{"schemaVersion":"jobsearcher.job.v1","id":"fa858b7aed6c0dc0bbd6abc0","url":"https://jobsearcher.com/jobs/fa858b7aed6c0dc0bbd6abc0","canonicalUrl":"https://jobsearcher.com/jobs/fa858b7aed6c0dc0bbd6abc0","title":"Provider Data Representative","description":"Clearance Level\nNone\nCategory\nProcess and Operational Efficiency\nLocation\nRemote, Working from the USA\n\nKey Skills For Success\n\nCollaboration\n\nCustomer Problem Solving\n\nCustomer Service\n\nMicrosoft Applications\n\nMultitasking\n\nREQ#: RQ228926\nPublic Trust: None\nRequisition Type: Regular\nYour Impact\n\nOwn your opportunity to be on the frontlines of health innovation. Deliver for America’s health agency missions and enhance lives for hundreds of millions every day.\n\nJob Description\n\nThe Provider Data Representative ensures complete, accurate, and timely provider demographic, participation, credentialing, enrollment, roster, and directory information across systems supporting the World Trade Center Health Program (WTCHP). The role safeguards provider data integrity to support accurate claims payment, credentialing compliance, provider directory accuracy, and network participation. The Representative partners with Provider Relations, Credentialing, Provider Data, Claims Operations, and Contracting to keep provider information comprehensive, correct, and aligned with program and organizational standards.\n\nKey Responsibilities:\n\nDirectory Accuracy & Completeness\n\nMaintain high accuracy standards for provider directory data.\nSupport issue resolution that reduces member and provider complaints arising from directory discrepancies.\n\nTimely Updates & Maintenance\n\nProcess demographic changes, additions, terminations, and updates within service‑level expectations.\nReduce backlog and improve turnaround time through efficient workflow management.\n\nData Integrity Management\n\nValidate and maintain NPIs, TINs, specialties, practice locations, affiliations, licensure, and EFT data.\nIdentify and reduce claims‑impacting data error rates; support audit readiness.\n\nRoster Reconciliation\n\nReconcile provider rosters against credentialing, enrollment, claims, and directory systems.\nIdentify discrepancies affecting participation or claims payment and coordinate timely correction with cross‑functional teams.\n\nCredentialing & Enrollment Support\n\nValidate provider demographic data required for onboarding, credentialing, and recredentialing.\nIdentify and resolve participation or enrollment inconsistencies to ensure timely activation.\n\nClaims & Operational Support\n\nIdentify data issues impacting claims adjudication, reimbursement, or provider participation.\nPartner with Claims Operations to resolve discrepancies and support root‑cause analysis.\n\nReporting & Analytics\n\nGenerate dashboards, productivity logs, discrepancy reports, and data quality metrics.\nTrack turnaround times, accuracy rates, and productivity; provide insights to leadership for continuous improvement.\n\nProvider & Stakeholder Communication\n\nCommunicate data requirements, corrections, and discrepancies to credentialing, enrollment, and provider relations teams.\nMaintain clear documentation supporting provider updates and operational workflows.\n\nProcess Improvement & Tooling\n\nRecommend workflow enhancements, automation opportunities, and system updates.\nSupport implementation of new tools, templates, and operational processes.\n\nRequired Qualifications\n\nBachelor’s degree preferred.\n3+ years of experience in provider data, credentialing, enrollment, or health plan operations.\nStrong analytical skills and proficiency in Microsoft Excel.\nExceptional attention to detail and accuracy.\n\nPreferred Qualifications\n\nExperience supporting federal or government‑sponsored healthcare programs.\nKnowledge of provider directory regulatory requirements and healthcare data standards.\nExperience with provider portals, enrollment systems, or enterprise provider data platforms.\n\nSkills & Attributes for Success\n\nData governance and quality management\nAnalytical thinking and problem solving\nProcess improvement mindset\nAttention to detail\nStrong written and verbal communication\nCollaboration and teamwork\n\nGDIT IS YOUR PLACE:\n\nFull-flex work week to own your priorities at work and at home.\n401K with company match.\nComprehensive health and wellness packages.\nInternal mobility team dedicated to helping you own your career.\nProfessional growth opportunities including paid education and certifications.\nCutting-edge technology you can learn from.\nRest and recharge with paid vacation and holidays.\n\n#GDITFedHealthJobs\n\n#GDITWTCJobs\n\nWork Requirements\nYears of Experience\n\n1 + years of related experience\n\n* may vary based on technical training, certification(s), or degree\n\nCertification\n\nTravel Required\n\nLess than 10%\n\nSalary and Benefit Information\n\nThe likely salary range for this position is $72,877 - $98,599. 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.\n\nOur Identity Verification Process\n\nAs 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.\n\nAbout Our Work\n\nWe 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.\n\nJoin our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc.