Manager of Credentialing

Lyra Health; United States; Remote; USD 95,000 - 146,000; Full time

Job summary

Lyra Health seeks a Manager of Credentialing to lead the credentialing team, ensuring compliance with healthcare standards. The role involves managing credentialing processes, fostering team development, and implementing technologies for operational efficiency, making significant contributions to mental health care access for employees of major organizations.

Benefits

Comprehensive healthcare coverage

401K retirement benefits

Paid parental leave

Generous vacation policies

Monthly tech stipend

Qualifications

• Minimum of 8 years experience in healthcare credentialing.
• Proven track record in leading credentialing teams.
• Expertise with NCQA accreditation standards.

Responsibilities

• Oversee all comprehensive credentialing and recredentialing.
• Serve as Subject Matter Expert on credentialing processes.
• Implement and monitor key performance indicators for the Credentialing department.

Skills

Leadership

Compliance

Credentialing

Process Improvement

Communication

Tools

CredentialStream

Job description

About Lyra Health

Lyra is transforming mental health care through technology with a human touch to help people feel emotionally healthy at work and at home. We work with industry leaders, such as Morgan Stanley, Uber, Amgen, and other Fortune 500 companies, to improve access to effective, high-quality mental health care for their employees and their families. With our innovative digital care platform and global provider network, nearly 20 million people can receive the best care and feel better, faster. Founded by David Ebersman, former CFO of Facebook and Genentech, Lyra has raised more than $900 million.

About the Role

Lyra is looking for a Manager of Credentialing to lead Lyra’s credentialing team. This role involves overseeing all comprehensive credentialing and recredentialing for our network of health care professionals. This position manages the credentialing team, ensures adherence to all credentialing standards, and leads accreditation compliance. The ideal candidate brings a robust background in healthcare credentialing, a deep understanding of compliance landscapes, and proven team leadership capabilities.

Responsibilities

• Lead and manage all aspects of practitioner credentialing and recredentialing, ensuring alignment with State, Federal, and NCQA standards and annual audits of all credentialing delegated entities
• Serve as the internal Subject Matter Expert (SME) on all credentialing processes, systems, and regulatory requirements, offering expert guidance and support to stakeholders to ensure compliance and operational efficiency
• Define, implement, and monitor key performance indicators (KPIs), metrics, and streamlined processes for the Credentialing department to optimize performance and efficiency
• Develop and maintain comprehensive reports, dashboards, and summaries detailing credentialing activities, outcomes, and trends
• Spearhead the implementation and optimization of new credentialing technologies and systems to drive operational efficiency and bolster compliance
• Ensure the integrity and accuracy of provider data through regular audits and meticulous maintenance of credentialing databases and systems
• Provide strong leadership, mentorship, and development opportunities to the credentialing team, fostering a collaborative, accountable, and high-performance culture

Qualifications

• A minimum of 8 years experience in healthcare credentialing, compliance, and provider network management in a digital healthcare setting
• Proven track record of successfully leading and developing credentialing teams, with experience adapting operational strategies to support organizational growth
• In-depth knowledge of NCQA accreditation standards and demonstrated expertise leading contractual, regulatory and accreditation survey preparation and net new quality accreditation efforts
• Expertise with credentialing software such as CredentialStream
• Proficient in navigating complex audit processes and compliance regulations
• Documented success in process improvement initiatives, including the implementation of credentialing technology and workflow automation solutions to enhance efficiency and accuracy
• Exceptional written and verbal communication skills, with the ability to clearly and effectively convey complex compliance and credentialing information to diverse stakeholders
• A strong dedication to cultivating a team culture that emphasizes high performance, continuous professional development, and operational excellence

Preferred Qualifications:

• NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS)
• CPHQ, CPPS, CPHRM, or similar certification
• Experience in payer relations and payer credentialing procedures
• Experience in a digital start-up is a plus but not required

$95,000 - $146,000 a year The anticipated annual base salary range for this full-time Manager of Credentialing position is $95,000 - $146,000. The base range is determined by role and level, and placement within the range will depend on a number of job-related factors, including but not limited to your skills, qualifications, experience and location. This role may be eligible for discretionary bonuses.
Annual salary is only one part of an employee’s total compensation package at Lyra. We also offer generous benefits that include:
-Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability insurances) -Lyra for Lyrians; coaching and therapy services -Equity in the company through discretionary restricted stock units -Competitive time off with pay policies including vacation, sick days, and company holidays -Paid parental leave -401K retirement benefits -Monthly tech stipend -We like to spread joy throughout the year with well-being perks and activities, surprise swag, free food and snack deliveries each month, regular community celebration…and more!
We can’t wait to meet you.

" 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 thatyourpersonal informationwill be processed as pertheLyra 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 [e-mail] . For more information about how we use and retain your information, please see our Workforce Privacy Notice ."