Consultant – Credentialling and Privileging

Role Overview

• 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.

Requirements

• 3 to 5 years of experience in consulting, healthcare operations, or physician credentialing and privileging; federal healthcare experience preferred
• Experience with VHA credentialing and privileging processes required
• 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.

Benefits

• Ansible is committed to providing equal opportunity in employment to all employees and applicants for employment
• Ansible will not tolerate any form of discrimination or harassment based on a person’s race, religion, color, gender, gender identity, sexual orientation, age, national origin, medical/physical status or disability, or military status.