General Dynamics Information Technology · 7 hours ago
Provider Services Lead
United States
Full-time
Remote
Mid, Senior Level
$98K/yr - $104K/yr
5+ years expGeneral Dynamics Information Technology (GDIT) is seeking a Provider Services Lead to support provider relations, enrollment, and compliance operations for a federal healthcare program, the World Trade Center (WTC) Health Program. This role will be crucial in managing provider enrollment, relations, and education, ensuring healthcare providers receive timely support and necessary resources to deliver quality care.
Artificial Intelligence (AI)Cloud ComputingConsultingCyber SecurityInformation Technology
Responsibilities
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
Qualification
Required
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
Preferred
Relevant certifications such as CPCS, CPMSM, or PMP
Benefits
Comprehensive benefits and wellness packages
401K with company match
Variety of medical plan options, some with Health Savings Accounts
Dental plan options
A vision plan
Variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave
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
Short and long-term disability benefits
Life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance
Company
General Dynamics Information Technology
General Dynamics Information Technology is an IT consulting company that specializes in cyber security, AI, and quantum computing. It is a sub-organization of General Dynamics.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Paul Nedzbala
Senior Vice President
Ben Buckley
Vice President and General Manager
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