Provider Relations Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $22 - $31 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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General Dynamics Information Technology

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1954

💼 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.

📋 Description

• Serve as the primary point of contact and account owner for assigned healthcare providers • Conduct provider touchpoints and executive-level check-ins/QBRs as needed • 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 training on program policies, billing requirements, and operational procedures • Maintain FAQs, guides, job aids, and reference materials • Resolve and escalate provider issues involving claims, credentialing, EFT, enrollment, and portal access • Perform root-cause analysis and track corrective actions to closure • Promote portal self-service workflows and increase EFT adoption • Collaborate with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT • Maintain dashboards and logs for satisfaction, first-contact resolution, onboarding timeliness, case aging, portal adoption, and SLA compliance • Analyze trends and contribute to process improvements, templates, scripts, and automation • Maintain audit-ready documentation and safeguard provider information • Support audits and corrective action plans

🎯 Requirements

• 3+ years in provider relations/provider services or health plan operations, including onboarding, education, or escalation/issue resolution • Strong communication, presentation, facilitation, and relationship-management skills • Proficiency with provider portals and CRM/case management tools • Solid Excel/Sheets capability • Ability to manage multiple priorities, meet SLAs, and produce clear documentation • Experience supporting federal or government-sponsored healthcare programs preferred • Familiarity with claims operations, EDI, credentialing requirements, and provider directory standards preferred • Lean/Six Sigma or project management credential, such as Green Belt or PMP, preferred • Bachelor’s degree preferred

🏖️ Benefits

• Medical plan options, including plans with Health Savings Accounts • Dental plan options • Vision plan • 401(k) plan with pre-tax and post-tax contributions and company match • Full flex work weeks where possible • Paid vacation, sick, personal, holiday, parental, military, bereavement, and jury duty leave • Typically 15 days of paid leave per calendar year • 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