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General Dynamics Information Technology, Inc. seeks a Provider Network Supervisor to lead the WTCHP Provider Relations team, overseeing onboarding, education, issue resolution, and provider engagement.
The role partners with Credentialing, Claims, IT, and Provider Data to ensure operational excellence and a high-quality provider experience. The position emphasizes strategy execution, KPI tracking, and continuous improvement across onboarding, portal usage, and data-driven decision making.
Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: MBI (T2) Job Family: Ancillary Health Job Qualifications: Skills: Account Management, Key Performance Indicators (KPI), Operational Metrics, Problem Solving, Quality Compliance Certifications: None Experience: 3 + years of related experience US Citizenship Required: No
The Provider Network Supervisor is the manager responsible for the strategy, operations, and outcomes of the Provider Relations function supporting the World Trade Center Health Program (WTCHP). This role leads a team of Provider Network Representatives to onboard and engage providers, deliver education and portal training, resolve issues impacting claims and participation, and maintain strong relationships across the network. The Supervisor partners closely with Provider Data, Credentialing, Contracting, Claims, Clinical Operations, Communications, and IT to ensure operational excellence and a high‑quality provider experience.
Work in conjunction with the Provider Services Lead on Provider Relations strategy and annual operating plan; translate organizational goals into targets, roadmaps, KPIs, and staffing/resource plans.
Oversee account management for healthcare delivery organizations and independent providers. Serve as the escalation point for complex provider issues; drive timely resolution and communicate outcomes and prevention plans. Monitor provider sentiment and satisfaction; synthesize feedback themes; implement action plans to improve the provider experience.
Direct end‑to‑end onboarding, provider education, webinars, portal training, EFT setup, credentialing coordination, and directory validation. Standardize onboarding checklists, timelines, and handoffs with Credentialing, Provider Data, and Contracting; ensure accurate participation activation and directory integrity. Develop targeted training and communications for provider segments and roles; measure adoption, comprehension, and impact on operational metrics.
Oversee intake and resolution of issues spanning claims, credentialing, enrollment, provider data, contracts, and portal support; manage queues and case aging. Remove blockers, rebalance work, and elevate cross‑functional dependencies; ensure SLA adherence and clear provider communication. Lead root‑cause analysis and corrective actions to reduce repeat issues; coordinate with Claims, Data, and IT on systemic fixes and configuration updates.
Develop dashboards and routine reporting on satisfaction, first‑contact resolution, onboarding timeliness, issue aging, portal adoption, quality scores, productivity, and SLA compliance. Drive continuous improvement across intake, documentation, handoffs, and communication; implement automation or templates where feasible. Use data insights to prioritize provider outreach, education topics, and process enhancements; present recommendations and action plans to leadership.
Partner with Provider Data, Credentialing, Contracting, Claims, Finance, Clinical Operations, Communications, and IT on shared initiatives and process improvements. Align provider communications with contracting terms, credentialing requirements, portal capabilities, and claims processes; ensure consistency and clarity. Lead provider meetings and cross‑functional workgroups; track actions to completion and report outcomes.
Ensure compliance with organizational policies, privacy/security requirements, and applicable regulations; maintain audit‑ready documentation. Support audits and quality reviews; develop corrective action plans and monitor remediation; maintain confidentiality of provider information. Communicate status, risks, and recommendations to executive stakeholders; prepare materials for business reviews and governance committees.
Supporting federal or government‑sponsored healthcare programs.
Familiarity with provider directory and credentialing requirements; exposure to claims operations and EDI.
The likely salary range for this position is $46,325 - $62,675. 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: Less than 10% Telecommuting Options: Remote Work Location: USA VA Home Office (VAHOME) Additional Work Locations:
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.
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