Req ID: RQ185290Type of Requisition: RegularClearance Level Must Be Able to Obtain: NonePublic Trust/Other Required: NoneJob Family: Healthcare ClaimsSkills:Compliance Requirements,Health Care Systems,Leadership,Medicaid,Provider Network ManagementExperience:5 + years of related experienceJob Description:A Senior Provider Enrollment Specialist is responsible for managing the enrollment process for healthcare providers within an organization, ensuring they are credentialed and contracted to provide services.Job Summary: As a Senior Provider Enrollment Specialist, you will be responsible for coordinating and managing the enrollment and credentialing process for healthcare providers. Your primary goal is to ensure that providers are properly credentialed, contracted, and able to deliver services to patients. You will collaborate closely with internal departments, external agencies, and providers to facilitate timely and accurate enrollment.Key Responsibilities:
Application Processing: Review and process enrollment applications accurately and efficiently, ensuring all information is complete and meets regulatory requirements.
Credentialing: Ensure providers meet credentialing requirements by verifying education, training, licensure, certifications, and other qualifications.
Provider Relations: Serve as a primary point of contact for the Provider Relations team regarding enrollment status, application requirements, and related inquiries.
Compliance Monitoring: Monitor and track provider enrollment status and deadlines to ensure compliance with regulatory and contractual obligations.
Database Management: Maintain accurate provider information in databases and enrollment systems, ensuring data integrity and accessibility.
Reporting: Generate reports on provider enrollment status, trends, and issues for management review and decision-making purposes.
Qualifications:
Bachelor’s degree in Healthcare Administration, Business Administration, or a related field (preferred) with 5+ years-experience.
Previous experience in provider enrollment, credentialing, or healthcare administration.
Knowledge of healthcare regulations, payer requirements, and managed care principles. - Strong organizational skills with attention to detail and accuracy.
Excellent communication skills, both verbal and written.
Ability to prioritize tasks, manage multiple projects simultaneously, and meet deadlines.
Proficiency in MS Office Suite and experience with enrollment software or databases (e.g., CAQH, NPPES) is a plus.
Skills:
Detail-oriented and analytical mindset.
Strong problem-solving and decision-making abilities.
Ability to maintain confidentiality and handle sensitive information.
Customer service-oriented with strong interpersonal skills.
Adaptability to changing priorities and requirements.
GDIT IS YOUR PLACE:
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
The likely salary range for this position is $66,132 - $89,472. 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.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. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. 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.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 30 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.We connect people with the most impactful client missions, creating an unparalleled work experience that allows them to see their impact every day. We create opportunities for our people to lead and learn simultaneously. From securing our nation’s most sensitive systems, to enabling digital transformation and cloud adoption, our people are the ones who make change real.GDIT is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other protected class.
