PECOS facility/non-facility enrollment. (required) Experience serving as a subject matter expert, trainer, or lead resource (strongly preferred) Direct experience with non-professional/facility enrollment (strongly preferred) Experience coordinating system-level or multi-entity enrollment activities (strongly preferred)

Associate's degree or equivalent experience required; 4-5 years provider enrollment experience required; experience with PECOS facility/non-facility enrollment required; CPES certification preferred; bachelor's degree preferred.

Key Responsibilities

• managing enrollment processes
• providing functional leadership
• training and mentoring staff

Skills & Tools

PECOS

Job Details

• Category: Business Operations
• Seniority: Mid Level
• Commitment: Full Time
• Workplace: Remote — United States
• Salary: USD 57,928 – 86,902 / year
• Languages: English

About University of Vermont Health

A healthcare network providing medical services and enrollment operations. — Industry: Healthcare