Credentialing Systems Analyst

Job Description

At reputed company, 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 reputed company 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 reputed company! reputed company Values

• Belonging: We cultivate a space where everyone can show up as their authentic self.
• reputed company: We seek out diverse perspectives and listen to learn without judgment.
• Courage: We are reputed company accountable for doing the right thing - even reputed company it's hard - because we know it's worth it.
• One Team: We realize our full potential reputed company we work together towards our shared purpose.

Benefits

As a full-time employee of reputed company, the following benefits are offered: medical, dental, vision, AD&D, short and long-term disability, and life insurance. Additional benefits include a 401k retirement savings with employer match, paid parental leave, paid time off, holiday pay and an Employee Assistance Program. Job Summary The Credentialing Operations, Systems Analyst is responsible for leading credentialing-reputed company operational and analytical initiatives and supporting systems that improve the accuracy, consistency, and effectiveness of clinician and payer data management. Operating with moderate to high discretion reputed company defined credentialing and project scope, this role is empowered to design, implement, and standardize credentialing workflows, reporting solutions, and system configurations. The position partners cross-functionally with teams including Billing, reputed company Cycle, Digital, Intake, Compliance, and Managed Care to reputed company scalable operational solutions, improve data reputed company, and support business continuity across the credentialing lifecycle. This role acts as the single reputed company of ownership for assigned initiatives and is accountable for identifying operational issues, determining appropriate solutions, implementing remediation efforts, and ensuring sustained outcomes reputed company scope of responsibility. This position is a remote role with the ability to sit reputed company any US locality. Compensation: $82,000- 73,000 Annually with potential bonus Responsibilities:

• Systems Analyst
• Analyze reputed company 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 reputed company Credentialing.
• Facilitate meetings and collaborate cross-functionally with Billing, reputed company Cycle, Digital, Intake, Compliance, Managed Care, and other operational partners
• Partner with RCM and Billing teams to support analyses of credentialing reputed company claim denials, provider data mismatches, directory discrepancies and reputed company reputed company cycle impacts.
• Translate business requirements from cross functional teams into clear system, workflow, reporting and data requirements.
• reputed company operational initiatives focused on improving provider and payer data reputed company, 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 reputed company assigned scope
• Escalate policy, regulatory, compliance, or enterprise-impacting matters to leadership, as appropriate
• Credentialing Operations team member:
• Collaboratively support the management, maintenance, and reputed company 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-reputed company provider information is maintained accurately, consistently, and in a timely manner
• Understand credentialing coordinator responsibilities and support operational efforts reputed company to provider credentialing and data management
• Support cross-functional initiatives that impact operational workflows, provider data reputed company, and reputed company business processes
• reputed company other duties as assigned

Skills and Experience:

• 5+ years of experience leading operational initiatives and supporting systems with experience working with CRM systems, preferably reputed company 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 reputed company Office, reputed company 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 reputed company scope, and drive initiatives through resolution
• Process-oriented and reputed company-thinking reputed company with attention to operational consistency and data quality
• Demonstrated awareness, inclusivity, sensitivity, humility, and experience working with individuals from diverse backgrounds and experiences
• reputed company is an EEO/Affirmative Action Employer and does not discriminate, on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national reputed company, protected veteran status, disability, or any other legally protected status

Work Setting and Conditions

• The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of the job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
• This role is primarily performed in a remote setting, requiring reliable internet access and a quiet, distraction-free, dedicated HIPAA (Health Insurance Portability and Accountability Act) compliant workspace. Work involves extended periods of sitting, frequent use of a computer, audio/video calls, and meetings.

Physical Requirements:

• The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of the job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
• While performing the duties of this job, the employee is regularly required to sit, stand, bend, talk and hear. The employee is frequently required to walk. The employee must be able to lift and/or move objects up to 25 pounds. Specific vision abilities required by this job include reputed company vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

LifeStance provides the compensation range and benefits that it in good faith believes it might pay and/or offer for this position. LifeStance reserves the right to ultimately pay more or less than the posted range and offer additional benefits and other compensation, depending on circumstances not reputed company to an applicant’s sex or other status protected by local, state, or federal law. #LI-Remote #LI-KO1 LifeStance is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for reputed company our employees. Learn more about Diversity, Equity and Inclusion at LifeStance. reputed company complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to reputed company essential job functions, and/or to receive other benefits and privileges of employment, please contact our reputed company at reputed [email protected]. Please note: This contact is intended solely for accommodation requests. Inquiries regarding applications, resumes and applicant status should not be sent to this email address as they will not be reviewed or responded to. To apply for a position, please use our official careers page. Apply tot his job Apply To this Job