Credentialing Systems Analyst

Responsibilities

• Systems Analyst
• 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
• Credentialing Operations team member:
• 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

Requirements

• 5+ years of experience leading operational initiatives and supporting systems with experience working with CRM systems, preferably Salesforce Health Cloud, including system integr

Benefits

Additional Information

At LifeStance Health, we strive to help individuals, families, and communities with their mental health needs. Everywhere. Every day. It's a lofty goal; we know. But we make it happen with the best team in mental healthcare. Thank you for taking the time to explore a career with us. As the fastest growing mental health practice group in the country, now is the perfect time to join our team! LifeStance Health Values Belonging: We cultivate a space where everyone can show up as their authentic self. Empathy: We seek out diverse perspectives and listen to learn without judgment. Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it. One Team: We realize our full potential when we work together towards our shared purpose.

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