Provider Credentialing Specialist
About The Position
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. 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.
Requirements
- High school diploma required; associate or bachelor’s degree preferred
- 2+ years of healthcare credentialing experience preferred
- Knowledge of initial credentialing, recredentialing, PSV, credentialing documentation requirements, regulatory compliance (CMS, NCQA), and provider onboarding workflows
- MB(T2) security clearance level
- US citizenship required
- 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
Responsibilities
- 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.
Benefits
- AI-powered career tool that identifies career steps and learning opportunities
- An internal mobility team focused on helping you achieve your career goals
- Comprehensive benefits and wellness packages
- 401K with company match
- Competitive pay and paid time off
- Full-flex work week
- Variety of medical plan options, some with Health Savings Accounts
- Dental plan options
- Vision plan
- Ability to contribute both pre and post-tax dollars to 401(k) up to the IRS annual limits and receive a company match
- Variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave
- 15 days of paid leave per calendar year to be used for vacations, personal business, and illness
- 10 paid holidays per year
- Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
