A business unit of General Dynamics, General Dynamics Information Technology (GDIT) supports some of the United States' most complex government, defense, and in
Healthcare Performance & Improvement Lead
Location
United States
Posted
6 days ago
Salary
$112.8K - $115K / year
Seniority
Lead
No structured requirement data.
Job Description
Healthcare Performance & Improvement Lead
General Dynamics
Role Description 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. GDIT is seeking a Healthcare Performance & Improvement Lead to support a new Third Party Administrator (TPA) contract by directing quality assurance, performance monitoring, and continuous operational improvement activities. In this role, you will own GDIT’s TPA operational quality oversight function — ensuring performance standards are met, monitored, and reported in accordance with our contractual requirements. This position will lead recurring compliance and performance assessments, track administrative and clinical trends affecting member health and continuity of care, and drive continuous improvement initiatives aligned with the Program's strategic goals. Through disciplined monitoring, documentation, and audit readiness, you will help ensure the Program consistently meets federal performance expectations and supports high-quality outcomes for its members and stakeholders. Responsibilities: - Serve as the GDIT’s primary owner of Quality Assurance (QA) activities while ensuring all contract tasks are performed accurately, consistently, and on time. - Maintain working mastery of functional and system Acceptable Quality Levels (AQLs), including what is monitored, how monitoring occurs, evaluation methodology, documentation practices, and reporting cadence. - Coordinate fulfillment of ad hoc information requests from the Program related to performance oversight, audits, or formal reviews, ensuring responses are accurate and delivered on Program-determined timelines. - Lead regular assessments of Contractor compliance and performance, covering: - Compliance with contract requirements, performance standards, and acceptable quality levels. - Administrative and clinical trends affecting member health, continuity of care, and stakeholder experience. - Alignment with healthcare industry standards and best practices from other federal payers. - Translate assessment findings into actionable, continuous, proactive improvement initiatives aligned with Program strategic goals and priorities. - Partner with cross-functional teams (claims, enrollment, clinical, provider network, care coordination) to ensure quality findings inform operational practice. Qualifications - Bachelor's degree with 3+ years of experience in quality management, performance oversight, or compliance roles supporting federal healthcare programs, health plans, or TPAs. - Strong understanding of healthcare operations, including claims adjudication, enrollment, certification, provider networks, and care coordination. - Consulting experience in identification and implementation of improvement initiatives with functional teams and business users. - Experience working within federally regulated environments and supporting programs with high visibility and strict oversight requirements. - Demonstrated ability to design and lead compliance assessments, trend analysis, and continuous improvement programs. - Ability to leverage data analysis and reporting tools such as Power BI & Excel to track performance trends and improvement outcomes. - Strong written and verbal communication skills for stakeholder-facing reporting and audit liaison work. Preferred Qualifications - Experience supporting CDC, CMS, or other federal health programs. - Knowledge of the World Trade Center Health Program or similar public health or benefits programs. Benefits - Full-flex work week to own your priorities at work and at home. - 401K with company match. - Comprehensive health and wellness packages. - Internal mobility team dedicated to helping you own your career. - Professional growth opportunities including paid education and certifications. - Cutting-edge technology you can learn from. - Rest and recharge with paid vacation and holidays. Salary Information The likely salary range for this position is $112,840 - $115,000. 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. Work Location Remote Our Identity Verification Process As part of the hiring process, we will ask you to complete an identity verification process that leverages advanced biometrics and artificial intelligence to ensure authenticity and protect against identity fraud. You are expected to be on camera during virtual interviews. We reserve the right to take your picture to verify your identity and prevent fraud. By proceeding, you authorize the collection, processing, and use of your biometric data for identity verification and security purposes. About Our Work 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 26,000 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. Equal Opportunity Employer Individuals with Disabilities / Protected Veterans
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