Contribute to maintaining audit-ready provider files and supporting compliance efforts through a highly compliant credentialing program while ensuring quality experiences for providers.
● Manage tickets and provide ongoing education and support to providers and group practices on credentialing requirements, policies, and processes aligned with The Joint Commission standards.
● Respond to daily provider inquiries related to credentialing, documentation requirements, onboarding status, and administrative updates.
● Maintain and update provider credentialing records, ensuring all files are complete, accurate, and audit-ready in accordance with Joint Commission requirements.
● Support credentialing audits by reviewing provider files, identifying missing or non-compliant elements, and assisting with remediation efforts.
● Track and verify provider information including licensure, certifications, education, training, and work history to ensure compliance with accreditation standards.
● Assist in preparing documentation and reports for internal audits, mock surveys, and Joint Commission survey readiness activities.
● Maintain and update internal systems and provider databases, ensuring alignment across credentialing, provider directories, and operational platforms.
● Collaborate with cross-functional teams to ensure accurate and compliant provider onboarding and maintenance.
● Identify discrepancies or risks within credentialing data and escalate issues as appropriate.
● Contribute to process improvements that enhance compliance, audit readiness, and operational efficiency.
● Partner with technical teams to identify system issues, improve workflows, and enhance the provider experience while maintaining compliance standards.
● Serve as a liaison between Provider Success and credentialing leadership, ensuring accurate communication of provider status and readiness.● Bachelor’s degree preferred (or equivalent work experience).
● 2+ years of credentialing, provider relations, or healthcare operations experience in a clinic, outpatient practice, hospital, or behavioral health setting.
● Familiarity with The Joint Commission credentialing and documentation standards strongly preferred.
● Experience supporting audit processes, compliance reviews, or accreditation readiness efforts is a plus.
● Strong attention to detail with a focus on documentation accuracy and regulatory compliance.
● Excellent written and verbal communication skills, with the ability to clearly explain requirements and build trust with providers and internal stakeholders.
● Experience with systems such as Zendesk, Salesforce, Jira, or credentialing platforms, or the ability to quickly learn new tools.
● Strong organizational and time management skills, with the ability to manage competing priorities and deadlines.
● Proactive problem-solver who can identify gaps, escalate risks, and follow through on resolution.
● Passion for improving mental health care and supporting high-quality, compliant provider networks.
● Proven ability to work cross-functionally in a collaborative, fast-paced environment.Lyra Health provides comprehensive mental health benefits and support specifically designed for employers, serving over 20 million people globally. Their integrated, AI-powered platform ensures high-quality counseling services and transformative care that leads to faster recovery and reduced healthcare costs for companies.
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