Note: The job is a remote job and is open to candidates in USA. General Dynamics Information Technology is seeking a Healthcare Performance & Improvement Lead to support a new Third Party Administrator contract. The role involves directing quality assurance, performance monitoring, and continuous operational improvement activities to ensure compliance and high-quality outcomes.
Responsibilities
- Serve as the GDIT’s primary owner of Quality Assurance (QA) activities while ensuring all contract tasks are performed accurately, consistently, and on time
- Maintain working mastery of functional and system Acceptable Quality Levels (AQLs), including what is monitored, how monitoring occurs, evaluation methodology, documentation practices, and reporting cadence
- Coordinate fulfillment of ad hoc information requests from the Program related to performance oversight, audits, or formal reviews, ensuring responses are accurate and delivered on Program-determined timelines
- Lead regular assessments of Contractor compliance and performance, covering:
- Compliance with contract requirements, performance standards, and acceptable quality levels
- Administrative and clinical trends affecting member health, continuity of care, and stakeholder experience
- Alignment with healthcare industry standards and best practices from other federal payers
- Translate assessment findings into actionable, continuous, proactive improvement initiatives aligned with Program strategic goals and priorities
- Partner with cross-functional teams (claims, enrollment, clinical, provider network, care coordination) to ensure quality findings inform operational practice
Skills
- Bachelor's degree with 3+ years of experience in quality management, performance oversight, or compliance roles supporting federal healthcare programs, health plans, or TPAs
- Strong understanding of healthcare operations, including claims adjudication, enrollment, certification, provider networks, and care coordination
- Consulting experience in identification and implementation of improvement initiatives with functional teams and business users
- Experience working within federally regulated environments and supporting programs with high visibility and strict oversight requirements
- Demonstrated ability to design and lead compliance assessments, trend analysis, and continuous improvement programs
- Ability to leverage data analysis and reporting tools such as Power BI & Excel to track performance trends and improvement outcomes
- Strong written and verbal communication skills for stakeholder-facing reporting and audit liaison work
- Experience supporting CDC, CMS, or other federal health programs
- Knowledge of the World Trade Center Health Program or similar public health or benefits programs
Benefits
- 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.
- 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.
- 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.
- 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.
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