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Provider Credentialing Jobs in Virginia (NOW HIRING)

GDIT

Provider Credentialing Supervisor

WV · On-site +1

$25.63 - $34.28/hr

No Provider Credentialing Supervisor The Provider Credentialing Specialist serves as the operational subject matter expert (SME) supporting the design, implementation, and ongoing development of a ...

MultiPlan

Senior Credentialing Coordinator

Mclean, VA · On-site

$23 - $26/hr

This position is responsible for providing coaching, operational, and infrastructure support to an operations team responsible for credentialing and recredentialing of practitioners and facilities ...

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All JobsProvider Credentialing JobsProvider Credentialing Jobs in Virginia

Provider Credentialing information

See Virginia salary details

$13

$24

$38

How much do provider credentialing jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for provider credentialing in Virginia is $24.15, according to ZipRecruiter salary data. Most workers in this role earn between $19.09 and $27.40 per hour, depending on experience, location, and employer.

What is provider credentialing?

Provider credentialing is the process by which healthcare organizations verify and assess the qualifications, experience, and professional background of medical providers, such as doctors, nurses, and specialists. This includes checking education, training, licenses, certifications, work history, and any malpractice or disciplinary actions. Credentialing ensures that providers meet the standards required to deliver care and are eligible for participation in health insurance networks. It is a critical step for patient safety and regulatory compliance. The process must be repeated periodically to maintain up-to-date records and ensure ongoing eligibility.

What are the key skills and qualifications needed to thrive in provider credentialing, and why are they important?

To thrive in Provider Credentialing, you need strong attention to detail, organizational skills, and knowledge of healthcare regulations, typically supported by a background in healthcare administration or related fields. Familiarity with credentialing software, databases, and compliance tools such as CAQH ProView and state licensure systems is essential. Exceptional communication, problem-solving, and time management skills help professionals interact with providers and manage complex documentation processes. These competencies ensure accurate provider verification, regulatory compliance, and efficient onboarding, which are critical for healthcare organizations.

What are some common challenges faced in a provider credentialing role, and how can they be managed?

A common challenge in Provider Credentialing is managing multiple deadlines and ensuring all documentation is accurate and up to date for various healthcare providers. The process often involves coordinating with providers, insurance companies, and regulatory bodies, which can lead to delays if communication is not clear. Staying organized, maintaining detailed records, and using credentialing management software can help streamline workflow and reduce errors. Building strong relationships with providers and team members also aids in resolving issues quickly and efficiently.

What is the difference between Provider Credentialing vs Medical Billing Specialist?

AspectProvider CredentialingMedical Billing Specialist
Required CredentialsLicenses, certifications, provider credentialsBilling certifications, coding knowledge
Work EnvironmentHealthcare facilities, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance providersMedical practices, billing firms
Search & Comparison IntentUnderstanding credentialing process, requirementsBilling procedures, coding, reimbursement

Provider Credentialing focuses on verifying healthcare providers' qualifications to ensure they meet industry standards, while Medical Billing Specialists handle coding, billing, and reimbursement processes. Both roles are essential in healthcare operations but serve different functions within the industry.

How to get into provider credentialing?

To enter provider credentialing, candidates typically need a background in healthcare administration, medical billing, or related fields, along with strong organizational and communication skills. Gaining certification such as the Certified Provider Credentialing Specialist (CPCS) can enhance job prospects. Familiarity with healthcare regulations and credentialing software is also beneficial.

Is provider credentialing hard?

Provider credentialing can be a complex process that involves verifying a healthcare professional’s qualifications, licenses, and work history, often requiring attention to detail and organization. It typically involves working with multiple organizations and adhering to specific regulations, which can make the process time-consuming and challenging for some providers. Strong communication skills and familiarity with credentialing software can help streamline the process.

What does a provider credentialing specialist do?

A provider credentialing specialist is responsible for verifying healthcare providers' qualifications, licenses, and certifications to ensure they meet the standards required by insurance companies and healthcare organizations. They manage the credentialing process, maintain accurate provider records, and ensure compliance with regulatory requirements, often using specialized credentialing software. This role requires attention to detail, knowledge of healthcare regulations, and strong organizational skills.

What are the most commonly searched types of Provider Credentialing jobs in Virginia?

The most popular types of Provider Credentialing jobs in Virginia are:

What are popular job titles related to Provider Credentialing jobs in Virginia?

For Provider Credentialing jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Provider Credentialing jobs in Virginia look for?

The top searched job categories for Provider Credentialing jobs in Virginia are:

Provider Credentialing jobs near you
Infographic showing various Provider Credentialing job openings in Virginia as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 15% Part Time, and 6% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $50,230 per year, or $24.1 per hour.

Provider Credentialing Supervisor

WV • On-site, Remote

GDIT
IT Services • 10K+ employees

7.8

Company rating: 7.8 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

87th of 225 rated it services

Good employer

Recommended by students

Good training

Learn more about GDITexternal

$25.63 - $34.28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

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.

#GDITWTCJOBS

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 dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

Our Identify Verification Process:

As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes.

About our Work:

We are GDIT. A global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense and intelligence community. Our 26,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50+ countries worldwide, offering leading mission-ready capabilities in AI, cloud, cyber and software development.Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc.

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
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About General Dynamics Information Technology

Sourced by ZipRecruiter

GDIT is a global technology and professional services company that delivers technology solutions and mission services to every major agency across the U.S. government, defense, and intelligence community. Its 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. The company operates across 50+ countries worldwide, offering leading capabilities in digital modernization, AI/ML, cloud, cyber, and application development.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Falls Church, VA, US

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