Provider Credentialing Specialist Job ID Number

RQ228290

Falls Church, VA, US Category Project/Program Management Employment Type Full Time Business Unit GDIT Apply Now At

GDIT.COM

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;