Provider Credentialing Supervisor

General Dynamics
United States
Workplace: RemoteFull timeUSD 53,310 - 61,525 annuallyFunction: Communications, PR & CommunityExperience: 3+ yearsSkills: ["Documentation review","Workflow design","Process improvement","Cross-functional collaboration","Operational compliance"]

Serve as the operational SME for a government healthcare credentialing program, translating requirements into scalable credentialing workflows and ensuring compliance with CMS, NCQA, and organizational standards. Lead provider credentialing and recredentialing, perform primary source verification (PSV), review applications, and prepare committee-ready credentialing files. Develop and maintain SOPs, monitor timelines, and support workflow improvements and UAT during system implementations with cross-functional IT, compliance, operations, and government stakeholders.

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FursaFursa
General Dynamics
General Dynamics
2 days ago

Provider Credentialing Supervisor

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Last checked: 16 hours agoStatus: Live

Job Summary

Serve as the operational SME for a government healthcare credentialing program, translating requirements into scalable credentialing workflows and ensuring compliance with CMS, NCQA, and organizational standards. Lead provider credentialing and recredentialing, perform primary source verification (PSV), review applications, and prepare committee-ready credentialing files. Develop and maintain SOPs, monitor timelines, and support workflow improvements and UAT during system implementations with cross-functional IT, compliance, operations, and government stakeholders.
Location: United States
Workplace: Remote
Employment Type: Full time
Job Function: Communications, PR & Community
Seniority: Manager level

Key Responsibilities

  • •Act as the primary operational contact for government stakeholders regarding credentialing operations.
  • •Support implementation activities for new credentialing processes and system enhancements.
  • •Document business requirements and translate operational workflows for technical teams.
  • •Perform initial credentialing/recredentialing and complete Primary Source Verification (PSV).
  • •Review applications, prepare credentialing files for committee review, and maintain SOPs while ensuring compliance and audit readiness.
Travel: Low travel

Pay and Benefits

Salary: USD 53,310 - 61,525 annually
Perks:Health InsuranceDentalVision401kPaid Parental

Key Requirements

  • •3+ years of related experience in credentialing/credentialing operations.
  • •Ability to support credentialing operations as an operational SME for government healthcare programs.
  • •Experience performing initial credentialing and recredentialing activities.
  • •Ability to complete Primary Source Verification (PSV) for required credentialing elements.
  • •Ensure credentialing files meet organizational, CMS, and NCQA standards and support SOP development.
Experience:3+ yearsHealthcareCredentialing
Skills:Documentation reviewWorkflow designProcess improvementCross-functional collaborationOperational compliance

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