Provider Enrollment Certification Auditor/Documentation Specialist

General Dynamics IT; United States; On-site; USD 70,000 - 95,000; Full time

Job summary

General Dynamics IT in the United States is seeking a Documentation Specialist to support provider enrollment, credentialing, and policy implementation. You will manage complex business rules, produce clear desk procedures, and ensure compliance with regulatory requirements.

You will collaborate with cross‑functional teams, maintain document repositories, and contribute to quality reviews, process improvement, and training materials for Credentialing Committee activities.

Qualifications

• 2+ years of related experience in technical writing, process documentation, healthcare operations, credentialing, or a related field.
• Education: BA/BS or equiv.
• Strong written and verbal communication skills.
• Ability to interpret and document complex business processes.
• Familiarity with NC DHHS, NCQA, CMS or similar regulatory environments preferred.

Responsibilities

• Create and revise desk procedures, policies, and operations manuals.
• Analyze policy changes and determine documentation impacts.
• Review modification requests to identify documentation updates.
• Develop provider profiles and credentialing materials for committee review.
• Maintain document inventories and ensure version control.
• Support credentialing meetings with accurate documentation.

Skills

Detail-Oriented

Oral Communications

Technical Writing

Documentations

Process Mapping

Workflow Documentation

Data Analysis

Quality Review

Cross-Functional Collaboration

Education

BA/BS or equiv.

Tools

Microsoft Word

Excel

PowerPoint

SharePoint

Job description

Job Qualifications

Type of Requisition: Regular

Clearance Level Must Currently Possess: None

Clearance Level Must Be Able to Obtain: None

Public Trust/Other Required: None

Job Family: Program Delivery and Execution

Skills: Business Operations Analysis (Inactive), Detail-Oriented, Documentations, Oral Communications, Technical Writing

Certifications: None

Experience: 2 + years of related experience

US Citizenship Required: No

Job Description

Contribute to the strategic direction of the business and support impactful mission outcomes as a Provider Enrollment Certification Auditor/Documentation Specialist. Here, you'll see the bigger picture on mission initiatives and where your program management career can go at GDIT.

Bring your documentation management, process improvement, and healthcare operations expertise to GDIT. The Documentation Specialist must have:

• Education: BA/BS or equiv.
• Experience: 2+ years of experience in technical writing, process documentation, healthcare operations, credentialing, provider enrollment, quality management, or a related field.
• Technical Skills: Technical and procedural writing Microsoft Word, Excel, PowerPoint, and SharePoint Process mapping and workflow documentation Document version control and records management Data analysis and reporting Attention to detail and quality review

Role Requirements: Ability to interpret and document complex business processes. Strong organizational and project coordination skills. Excellent written and verbal communication skills. Experience supporting provider enrollment, credentialing, Credentialing Verification Organization (CVO) activities, NC Medicaid, NCQA, CMS, or healthcare regulatory environments preferred. Experience creating and maintaining desktop procedures, enrollment manuals, operational policies, job aids, and training materials. Ability to develop provider profiles and supporting documentation for Credentialing Committee review. Ability to manage multiple priorities and meet established deadlines in a fast-paced operational environment. Demonstrated ability to collaborate with cross-functional teams to support compliance, quality, and operational excellence.

Documentation Management and Governance

Create new and revise existing Desk Procedures (DPs), Policy Interpretations, Operations Manuals, and supporting documentation.

Analyze business rule changes, policy updates, system enhancements, and operational process changes to determine documentation impacts.

Review Functional Modification Requests (FMRs) submitted by customers and business stakeholders to identify required documentation updates.

Collaborate with operational teams, business owners, leadership, and subject matter experts to gather information necessary for document development.

Ensure all documentation is clear, concise, standardized, and follows established formatting and version control requirements.

Maintain document inventories and repositories to ensure the most current versions are accessible to staff.

Conduct routine audits of existing documentation to identify outdated processes, conflicting instructions, or areas requiring clarification.

Track document revisions and maintain records of updates, approvals, and implementation dates.

Policy and Regulatory Review

Review policy changes and regulatory requirements to assess operational impact.

Meet with leadership to discuss proposed policy updates and required procedural modifications.

Translate complex policy language into operational procedures and staff guidance.

Ensure all documentation remains aligned with NC DHHS, NCQA, and organizational requirements.

Provide recommendations for operational process improvements based on policy and regulatory changes.

Department Subject Matter Expert (SME)

Serve as the primary departmental resource for locating and interpreting business rules, operational requirements, and procedural guidance documented within Desk Procedures and Operations Manuals.

Respond to staff and leadership inquiries regarding documented processes and operational requirements.

Provide guidance and clarification regarding procedure interpretation and policy application.

Assist departments with identifying existing documentation before creating new processes.

Provider Profile Development and Review

Create provider profiles for credentialing committee review.

Review provider files and supporting documentation to ensure profile accuracy, completeness, and compliance with credentialing requirements.

Analyze credentialing information and summarize findings for committee consideration.

Perform quality reviews of provider profiles prior to committee presentation.

Redact confidential, protected, or sensitive information in accordance with organizational policies and privacy requirements.

Ensure provider profiles accurately reflect credentialing findings and required committee actions.

Credentialing Meeting Support

Participate in daily provider profile review meetings with credentialing sta