Provider Data Supervisor
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Job Description
Provider Data Supervisor overseeing provider records, rosters, and directory accuracy for GDIT’s World Trade Center Health Program. Leading data quality, compliance, and cross-functional healthcare operations.
Responsibilities:
- Own the provider data management strategy and annual operating plan
- Translate organizational goals into targets, roadmaps, KPIs, and resource plans
- Lead, coach, and develop Provider Data Representatives
- Set goals, conduct performance evaluations and coaching, and promote professional development
- Establish governance for data standards, approvals, exception handling, and escalation pathways
- Oversee provider demographics, participation, enrollment, credentialing attributes, and directory content across systems
- Ensure timely processing of provider updates, enrollments, terminations, and changes
- Validate records across operational systems to support accurate claims payment and directory publication
- Manage provider lifecycle data requirements in partnership with Credentialing and Provider Relations
- Supervise provider roster reconciliation and validate rosters against credentialing, enrollment, claims, and directory data
- Identify discrepancies and coordinate corrective actions
- Develop reconciliation procedures, quality controls, duplicate/merge resolution rules, and a master golden record
- Partner with Provider Network, Contracting, Credentialing, Claims Operations, and Compliance teams
- Resolve provider data discrepancies affecting reimbursement and support EDI/configuration updates and claims-impact analyses
- Participate in enterprise provider-system and operational-improvement initiatives
- Lead provider data meetings and cross-functional workgroups
- Ensure compliance with organizational policies, privacy/security requirements, and applicable regulations
- Maintain audit-ready documentation and participate in audits and quality reviews
- Develop and execute corrective action plans
- Communicate status, risks, and recommendations to executive stakeholders
- Prepare materials for business reviews and governance committees
Requirements:
- 3+ years of related experience
- Skills in data integrity, documentation reporting, documentation tracking, and quality assurance processes
- MBI (T2) public trust requirement
- Must be able to complete the employer’s identity verification process using advanced biometrics and artificial intelligence
- Expected to be on camera during virtual interviews
- No security clearance currently possessed or required to obtain
- US citizenship is not required
- Travel required: less than 10%
Benefits:
- Medical plan options, including some with Health Savings Accounts
- Dental plan options
- Vision plan
- 401(k) plan with pre-tax and post-tax contributions and company match
- Full flex work weeks where possible
- Paid vacation, sick, and personal time
- Paid holidays
- Paid parental leave
- Paid military leave
- Paid bereavement leave
- Paid jury duty leave
- Typically 15 days of paid leave per calendar year for new employees
- Additional 10 paid holidays per year
- Up to 160 hours of paid family 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
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