Provider Relations Representative

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $72.9k - $98.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Logo of General Dynamics Information Technology

General Dynamics Information Technology

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 for assigned providers • Conduct regular provider touchpoints and executive-level check-ins/QBRs as needed • Track provider sentiment and satisfaction and drive action plans • Document interactions, decisions, and follow-ups in CRM/case management tools • Coordinate end-to-end provider onboarding and orientation • Coordinate portal registration and EFT setup • Standardize onboarding checklists, timelines, and handoffs • Monitor onboarding milestones and remove blockers • Deliver provider training through webinars, welcome packets, and job aids • Maintain FAQs, guides, and reference materials • Resolve escalated issues involving claims, credentialing, EFT, enrollment, and portal access • Perform root-cause analysis and track remediation to closure • Promote portal self-service workflows and assist with troubleshooting • Increase EFT adoption and support banking/EFT data verification and updates • Partner cross-functionally with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT • Represent provider needs in workgroups and report measurable outcomes • Maintain dashboards and logs for satisfaction, resolution, onboarding, case aging, portal adoption, and SLA compliance • Analyze trends and contribute to process improvement, templates, scripts, and automation • Maintain audit-ready documentation and safeguard provider information

🎯 Requirements

• 3+ years in provider relations/provider services or health plan operations • 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 • Bachelor’s degree preferred • 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 (e.g., Green Belt, PMP) preferred • US citizenship is not required • Less than 10% travel required

🏖️ Benefits

• Full-flex work week • 401(k) with company match • Comprehensive health and wellness packages • Internal mobility support • Paid education and certifications • Professional growth opportunities • Paid vacation and holidays • Medical plan options, including some with Health Savings Accounts • Dental plan options • Vision plan • Paid sick and personal time • Paid parental, military, bereavement, and jury duty leave • 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

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