Provider Credentialing Supervisor

General Dynamics
United States
Workplace: RemoteFull timeUSD 25.63 - 34.28 hourlyFunction: Communications, PR & CommunityExperience: 3+ yearsSkills: []

Serve as the operational SME for a government healthcare credentialing program, supporting design, implementation, and ongoing workflow improvements. You will act as the primary contact for government stakeholders, manage provider credentialing and recredentialing, perform primary source verification (PSV), prepare committee-ready credentialing files, and ensure compliance with CMS, NCQA, and organizational standards. Own workflow documentation, SOPs, audit readiness, and assist with UAT during system enhancements.

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FursaFursa
General Dynamics
General Dynamics
3 days ago

Provider Credentialing Supervisor

✓ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 12 hours agoStatus: Live
Reposted: similar role first listed 2 weeks ago

Job Summary

Serve as the operational SME for a government healthcare credentialing program, supporting design, implementation, and ongoing workflow improvements. You will act as the primary contact for government stakeholders, manage provider credentialing and recredentialing, perform primary source verification (PSV), prepare committee-ready credentialing files, and ensure compliance with CMS, NCQA, and organizational standards. Own workflow documentation, SOPs, audit readiness, and assist with UAT during system enhancements.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Communications, PR & Community
Seniority: Manager level

Key Responsibilities

  • •Serve as the primary operational contact for government stakeholders regarding credentialing operations.
  • •Support implementation of new credentialing processes and system enhancements.
  • •Document business requirements and translate operational workflows for technical teams.
  • •Perform initial credentialing and recredentialing activities and complete PSV for required elements.
  • •Prepare credentialing files for committee review and ensure compliance with CMS, NCQA, and organizational standards; develop and maintain SOPs.
  • •Maintain credentialing documentation and audit readiness; monitor timelines and turnaround times.
Travel: Low travel

Pay and Benefits

Salary: USD 25.63 - 34.28 hourly
Perks:Health InsuranceDentalVision401kRemote WorkPaid LeaveParental LeaveLife Insurance

Key Requirements

  • •3+ years of related experience in provider credentialing operations.
  • •Ability to ensure credentialing files meet CMS and NCQA standards and organizational policies.
  • •Experience performing provider credentialing/recredentialing and completing Primary Source Verification (PSV).
  • •Ability to document business requirements and translate operational workflows for technical teams.
  • •Experience developing and maintaining standard operating procedures (SOPs) and supporting workflow/process improvement initiatives.
Experience:3+ yearsGovernment healthcareHealthcare credentialingCredentialing operationsCMS complianceNCQA compliance
Tech Stack:CMSNCQAUATPSV

Eligibility

Security Clearance:MBI (T2)

Company Brief

General Dynamics
Provides IT, systems engineering, cybersecurity, cloud, and mission support services to U.S. federal civilian and defense agencies, delivering large-scale technology solutions and managed services for national security and government operations.
Industry: Defense Technology
Company Size: Enterprise (1,001+ employees)
Growth: Established Company
Headquarters: Tysons / Fairfax, United States
WebsiteLinkedIn