Provider Network Lead

CGI

$143K — $310K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required.
  • 7-9 years of experience managing healthcare provider networks.
  • Proven knowledge of credentialing workflows and malpractice verification.
  • Familiarity with DBQs, disability assessments, and clinical operations is essential.
  • Lean Six Sigma Green Belt certification preferred.
  • Experience with telehealth networks and rural coverage expansion is a plus.

Responsibilities

  • Recruit, onboard, and credential multi-specialty examiners nationwide.
  • Manage provider coverage and scheduling coordination to ensure network adequacy.
  • Ensure compliance with licensure, malpractice, and credentialing standards.
  • Oversee performance monitoring, remediation, and quality outcomes for provider services.
  • Coordinate travel or mobile clinical support for special populations.

Benefits

  • Competitive compensation package offered from day one.
  • Comprehensive insurance options available for healthcare needs.
  • 401(k) matching contributions and share purchase plan participation.
  • Generous paid time off including vacation, holidays, and sick time.
  • Paid parental leave to support family needs.
  • Learning opportunities and tuition assistance to foster professional growth.
  • Wellness and well-being programs to promote a healthy work-life balance.
Full Job Description
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Provider Network Lead

Category: Infrastructure/Cloud

Main location: United States, Virginia, Fairfax

Position ID:J0926-0190

Employment Type: Full Time

Position Description:

The Position builds and manages the nationwide provider network that delivers examinations on time and within customer's geographic rules. They ensure adequate specialty coverage, credentialing accuracy, and malpractice compliance. Their leadership guarantees exam readiness across all regions.
This position is located in Fairfax, VA but may also be worked from our Lafayette, LA office.

Your future duties and responsibilities:

Recruit, onboard, and credential multi specialty examiners nationwide
Manage provider coverage, scheduling coordination, and network adequacy
Ensure compliance with licensure, malpractice, and credentialing standards
Oversee performance monitoring, remediation, and quality outcomes
Coordinate travel or mobile clinical support for special populations

Required qualifications to be successful in this role:

Bachelor's degree
7-9 years managing healthcare provider networks
Experience with credentialing workflows and malpractice verification
Familiarity with DBQs, disability assessments, and clinical operations
Desired qualifications/non essential skills required:
Lean Six Sigma Green Belt
Experience with telehealth networks and rural coverage expansion
CGI is required by law in some jurisdictions to include a reasonable estimate of the compensation range for this role. The determination of this range includes various factors not limited to skill set, level, experience, relevant training, and licensure and certifications. To support the ability to reward for merit based performance, CGI typically does not hire individuals at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this role in the U.S. is $143,500.00 $310,700.00.
CGI Federal's benefits are offered to eligible professionals on their first day of employment to include:
. Competitive compensation
. Comprehensive insurance options
. Matching contributions through the 401(k) plan and the share purchase plan
. Paid time off for vacation, holidays, and sick time
. Paid parental leave
. Learning opportunities and tuition assistance
. Wellness and Well being programs
#CGIFederalJob
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Skills:
  • Clinical Workflows
  • English
  • Health Care Consulting
  • Hospitals and Health Providers
  • Government
  • Quality assurance


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