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About the Role

As a Provider Relations Lead on the GDIT Federal Civil Division State and Local Health team for a state Medicaid program, you will be supporting a multi-year program with progressive growth and expansion of services. The program will engage with state customers, subcontracting vendors, and many stakeholder entities. You will manage and maintain positive relationships between the State of New Mexico Health Care Authority and its network of providers, including physicians, hospitals, clinics, Presumptive Eligibility Determiners, and other healthcare facilities. You will lead the provider relations team and play a critical role in developing and maintaining strong partnerships with healthcare providers, fostering collaborative relationships, addressing provider needs and concerns, and ensuring alignment with organizational goals and objectives. You will also serve as the communications lead for the project.

Responsibilities

Lead a team of Provider Relations Specialists, including assigning tasks, providing training and development opportunities, and conducting performance evaluations.
Develop and maintain strong, collaborative relationships with healthcare providers, including physicians, hospitals, Tribal Organizations, Presumptive Eligibility Determiners, and clinics.
Serve as a primary point of contact for escalated provider inquiries, issues, and concerns, ensuring timely and effective resolution.
Educate providers on organizational policies, procedures, and services to enhance their understanding and support compliance.
Plan and execute communication campaigns to support client’s initiatives and enhance public relations.
Ensure consistent messaging and branding across all communication channels and platforms.
Work with internal and external teams to expand and optimize provider networks, ensuring adequate coverage and quality of services through outreach activities.
Monitor provider performance metrics and collaborate with internal and external team members to identify opportunities for improvement in service delivery and patient outcomes.
Ensure providers and provider relations staff adhere to regulatory requirements, contractual obligations, and accreditation standards.
Generate reports, analyze provider data, and present insights to senior management to support strategic decision-making and improve provider relations strategies.

Requirements

Bachelor’s degree in Healthcare Administration, Business Administration, or a related field (required) with 5 + years experience
Previous experience in provider relations, network management, or healthcare administration, with demonstrated leadership experience.
In-depth knowledge of healthcare regulations, managed care principles, and payer/provider dynamics.
Strong negotiation, communication, and interpersonal skills, with the ability to build trust and rapport with providers.
Analytical skills with the ability to interpret data, identify trends, and propose actionable insights.
Proficiency in using MS Office Suite and experience with CRM software (e.g., Salesforce) is advantageous.
Must be in a US state.

Skills

Health Administration
Leadership
Managed Care
Provider Relations
Leadership and managerial skills
Strategic thinking
Problem-solving abilities
Ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines.
Collaboration and teamwork skills
Adaptability and resilience

Location

Remote

Work Type

Remote
Full-time

Experience Level

6 + years of related experience
5 + years experience

Education Level

Bachelor’s degree in Healthcare Administration, Business Administration, or a related field

Salary/Compensations

$68,000 - $92,000

Benefits

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
Variety of medical plan options, some with Health Savings Accounts
Dental plan options
Vision plan
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.
Full flex work weeks where possible
Variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave.
15 days of paid leave per calendar year to be used for vacations, personal business, and illness
10 paid holidays per year
Paid Family Leave program provides a total of up to 160 hours of paid 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

About the Company

GDIT is a global technology and professional services company that delivers technology solutions 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 mission-ready capabilities in AI, cloud, cyber and software development.

Equal Opportunity

Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans