Provider Credentialing Specialist

General Dynamics Information Technology; United States; Remote; USD 55,000 - 75,000; Full time

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

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.

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