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A business unit of General Dynamics, General Dynamics Information Technology (GDIT) supports some of the United States' most complex government, defense, and in
Provider Network Representative: Complex Contracting – Large & Institutional Groups
Location
United States
Posted
72 days ago
Salary
$34 - $46 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Provider Network Representative: Complex Contracting – Large & Institutional Groups
General Dynamics
Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: MBI (T2) Job Family: Contact Center Job Qualifications: Skills: Healthcare Contracts, Issue Management, Negotiation, Provider RelationsCertifications: NoneExperience: 5 + years of related experienceUS Citizenship Required: No Job Description: GDIT is seeking an experienced Provider Network Representative IV to support the World Trade Center (WTC) Health Program. This role serves as a crucial point of connection between the program and its diverse nationwide network of healthcare providers. Focusing on complex contracting for large and institutional group practices, the Provider Network Representative is responsible for leading provider re-affiliation efforts, driving contract discussions, and serving as the point person for communications with key provider stakeholders. 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. HOW YOU WILL MAKE AN IMPACT - Lead and manage re‑affiliation and contracting efforts with large, complex, high‑volume, or institutional provider groups - Serve as the primary liaison for key provider organizations, fostering strong relationships and ensuring clear, timely communication - Conduct contract discussions, including review of non‑standard terms, escalations, and negotiation of mutually beneficial agreements - Collaborate closely with internal teams, including legal, compliance, operations, and Provider Relations Specialists, to ensure contract alignment and issue resolution - Provide strategic insights and recommendations regarding provider network expansion, risk mitigation, and program compliance - Facilitate onboarding and orientation for provider organizations transitioning into or re‑engaging with the program - Track, document, and report progress on contracting initiatives, provider escalations, and critical milestones - Identify barriers affecting provider engagement and work proactively to resolve them operationally or contractually - Support long‑term network stability by promoting program requirements, performance expectations, and service standards - Represent the Provider Network Operations team in high‑level provider discussions and internal briefings WHAT YOU’LL NEED TO SUCCEED - Associates degree; 5+ years of experience in healthcare contracting, provider relations, network management, or a similar function - Demonstrated experience serving as the primary liaison for large or high‑impact provider groups, ideally within a national or multi‑site network - Proven negotiation and contract management skills, including experience with non‑standard terms and complex contract structures - Strong understanding of healthcare provider operations, reimbursement processes, and contract language - Excellent communication and relationship‑building skills, with the ability to influence stakeholders at all levels - Ability to manage sensitive provider issues with discretion, professionalism, and sound judgment - Strong analytical, organizational, and documentation abilities - Ability to work independently while collaborating effectively across multi‑disciplinary teams - Experience working within a federally regulated program or similar environment is a plus GDIT IS YOUR PLACE: - 401K with company match - Comprehensive health and wellness packages - Internal mobility team dedicated to helping you own your career - Professional growth opportunities including training, mentoring, and support for continued scientific development - Cutting-edge technology environments you can learn from - Rest and recharge with paid vacation and holidays OWN YOUR OPPORTUNITY Explore an enterprise IT career at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your desire to drive operations forward. #GDITFedHealthJobs #GDITFedHealth #GDITWTC The likely hourly rate for this position is between $34.00 - $46.00. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range. Scheduled Weekly Hours: 40 Travel Required: None Telecommuting Options: Remote Work Location: Any Location / Remote Additional Work Locations: Total Rewards at GDIT: 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. We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology. Join our Talent Community to stay up to date on our career opportunities and events atgdit.com/tc. Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
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