Provider Credentialing Specialist

your Jared; Northern (KY); Hybrid; USD 47,000 - 63,000; Full time

Job summary

GDIT is seeking a Provider Credentialing Specialist to support credentialing and recredentialing activities for the World Trade Center Health Program. You will ensure regulatory compliance, verify licensure and certifications, and manage provider onboarding workflows from any location or remotely.

The role requires 1+ year of credentialing experience, a high school diploma (associate or bachelor’s preferred), and strong attention to detail.

Qualifications

• Education: High school diploma required; associate or bachelor’s degree preferred.
• Experience: 1+ years of related healthcare credentialing experience.
• Knowledge: Initial credentialing and recredentialing processes, PSV, CMS/NCQA standards.

Responsibilities

• Lead day-to-day credentialing and recredentialing activities to support regulatory compliance and onboarding.
• Collaborate with providers and internal credentialing teams to ensure complete applications and documentation.
• Perform Primary Source Verification (PSV) and verify licensure/certifications; prepare files for committee review.
• Utilize credentialing systems and regulatory standards to support quality provider management operations.

Skills

Credentialing

Healthcare Reporting

Medical Staff Credentialing

Education

High school diploma

Associate or Bachelor’s degree preferred

Job description

Provider Credentialing Specialist

• Job ID Number
• RQ228290

• Category
• Project/Program Management

• Employment Type
• Full Time

• Business Unit
• GDIT

Responsibilities for this Position

Location: Any Location / Remote

Full Part/Time: Full time

Job Req: RQ228290

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:

Process and Operational Efficiency

Job Qualifications:

Skills:

Credentialing, Healthcare Reporting, Medical Staff Credentialing

Certifications:

None

Experience:

1 + years of related experience

US Citizenship Required:

No

Job Description:

The World Trade Center Health Program is a limited federal health program administered by the National Institute for Occupational Safety and Health (NIOSH), part of the Centers for Disease Control and Prevention (CDC) in the U.S. Department of Health and Human Services (HHS). The Program provides no-cost medical monitoring and treatment for certified WTC-related health conditions to those directly affected by the 9/11 attacks in New York, the Pentagon, and in Shanksville, Pennsylvania

This position will contribute to the strategic direction of the business and support impactful mission outcomes. Here, you'll enable the success of critical healthcare operations and ensure providers meet all regulatory, payer, and organizational requirements for the World Trade Center Health Program.

MEANINGFUL WORK AND PERSONAL IMPACT

As a Provider Credentialing Specialist, the work you'll do at GDIT will be impactful to the mission of the World Trade Center Health Program (WTCHP). You will play a crucial role in ensuring healthcare providers are properly credentialed, compliant with regulations, and ready to deliver services to program members.

Lead day-to-day credentialing and recredentialing activities that directly support regulatory compliance, provider onboarding, and program readiness.

Collaborate with providers, internal credentialing teams, quality staff, and operational leadership to ensure applications, verifications, and documentation are complete and accurate.

Drive accurate credentialing outcomes by performing Primary Source Verification (PSV), validating licensure and certifications, preparing files for committee review, and maintaining meticulous provider records.

Utilize credentialing systems, quality review processes, regulatory standards (CMS, NCQA), and documentation best practices to support high-quality provider management operations.

WHAT YOU'LL NEED TO SUCCEED

Bring your initiative and drive for accuracy to GDIT. The Provider Credentialing Representative must have:

Education: High school diploma required; associate or bachelor's degree preferred

Experience: 2+ years of healthcare credentialing experience preferred

Technical skills: Knowledge of initial credentialing, recredentialing, PSV, credentialing documentation requirements, regulatory compliance (CMS, NCQA), and provider onboarding workflows

Security clearance level: MB(T2)

US citizenship required

Role requirements: Strong attention to detail; excellent organization and communication skills; ability to manage deadlines, maintain confidentiality, and collaborate with providers and internal teams; <10% travel as needed

GDIT IS YOUR PLACE

At GDIT, the mission is our purpose, and our people are at the center of everything we do.

Growth: AI-powered career tool that identifies career steps and learning opportunities

Support: An internal mobility team focused on helping you achieve your career goals

Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off

Flexibility: Full-flex work week to own your priorities at work and at home

Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY

Explore a career in credentialing and provider operations at GDIT and you'll find endless opportunities to grow alongside colleagues who share your commitment to accuracy, compliance, and mission-focused healthcare delivery.

#GDITFedHealthJobs

The likely hourly rate for this position is between $46,750.00 - $63,250.00. 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

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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans