Provider Credentialing Supervisor

Type of Requisition:
Regular
Clearance Level Must Currently Possess:
None
Clearance Level Must Be Able to Obtain:
None Public Trust/Other Required:
MBI (T2)
Job Family:
Contact Center Job Qualifications:
Skills:
Documentation Review, Document Reporting (Inactive), Operational Requirements, Standard Operating Procedure (SOP) Certifications:
None Experience:
3 + years of related experience US Citizenship Required:
No
Job Description:
Provider Credentialing Supervisor

The Provider Credentialing Specialist serves as the operational subject matter expert (SME) supporting the design, implementation, and ongoing development of a government healthcare credentialing program. This role partners with government stakeholders, business teams, and technical resources to translate operational requirements into scalable credentialing workflows while ensuring compliance with CMS, NCQA, organizational policies, and regulatory requirements.

The position is responsible for implementation activities, provider credentialing operations, primary source verification (PSV), committee preparation, workflow documentation, and serving as the primary operational contact for government clients regarding credentialing processes.
Essential Responsibilities

- Serve 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 and recredentialing activities.

- Complete Primary Source Verification (PSV) for all required credentialing elements.

- Review provider applications for completeness and compliance.

- Prepare credentialing files for committee review.

- Ensure credentialing files meet organizational, CMS, and NCQA standards.

- Develop and maintain standard operating procedures (SOPs).

- Participate in workflow design and process improvement initiatives.

- Assist with User Acceptance Testing (UAT) during system implementations.

- Identify workflow gaps and recommend operational improvements.

- Collaborate with cross-functional teams including IT, compliance, operations, and government stakeholders.

- Maintain credentialing documentation and audit readiness.

- Monitor credentialing timelines and ensure compliance with established turnaround times.

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The likely hourly rate for this position is between $25.63 - $34.28. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
Scheduled Weekly Hours:
40 Travel Required:
Less than 10% Telecommuting Options:
Remote
Work Location:
Any Location / Remote
Additional Work Locations:
Total Rewards at GDIT:
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and