Consultant- Credentialling and Privileging

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 improvingprovider credentialing privileging and Delegation of Work (DOW) processes. This role focuses oncomplianceverificationaccuracy and lifecycle management of provider credentials and privilegesand 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

• Supportand recommendVHA credentialing and privileging processes including verification documentation review and compliance validation
• Analyze workflows toidentifygaps 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 tomonitorprogress 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 andmaintainSOPs documentation and audit-ready materials
• Assistin continuous monitoring quality assurance and audit support activities
• Coordinate with VHA program offices and stakeholders to ensure alignment and information flow
• Identifyand escalate risks discrepancies and compliance concerns with clear supporting analysis
• Adapt to shifting priorities whilemaintainingaccuracy organization and accountability
• Performs miscellaneous job-related duties as assigned.

Qualifications

• Experience with VHA credentialing and privileging processesrequired
• 3 to 5 years of experience in consulting healthcare operations or physician credentialing and privileging; federal healthcare experience preferred
• Proficiencywith 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
• Proficiencyin MS Office (Excel PowerPoint Word Teams) including tracking and reporting tools
• Clear written and verbal communication skills
• Bachelors degreerequired; masters 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.