Reimagining Mental Health
Credentialing Systems Analyst
Location
United States
Posted
3 days ago
Salary
$82K - $100K / year
Seniority
Senior
Job Description
Credentialing Systems Analyst
LifeStance Health
• 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
Job Requirements
- 5+ years of experience leading operational initiatives and supporting systems
- experience working with CRM systems, preferably Salesforce Health Cloud
- 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
- 401k retirement savings with employer match
- paid parental leave
- paid time off
- holiday pay
- Employee Assistance Program
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