\n\nEqual Opportunity Employer / Individuals with Disabilities / Protected Veterans","company":"General Dynamics Information Technology","rawCompany":"generaldynamicsinformationtechnology","city":"Myrtle Point","state":"OR","isRemote":false,"isActive":false,"createdAt":"2026-09-28T11:53:23.912Z","occupations":[{"code":"29-9021.00","title":"Health Information Technologists and Medical Registrars","slug":"health-information-technologists-and-medical-registrars"},{"code":"15-1243.01","title":"Data Warehousing Specialists","slug":"data-warehousing-specialists"},{"code":"29-2072.00","title":"Medical Records Specialists","slug":"medical-records-specialists"}],"industries":[{"code":"923120","title":"Administration of Public Health Programs","slug":"administration-of-public-health-programs"},{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"},{"code":"561320","title":"Temporary Help Services","slug":"temporary-help-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Provider Data Representative","description":"Clearance Level\nNone\nCategory\nProcess and Operational Efficiency\nLocation\nRemote, Working from the USA\n\nKey Skills For Success\n\nCollaboration\n\nCustomer Problem Solving\n\nCustomer Service\n\nMicrosoft Applications\n\nMultitasking\n\nREQ#: RQ228926\nPublic Trust: None\nRequisition Type: Regular\nYour Impact\n\nOwn your opportunity to be on the frontlines of health innovation. Deliver for America’s health agency missions and enhance lives for hundreds of millions every day.\n\nJob Description\n\nThe Provider Data Representative ensures complete, accurate, and timely provider demographic, participation, credentialing, enrollment, roster, and directory information across systems supporting the World Trade Center Health Program (WTCHP). The role safeguards provider data integrity to support accurate claims payment, credentialing compliance, provider directory accuracy, and network participation. The Representative partners with Provider Relations, Credentialing, Provider Data, Claims Operations, and Contracting to keep provider information comprehensive, correct, and aligned with program and organizational standards.\n\nKey Responsibilities:\n\nDirectory Accuracy & Completeness\n\nMaintain high accuracy standards for provider directory data.\nSupport issue resolution that reduces member and provider complaints arising from directory discrepancies.\n\nTimely Updates & Maintenance\n\nProcess demographic changes, additions, terminations, and updates within service‑level expectations.\nReduce backlog and improve turnaround time through efficient workflow management.\n\nData Integrity Management\n\nValidate and maintain NPIs, TINs, specialties, practice locations, affiliations, licensure, and EFT data.\nIdentify and reduce claims‑impacting data error rates; support audit readiness.\n\nRoster Reconciliation\n\nReconcile provider rosters against credentialing, enrollment, claims, and directory systems.\nIdentify discrepancies affecting participation or claims payment and coordinate timely correction with cross‑functional teams.\n\nCredentialing & Enrollment Support\n\nValidate provider demographic data required for onboarding, credentialing, and recredentialing.\nIdentify and resolve participation or enrollment inconsistencies to ensure timely activation.\n\nClaims & Operational Support\n\nIdentify data issues impacting claims adjudication, reimbursement, or provider participation.\nPartner with Claims Operations to resolve discrepancies and support root‑cause analysis.\n\nReporting & Analytics\n\nGenerate dashboards, productivity logs, discrepancy reports, and data quality metrics.\nTrack turnaround times, accuracy rates, and productivity; provide insights to leadership for continuous improvement.\n\nProvider & Stakeholder Communication\n\nCommunicate data requirements, corrections, and discrepancies to credentialing, enrollment, and provider relations teams.\nMaintain clear documentation supporting provider updates and operational workflows.\n\nProcess Improvement & Tooling\n\nRecommend workflow enhancements, automation opportunities, and system updates.\nSupport implementation of new tools, templates, and operational processes.\n\nRequired Qualifications\n\nBachelor’s degree preferred.\n3+ years of experience in provider data, credentialing, enrollment, or health plan operations.\nStrong analytical skills and proficiency in Microsoft Excel.\nExceptional attention to detail and accuracy.\n\nPreferred Qualifications\n\nExperience supporting federal or government‑sponsored healthcare programs.\nKnowledge of provider directory regulatory requirements and healthcare data standards.\nExperience with provider portals, enrollment systems, or enterprise provider data platforms.\n\nSkills & Attributes for Success\n\nData governance and quality management\nAnalytical thinking and problem solving\nProcess improvement mindset\nAttention to detail\nStrong written and verbal communication\nCollaboration and teamwork\n\nGDIT IS YOUR PLACE:\n\nFull-flex work week to own your priorities at work and at home.\n401K with company match.\nComprehensive health and wellness packages.\nInternal mobility team dedicated to helping you own your career.\nProfessional growth opportunities including paid education and certifications.\nCutting-edge technology you can learn from.\nRest and recharge with paid vacation and holidays.\n\n#GDITFedHealthJobs\n\n#GDITWTCJobs\n\nWork Requirements\nYears of Experience\n\n1 + years of related experience\n\n* may vary based on technical training, certification(s), or degree\n\nCertification\n\nTravel Required\n\nLess than 10%\n\nSalary and Benefit Information\n\nThe likely salary range for this position is $72,877 - $98,599. 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.\n\nOur Identity Verification Process\n\nAs 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.\n\nAbout Our Work\n\nWe 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.\n\nJoin our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc.\n\nEqual Opportunity Employer / Individuals with Disabilities / Protected Veterans","datePosted":"2026-09-28T11:53:23.912Z","dateModified":"2026-09-28T11:53:23.912Z","hiringOrganization":{"@type":"Organization","name":"General Dynamics Information Technology","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Myrtle Point","addressRegion":"OR","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"fa858b7aed6c0dc0bbd6abc0"},"url":"https://jobsearcher.com/jobs/fa858b7aed6c0dc0bbd6abc0"}}