Note: The job is a remote job and is open to candidates in USA. LifeStance Health is a leading mental health practice group dedicated to improving the mental health of individuals and communities. The Credentialing Systems Analyst is responsible for leading credentialing-related operational and analytical initiatives to enhance clinician and payer data management, collaborating with various teams to develop scalable solutions and improve data integrity.
Responsibilities
- Analyze current state workflows, identify system or process gaps, recommend improvements that reduce manual work, improve data quality and support timely clinician onboarding and payer enrollment
- Design and implement new credentialing workflows, reporting structures, and system configurations within Credentialing
- Facilitate meetings and collaborate cross-functionally with Billing, Revenue Cycle, Digital, Intake, Compliance, Managed Care, and other operational partners
- Partner with RCM and Billing teams to support analyses of credentialing related claim denials, provider data mismatches, directory discrepancies and downstream revenue cycle impacts
- Translate business requirements from cross functional teams into clear system, workflow, reporting and data requirements
- Lead operational initiatives focused on improving provider and payer data integrity, workflow efficiency, and cross-functional alignment
- Design and maintain various credentialing reports, dashboards, scorecards, data extracts and audit tools that support operational visibility and leadership decision-making
- Translate operational issues and business needs into system, workflow, reporting, and process solutions
- Independently diagnose operational issues, determine appropriate remediation, implement solutions, and ensure sustained resolution within assigned scope
- Escalate policy, regulatory, compliance, or enterprise-impacting matters to leadership, as appropriate
- Collaboratively support the management, maintenance, and continuous improvement of credentialing systems and operational processes
- Create, update, and maintain credentialing training resources and support training for new hires and team members
- Act as a subject matter expert for credentialing systems, workflows, and operational processes, including assisting with issue resolution and help desk support
- Support workflow optimization, process standardization, reporting, analytics, and operational readiness initiatives across Credentialing Operations
- Ensure credentialing-related provider information is maintained accurately, consistently, and in a timely manner
- Understand credentialing coordinator responsibilities and support operational efforts related to provider credentialing and data management
- Support cross-functional initiatives that impact operational workflows, provider data integrity, and downstream business processes
- Perform other duties as assigned
Skills
- 5+ years of experience leading operational initiatives and supporting systems with experience working with CRM systems, preferably Salesforce Health Cloud, including system integration, workflow support, reporting, analytics, and user training
- Experience in a medical services or medical technology environment
- Experience supporting cross-functional operational initiatives and process improvement efforts
- Strong customer service and stakeholder partnership skills
- Strong written, verbal, and interpersonal communication skills
- Strong analytical, organizational, and problem-solving capabilities
- Experience with SQL, Power Query, data modeling, data governance, system integrations, APIs or data warehouse concepts
- Experience developing SOPs, business requirements, user guides and audit documentation
- Strong computer proficiency including Microsoft Office, Adobe Reader, PDF applications, and reporting/dashboard tools
- Ability to prioritize, manage, and execute multiple initiatives in a fast-paced environment
- Ability to work independently, exercise sound judgment within scope, and drive initiatives through resolution
- Process-oriented and forward-thinking mindset with attention to operational consistency and data quality
- Demonstrated awareness, inclusivity, sensitivity, humility, and experience working with individuals from diverse backgrounds and experiences
Benefits
- Medical
- Dental
- Vision
- AD&D
- Short and long-term disability
- Life insurance
- A 401k retirement savings with employer match
- Paid parental leave
- Paid time off
- Holiday pay
- Employee Assistance Program
Company Overview
LifeStance is a national provider of behavioral healthcare services with operations across the country. It was founded in 2017, and is headquartered in Bellevue, Washington, USA, with a workforce of 5001-10000 employees. Its website is https://lifestance.com/.