Provider Services Lead

General Dynamics Information Technology

2d•$97,968 - $103,500•Remote

About The Position

GDIT is seeking a Provider Services Lead will support provider relations, enrollment and compliance operations for a federal healthcare program, the World Trade Center (WTC) Health Program. This position will 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. As a Provider Services Lead, the work you’ll do at GDIT will be impactful to the mission of a federal healthcare program and you will play a crucial role in managing provider enrollment, relations, and education. The World Trade Center Health Program is a limited federal health program administered by the National Institute for Occupational Safety and Health, part of the Centers for Disease Control and Prevention in the U.S. Department of Health and Human Services. 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.

Requirements

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.

Nice To Haves

Relevant certifications such as CPCS, CPMSM, or PMP preferred.

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.

Benefits

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
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.