Quality Assurance Specialist – Credentialing

About This Gig

Lyra Health is seeking a Quality Assurance Specialist – Credentialing to build and maintain a highly compliant, audit-ready credentialing program aligned with The Joint Commission (TJC) and NCQA standards. This role is critical in ensuring the integrity, accuracy, and compliance of provider credentialing files and processes across a nationwide network of mental health providers and group practices. Requirements Conduct comprehensive credentialing file audits and ongoing quality reviews to ensure compliance with TJC and NCQA standards. Oversee delegated credentialing arrangements, including CVO performance, ensuring adherence to contractual, regulatory, and accreditation requirements. Plan, coordinate, and execute payer credentialing audits, including managing audit documentation, responding to findings, and ensuring timely completion of corrective action plans. Track, trend, and report credentialing quality metrics to internal committees, identifying risks, gaps, and opportunities for

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