Consultant- Credentialling and Privileging

Remote
Full Time
XX - IHT TOPR 12 and 14
Experienced

Overview

Ansible Government Solutions, LLC (Ansible) is seeking a full-time Consultant with experience as a Credentialing Specialist. This work-from-home position is responsible for carrying out various day-to-day responsibilities that support the team with credentialing and compliance initiatives. The Consultant – Credentialing and Privileging supports VHA healthcare operations by improving provider credentialing, privileging, and Delegation of Work (DOW) processes. This role focuses on compliance, verification accuracy, and lifecycle management of provider credentials and privileges, and is ideal for professionals with 3 to 5 years of experience in credentialing or healthcare operations. We strongly desire previous experience navigating federal background investigation requirements, and particularly the requirements of the Department of Veterans Affairs.

Ansible is a Service-Disabled Veteran-Owned Small Business (SDVOSB) providing Federal customers with solutions in many arenas. Our customers face wide-ranging challenges in the fields of national security, health care, and information technology. To address these challenges, we employ intelligent and committed staff who take care of our customers’ success as if it is their own.

Responsibilities

  • Support and recommend VHA credentialing and privileging processes, including verification, documentation review, and compliance validation 
  • Analyze workflows to identify gaps, inefficiencies, and risks in credentialing and DOW processes 
  • Apply critical thinking to interpret policies and translate requirements into actionable improvements 
  • Track credentialing and privileging activities with a high degree of accuracy and attention to detail 
  • Maintain tracking tools, logs, and dashboards to monitor progress, risks, and compliance status 
  • Ensure strong follow-through on action items, deliverables, and regulatory requirements 
  • Support Delegation of Work (DOW) processes and ensure compliance with established standards 
  • Develop and maintain SOPs, documentation, and audit-ready materials 
  • Assist in continuous monitoring, quality assurance, and audit support activities 
  • Coordinate with VHA program offices and stakeholders to ensure alignment and information flow 
  • Identify and escalate risks, discrepancies, and compliance concerns with clear supporting analysis 
  • Adapt to shifting priorities while maintaining accuracy, organization, and accountability 
  • Performs miscellaneous job-related duties as assigned.

Qualifications

  • Experience with VHA credentialing and privileging processes required 
  • 3 to 5 years of experience in consulting, healthcare operations, or physician credentialing and privileging; federal healthcare experience preferred 
  • Proficiency with physician credentialing databases and systems, including CAQH, NPDB, NPPES, PECOS, state licensing boards, DEA verification, exclusion screening tools, and credentialing platforms such as VetPro or equivalent 
  • Understanding of Delegation of Work (DOW) authorities and compliance standards 
  • Exceptional attention to detail and ability to manage and track complex processes accurately 
  • Strong critical thinking and analytical skills 
  • Demonstrated ability to follow through on tasks and ensure completion of deliverables 
  • Experience supporting compliance reviews, audits, or regulated environments preferred 
  • Strong organizational and time-management skills 
  • Proficiency in MS Office (Excel, PowerPoint, Word, Teams), including tracking and reporting tools 
  • Clear written and verbal communication skills 
  • Bachelor’s degree required; master’s degree preferred 
  • Ability to handle confidential information in a professional manner. 

All candidates must be able to:

  • Sit, stand, walk, lift, squat, bend, twist, and reach above shoulders during the work shift
  • Lift up to 50 lbs from floor to waist
  • Lift up to 20 lbs
  • Carry up to 40 lbs a reasonable distance
  • Push/pull with 30 lbs of force

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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