Job Summary
The Credentialing Analyst supports the Credentialing Team by managing day-to-day Credentialing workflows and leading data analysis projects. This role partners with Credentialing Leadership to identify workflow gaps, track performance metrics, and develop reporting for cross-functional stakeholders on the status of payor enrollment and credentialing activities.
Key Responsibilities
Workflow & Process Improvement
• Conduct routine audits of Monday.com task boards to surface performance trends and workflow gaps for leadership review.
• Partner with the Credentialing Team to develop and maintain workflow Standard Operating Procedures (SOPs) for leadership review and approval.
• Triage incoming chatbot inquiries and escalate to the appropriate Credentialing team member in a timely manner.
• Track and log incoming mail correspondence into the appropriate Monday.com project boards.
• Monitor shared credentialing inboxes (credentialing@natera.com, medicaidprovider@natera.com, commercialprovider@natera.com) and create corresponding tasks in Monday.com, ensuring accurate routing and timely follow-up.
• Manage credentialing request form intake and route submissions to the appropriate Government or Commercial workflow queues.
Data Analysis & Reporting
• Analyze dashboards to identify trends in claim volume and reimbursement, and provide actionable insights to support payer credentialing prioritization decisions.
• Develop and distribute reporting for cross-functional teams on the status of payer enrollment and credentialing activities.
Qualifications
Education
• Bachelor's degree in Business Administration, Healthcare Administration, or a related field; equivalent work experience will be considered.
Experience
• 5 plus years of experience in healthcare credentialing healthcare, credentialing, payer enrollment, or revenue cycle experience preferred.
• Demonstrated experience with workflow management, process documentation, and cross-functional collaboration.
• Proven track record of producing accurate and actionable data analysis.
• undefined
Core Competencies
• Exceptional problem-solving skills with the ability to think strategically and execute operational initiatives.
• Strong written and verbal communication skills, with the ability to effectively manage cross-functional relationships.
• High attention to detail and organizational skills with the ability to manage multiple priorities in a fast-paced environment.
• Self-directed and proactive, with a continuous improvement mindset.
• undefined
Technical Proficiency
• Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Google Workspace (Docs, Sheets, Drive, Gmail)
• Power BI or equivalent business intelligence/data visualization tools
• Project management platforms (Monday.com, Smartsheet, or equivalent)
• Familiarity with AI productivity tools (e.g., Claude AI) a plus