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Provider Relations Representative

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

đź’µ $46.3k - $62.1k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

🦅 H1B Visa Sponsor

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Logo of General Dynamics Information Technology

General Dynamics Information Technology

10,000+ employees

Founded 1954

đź’Ľ Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

General Dynamics Information Technology is a company at the forefront of technological innovation, offering a wide range of services including consulting, digital modernization, and application services. The company is heavily involved in implementing solutions related to artificial intelligence, cloud computing, cybersecurity, high-performance computing, and quantum technologies. GDIT is committed to supporting government and defense sectors, providing mission-critical services such as logistics and supply chain management, intelligence, and homeland security. The company also focuses on diverse and inclusive hiring practices and actively promotes employee well-being. Through its digital accelerator solutions and pioneering use of emerging technologies, GDIT aims to propel agencies' missions forward and address complex technological challenges.

đź“‹ Description

• Serve as the primary point of contact for assigned providers and conduct regular touchpoints and executive-level check-ins/QBRs as needed • Track provider sentiment and satisfaction, identify themes, and drive action plans with the Provider Network Supervisor • Document interactions, decisions, and follow-ups in CRM/case management tools • Coordinate end-to-end provider onboarding, including welcome materials, portal registration, EFT setup, credentialing handoffs, and directory validation • Monitor onboarding milestones, remove blockers, and communicate status and next steps • Deliver provider training through webinars, welcome packets, and job aids on policies, billing requirements, and operational procedures • Maintain FAQs, guides, and reference materials aligned to process changes • Resolve escalated provider issues involving claims, credentialing, EFT, enrollment, and portal access • Triage and route issues, communicate resolution status and root causes, and track remediation to closure • Perform root-cause analysis for recurring issues and propose corrective actions • Promote portal features and self-service workflows, assisting with registration, user management, navigation, and troubleshooting • Increase EFT adoption and coordinate verification and updates of banking/EFT data • Collaborate with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT • Represent provider needs in workgroups, drive action items to completion, and report measurable outcomes • Maintain dashboards and logs for satisfaction, first-contact resolution, onboarding timeliness, case aging, portal adoption, and SLA compliance • Analyze trends and contribute to continuous improvement initiatives such as templates, scripts, and automation • Ensure policy and regulatory adherence, maintain audit-ready records, safeguard provider information, and support audits and corrective action plans

🎯 Requirements

• 3+ years of related experience • Skills in business operations, data ingestion, problem solving, and reporting management • Scheduled availability for 40 hours per week • Ability to travel less than 10% • No security clearance required • No US citizenship requirement • Ability to complete identity verification using biometrics and artificial intelligence • Must be on camera during virtual interviews

🏖️ Benefits

• Medical plan options, some with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with pre-tax and post-tax contributions up to IRS annual limits and company match • Full flex work weeks where possible • Vacation, sick, and personal time • Paid holidays • Paid parental leave • Military leave • Bereavement leave • Jury duty leave • Typically 15 days of paid leave per calendar year • Additional 10 paid holidays per year • Up to 160 hours of paid family leave in a rolling 12-month period for eligible employees • Short- and long-term disability benefits • Life insurance • Accidental death and dismemberment insurance • Personal accident insurance • Critical illness insurance • Business travel and accident insurance • Remote work

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