Provider Credentialing Supervisor

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $25 - $34 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Logo of General Dynamics Information Technology

General Dynamics Information Technology

10,000+ employees

Founded 1954

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

📋 Description

• 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 • Complete Primary Source Verification for required credentialing elements • Review provider applications for completeness and compliance • Prepare credentialing files for committee review • Ensure files meet organizational, CMS, and NCQA standards • Develop and maintain standard operating procedures • Participate in workflow design and process improvement initiatives • Assist with User Acceptance Testing during system implementations • Identify workflow gaps and recommend operational improvements • Collaborate with IT, compliance, operations, and government stakeholders • Maintain credentialing documentation and audit readiness • Monitor credentialing timelines and established turnaround times

🎯 Requirements

• 3+ years of related experience • Experience with documentation review • Experience with operational requirements • Experience developing and maintaining standard operating procedures (SOPs) • Knowledge of provider credentialing operations • Knowledge of Primary Source Verification (PSV) • Knowledge of CMS and NCQA standards and requirements • Ability to document business requirements and operational workflows • Ability to support User Acceptance Testing (UAT) • MBI (T2) public trust requirement • No US citizenship required

🏖️ Benefits

• Medical plan options, including plans with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with pre-tax and post-tax contributions and company match • Full flex work weeks where possible • Paid vacation, sick, and personal time • Paid holidays • Paid parental leave • Paid military leave • Paid bereavement leave • Paid jury duty leave • Typically 15 days of paid leave per calendar year • Typically 10 paid holidays per year • Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees • Short- and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident insurance • Critical illness insurance • Business travel and accident insurance

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