About Lyra
Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.
About the Role
Lyra is looking for a Credentialing Specialist who is energized by delivering day-to-day support while taking ownership of critical compliance and credentialing processes, including expirables management and ongoing provider monitoring. This role manages licensure, DEA, CSR, board certifications, professional liability insurance, and actively monitors provider records to ensure continuous compliance with NCQA and internal standards. The Specialist will also oversee ongoing monitoring flags, new reports, and submissions to the Credentialing Committee, as well as communicate with providers to collect explanations and supporting documentation.
The role balances direct provider support with operational compliance, ensuring that both the provider experience and client experience are optimized across Lyra’s nationwide network of mental health providers and group therapy practices. The Credentialing Specialist will support providers through Lyra’s onboarding process and ongoing work with clients, with a strong emphasis on thoroughness, customer service, and relationship management with key external stakeholders.
Responsibilities
Manage tickets and offer ongoing education and support to providers/practices on Lyra’s processes and policies; field daily questions and concerns from providers related to credentialing; update administrative information; provide as-needed technical support as providers/practices navigate our tools and systems.
Oversee all expireables for providers, including licensure, DEA, CSR, board certifications, and professional liability insurance; proactively track expirations and initiate renewal processes to prevent lapses.
Conduct ongoing monitoring of provider records, reviewing system alerts, flags, and new reports; investigate findings, obtain provider explanations when required, and escalate issues as appropriate.
Prepare and submit new reports, documentation, and findings to the Credentialing Committee.
Maintain and audit provider database information to ensure accuracy and compliance with NCQA and TJC standards.
Contribute to product and process improvements, providing an important provider voice, and champion any changes with providers.
Work cross-functionally with other teams to improve workflows, resolve issues, and implement new processes.
Collaborate with technical teams to identify bugs and improve the provider experience.
Serve as a liaison between the Provider Success team and the Credentialing Committee, keeping members updated on provider status, compliance, and monitoring outcomes.
Qualifications
Bachelor’s degree 2+ years of customer or provider relations/credentialing experience in a clinic, outpatient practice or inpatient setting
Experience supporting a remote workforce is a plus
Experience working within an NCQA and TJC Accredited institution and solid understanding of NCQA and TJC accreditation requirements
Knowledge of primary source verification and credentialing standards
Experience managing licensure, DEA, CSR, board certifications, liability insurance, and monitoring compliance flags preferred
Excellent communication skills, both verbal and written, with an emphasis on quickly gaining trust by being thorough, patient and clear while troubleshooting remotely with internal and external stakeholders
Experience with CredentialStream, Zendesk, Salesforce, and/or Jira; otherwise you pride yourself on picking up new tools/systems quickly
Detail-oriented, highly organized, and comfortable managing competing long- and short-term priorities
Self-starter with strong initiative to research, take action, and streamline workflows
Passionate about improving mental health care and excited by our mission of leveraging technology to scale access to evidence-based therapies
Proven track record of collaborating across multiple teams in a highly collaborative environment
Prior experience working in the credentialing industry within a hospital, health plan, surgery center, or CVO preferred
"We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law.
By applying for this position, you acknowledge that your personal information will be processed as per the Lyra Health Workforce Privacy Notice. Through this application, to the extent permitted by law, we will collect personal information from you including, but not limited to, your name, email address, gender identity, employment information, and phone number for the purposes of recruiting and assessing suitability, aptitude, skills, qualifications, and interests for employment with Lyra. We may also collect information about your race, ethnicity, and sexual orientation, which is considered sensitive personal information under the California Privacy Rights Act (CPRA) and special category data under the UK and EU GDPR. Providing this information is optional and completely voluntary, and if you provide it you consent to Lyra processing it for the purposes as described at the point of collection, for example for diversity and inclusion initiatives. If you are a California resident and would like to limit how we use this information, please use the Limit the Use of My Sensitive Personal Information form. This information will only be retained for as long as needed to fulfill the purposes for which it was collected, as described above. Please note that Lyra does not “sell” or “share” personal information as defined by the CPRA. Outside of the United States, for example in the EU, Switzerland and the UK, you may have the right to request access to, or a copy of, your personal information, including in a portable format; request that we delete your information from our systems; object to or restrict processing of your information; or correct inaccurate or outdated personal information in our systems. These rights may be subject to legal limitations. To exercise your data privacy rights outside of the United States, please contact [email protected]. For more information about how we use and retain your information, please see our Workforce Privacy Notice."
