Credentialing Systems Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $82k - $100k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Systems Engineer

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LifeStance Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

⚕️ Healthcare Insurance

📡 Telecommunications

🧘 Wellness

💰 Private Equity Round on 2016-12

Healthcare Insurance • Telecommunications • Wellness

LifeStance Health is a provider of comprehensive mental health services, offering care through in-person and telehealth appointments for various mental health conditions such as anxiety, depression, ADHD, and more. With a large network of licensed clinicians, including psychiatrists, psychologists, and therapists, LifeStance Health tailors care plans to fit individual needs. The company accepts a wide range of insurance plans, making mental health care accessible to a broad audience. Services include therapy, psychiatric evaluations, medication management, and psychological testing across numerous states.

📋 Description

• 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

🎯 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