Mission-Driven Provider Credentialing Specialist - Flexible Week

General Dynamics Information Technology

United States

On-site

USD 55,000 - 75,000

Full time

11 days ago
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Job summary

General Dynamics Information Technology (GDIT) is seeking a Provider Credentialing Specialist to ensure healthcare providers are properly credentialed, compliant with regulations, and ready to deliver services to WTCHP members.

You will lead day-to-day credentialing activities, verify licensure, and maintain meticulous provider records while collaborating with internal teams to meet CMS and NCQA standards.

Qualifications

  • High school diploma required; associate or bachelor’s degree preferred.
  • 2+ years of healthcare credentialing experience preferred.
  • Knowledge of initial credentialing, recredentialing, PSV, and CMS/NCQA requirements.

Responsibilities

  • Lead day-to-day credentialing and recredentialing activities to support regulatory compliance and program readiness.
  • Collaborate with providers, internal credentialing teams, and leadership to ensure accurate applications and documentation.
  • Perform PSV, validate licensure and certifications, prepare files for committee review, and maintain provider records.
  • Utilize credentialing systems and regulatory standards to support high‑quality provider management operations.

Skills

Healthcare credentialing
Attention to detail
Communication skills
Regulatory compliance

Education

High school diploma
Associate or Bachelor’s degree preferred

Tools

PSV (Primary Source Verification)
Credentialing systems

Job description

General Dynamics Information Technology (GDIT) is seeking a Provider Credentialing Specialist to ensure healthcare providers are properly credentialed, compliant with regulations, and ready to deliver services to WTCHP members.

You will lead day-to-day credentialing activities, verify licensure, and maintain meticulous provider records while collaborating with internal teams to meet CMS and NCQA standards.

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