Remote Provider Network Management Jobs in Virginia

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:

Program Delivery and Execution

Job Qualifications:

Skills:

Customer Service Management, Process Implementations, Provider Data Management (PDM), Provider Network Management, Relationship Management

Certifications:

None

Experience:

8 + years of related experience

US Citizenship Required:

No

Job Description:

GDIT's Federal Health team if hiring a Provider Relations Account Manager to support the ThirdParty Administrator (TPA)for theWorld Trade Center (WTC) Health Program

This position is remote, but occasional travel may be required for meetings with CCEs, CDC stakeholders, or internal leadership.

Summary:

The CCE Account Manager serves as the primary operational liaison between the World Trade Center Health Program (WTCHP) Third-Party Administrator (TPA) and Clinical Centers of Excellence (CCEs).

This role is responsible for maintaining strong, mission-driven partnerships with CCE leadership; coordinating operational needs across internal TPA teams; and ensuring that each CCE receives the services, tools, data, and network support necessary to deliver high-quality care and case management to WTCHP members.

This position is uniquely suited to individuals with direct, hands-on experience working with WTCHP CCEs prior to the current TPA contract. Candidates without this experience will not be considered. Deep familiarity with the organizational structures, operational workflows, and program requirements of all eight CCEs is essential.

The CCE Account Manager will function as the internal subject matter expert (SME) on CCE needs and processes and will partner with Benefits Administration, Member Services, Claims, Provider Network Management, and Operations leadership to drive cross-CLIN execution and continuous improvement. The role reports to the Provider Network Lead and is fully remote.

What You'll Be Doing:

• Serve as the central point of contact for all WTCHP CCEs, ensuring clear communication, timely issue resolution, and strong program alignment.
• Develop and maintain executive-level relationships with CCE leadership to promote transparency, trust, and long-term partnership success.
• Act as the internal SME for CCE-specific workflows, including case management models, member coordination processes, unique operational needs, and interactions with the TPA provider network.
• Coordinate internal execution of CCE needs by working closely with Benefits Administration, Member Services, Claims, Provider Network Management, and Operations leadership.
• Support the implementation of new operational initiatives, service delivery enhancements, and process improvements that affect CCEs.
• Build and reinforce a culture of collaboration, accountability, customer service excellence, and continuous process improvement across all provider engagement activities.
• Facilitate regular business reviews with CCEs to discuss performance metrics, operational priorities, quality initiatives, compliance requirements, and strategic objectives.
• Provide CCE-focused insights to TPA leadership to inform program operations, member experience enhancements, and provider network strategies.
• Support the delivery of CCE-related data, reporting, and tools, ensuring alignment with CDC guidelines and WTCHP program requirements.
• Manage escalations and coordinate internally to resolve member-impacting issues, ensuring appropriate follow-through and timely closure.
• Maintain a deep understanding of the WTCHP mission and ensure that all provider engagement activities reflect the program's commitment to 9/11 responders and survivors.

What You'll Need (required):

• Bachelor's degree and 8+ years of experience (work experience will be considered in lieu of degree)
• Functional knowledge of all eight CCEs, including their structures, workflows, and operational practices.
• Experience supporting or collaborating with federal healthcare programs, including familiarity with CDC program standards and compliance expectations.
• Proven ability to manage executive-level provider relationships within large academic medical centers or integrated health systems.
• Strong operational coordination skills with the ability to translate complex program needs into internal action plans.
• Excellent communication, interpersonal, and problem-solving abilities. Demonstrated ability to manage escalations and drive resolution across cross-functional teams.

Preferred Qualifications (preferred):

• Prior experience working with WTCHP Clinical Centers of Excellence.
• Experience with WTCHP operations prior to the TPA contract transition.
• Background in provider network management, healthcare operations, care coordination, or case management programs.
• Experience leading operational improvement initiatives within multi-stakeholder healthcare environments.
• Familiarity with data reporting workflows or program compliance processes within federal health programs.

Competencies:

• Mission-driven mindset with a deep commitment to supporting 9/11 responders and survivors.
• Strong relationship management and diplomacy skills, including comfort engaging with senior CCE leadership.
• Ability to drive coordination across multiple internal teams and ensure accountability for CCE needs.
• Skilled at balancing high-level strategic understanding with attention to detailed operational requirements.
• Exercises sound judgment and operates with integrity, transparency, and a service-oriented approach.

The likely salary range for this position is $107,744 - $125,350. 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 Falls Church

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. 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.

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 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.Join our Talent Community to stay up to date on our career opportunities and events at

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Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans