Req ID: RQ209057
Type of Requisition: Regular
Clearance Level Must Be Able to Obtain: None
Public Trust/Other Required: MBI (T2)
Job Family: Administration
Skills:
Communication,Healthcare Operations,Provider Network Management,Provider Relations,Provider Services
Experience:
5 + years of related experience
Job Description:
Contribute to the strategic direction of the business and support impactful mission outcomes as the Provider Services Lead for a federal healthcare program at GDIT. Here, you'll enable the success of the most critical government missions and the growth of a meaningful career.
MEANINGFUL WORK AND PERSONAL IMPACT
As the Provider Services Lead, the work you'll do at GDIT will be impactful to the mission of a federal healthcare program You will play a crucial role in managing provider enrollment, relations, and education.
Lead the provider services operations team for the WTC Health Program, ensuring healthcare providers receive timely support, accurate information, and necessary resources to deliver quality care.
Serve as the primary liaison between the program, contracted clinical centers, the provider network contractor, and individual providers to address operational, administrative, and policy-related inquiries.
Build relationships with contracted clinical centers to coordinate provider nomination requests and pursuit status, prescriber authorizations, and ongoing support for the members
Oversee provider enrollment, onboarding, credentialing, and compliance with federal and program-specific requirements.
Develop and maintain provider communications, including updates on policy changes, clinical guidelines, and program procedures.
Support the secure exchange and organized management of all provider enrollment documentation, including Terms & Conditions Agreements, EFT and W9 forms, and related documentation
Monitor provider adequacy, service delivery metrics, and satisfaction levels; recommend improvements as needed.
Coordinate resolution of escalated provider issues in collaboration with clinical, administrative, and IT teams, including two subcontractors.
Manage provider education and training initiatives to ensure consistent application of program standards and healthcare best practices.
Prepare reports for leadership on provider engagement, performance, and network adequacy.
WHAT YOU'LL NEED TO SUCCEED - Bring your initiative and drive for innovation to GDIT.
The Provider Services Lead must have:
Bachelor's degree in Healthcare Administration, Public Health, Business Administration, or related field (Master's preferred).
5+ years of experience in provider relations, network management, or healthcare operations, preferably in a federal health or large public health program.
Must have knowledge of provider contracting, credentialing, and compliance processes.
Must have strong understanding of healthcare delivery systems, claims processes, and clinical operations.
Excellent interpersonal, communication, and relationship management skills.
Ability to analyze provider performance data and develop actionable improvement plans.
Proficiency with provider network management tools and MS Office Suite.
Relevant certifications such as CPCS, CPMSM, or PMP preferred.
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 provider management at GDIT and you'll find endless opportunities to grow alongside colleagues who share your passion for the mission and delivering results.
GDITFedHealth
The likely salary range for this position is $73,950 - $100,050. 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.
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.
We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 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 capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.
Join our Talent Community to stay up to date on our career opportunities and events at https://gdit.com/tc.
Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
