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
2 days ago
Salary
$34 - $46 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Role 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.
Qualifications
- 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.
Benefits
- 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.
Company Description
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.
Job Requirements
- 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.
Benefits
- 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.
Related Guides
Related Categories
Related Job Pages
More Client Services Representative Jobs
The specialist will connect with clients across the US and Canada via virtual consultations, building trust and providing guidance on tailored coverage options. They must maintain professionalism and follow-through in all client interactions while contributing to team growth.
The Remote Client Service Manager will guide and support client service professionals while overseeing daily operations. This role focuses on fostering a collaborative environment centered on excellence, accountability, and continuous improvement.
The primary role involves serving as an Enrollment Specialist, focusing on client interactions within a fully remote setting. Individuals will be expected to contribute to the company's continued growth momentum by utilizing provided systems and training.
The Remote Client Representative will act as a trusted point of contact, communicating with clients to provide product information and support while building and maintaining long-term relationships. Key duties involve addressing questions with thoughtful problem-solving and working independently within a supportive remote team structure.
