Provider Services Lead

Provider Services Lead

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.