Senior Case Manager

Type of Requisition:
Regular

Clearance Level Must Currently Possess:
None

Clearance Level Must Be Able to Obtain:
None

Public Trust/Other Required:
NACI (T1)

Job Family:
Program Delivery and Execution

Job Qualifications:

Skills:
Continuous Improvement, Patient Safety, Program Management, Quality Improvement, Regulatory Compliance
Certifications:
None
Experience:
8 + years of related experience
US Citizenship Required:
No

Job Description:

Overview

HRSA works to advance health equity and strengthen health systems that serve geographically isolated, economically challenged, or medically vulnerable populations. Through programs such as the OPTN, Ryan White HIV/AIDS Program, and community health initiatives, HRSA ensures access to high-quality services and fosters a skilled health workforce.

As part of GDIT's people-centric environment, the Senior Case Manager plays a critical leadership role in safeguarding patient safety, ensuring compliance with transplant policies, and strengthening national organ donation and transplantation processes. This role serves as a subject matter expert and senior advisor across the full lifecycle of case management activities-including case intake, triage, analysis, review, enforcement, and resolution.

The Senior Case Manager provides strategic oversight, mentors a team of case managers and investigators, drives continuous quality improvement, and collaborates closely with HRSA, OPTN Committees, CMS, and member organizations. This position ensures consistent, rigorous evaluation of case issues and helps shape national standards for organ allocation, member compliance, and patient safety.

Responsibilities

Leadership & Team Oversight

• Provide advanced leadership, coaching, and performance direction for case managers and investigators responsible for patient safety and compliance case reviews.
• Oversee the workflow, prioritization, and quality of case management activities to ensure timely, consistent adherence to program standards.
• Develop and deliver training programs to strengthen team capabilities and ensure alignment with evolving OPTN policies and federal regulations.
• Serve as the senior escalation point for complex, sensitive, or high-risk compliance matters.

Strategic Case Management

• Lead strategic planning for case intake, triage, tracking systems, and review methodologies to enhance efficiency and transparency.
• Oversee secure management, redaction, and documentation of sensitive case information, ensuring complete compliance with federal privacy and security standards.
• Ensure case tracking tools and systems support real-time monitoring, stakeholder visibility, and data-driven analysis.
• Develop executive-level reports summarizing case trends, compliance risks, outcomes, and systemic insights for HRSA, OPTN Committees, and senior leadership.

Advanced Case Review & Compliance Oversight

• Conduct or oversee complex case assessments, including identifying severity, urgency, and required investigative pathways.
• Lead the development of comprehensive case review plans addressing timelines, data needs, and involved stakeholder groups.
• Coordinate external reviews and escalations, including engagement with CMS or other oversight bodies.
• Ensure fair, well-documented, consistent evaluations of case issues across diverse OPTN member institutions.

Policy, Process, and Quality Improvement

• Analyze case data to identify trends, systemic risks, and recurring patterns of non-compliance across transplant hospitals, OPOs, and histocompatibility labs.
• Provide strategic insights and recommendations that inform policy refinements, member education initiatives, and operational improvements.
• Lead continuous improvement initiatives to strengthen case intake, triage, investigation, and resolution processes.
• Evaluate historical case patterns and previous operational findings to inform proactive policy or process enhancements.
• Oversee the implementation of final recommendations, including monitoring corrective action plans and ensuring accurate documentation in OPTN systems.

Stakeholder Engagement & Representation

• Represent GDIT and the case management function in high-level meetings, cross-functional workgroups, and task forces.
• Serve as a trusted advisor to HRSA, OPTN Committees, and partner organizations on matters related to compliance, patient safety, and policy implications.
• Facilitate communication and coordination across internal and external teams to ensure integrated, transparent case management practices.

What You'll Need

• 8+ years of experience in compliance, investigations, quality improvement, auditing, or project management in healthcare or regulatory environments.
• Bachelor's degree required; advanced degree preferred.
• Demonstrated expertise in federal, state, and local regulatory frameworks related to healthcare compliance.
• Must have experience analyzing clinical and program-level health data to advise senior management and government agencies on operations, regulatory compliance, patient safety, and program impact; deliver written findings and recommendations for process improvement.
• Prepare and present comprehensive program reviews to organizational leadership, including recommendations on policy modifications.
• Must have experience providing services on regulatory compliance and patient safety to government agencies, interpreting and applying OPTN policies.
• Strong analytical, risk assessment, and independent judgment capabilities.
• Exceptional written and verbal communication skills, including experience preparing executive-level reports.
• Proven leadership experience managing teams, mentoring staff, and driving organizational improvements.
• Outstanding organizational and project management skills.
• Demonstrated ability to manage sensitive information with discretion, confidentiality, and accuracy.
• Ability to travel up to 15% to member organizations nationwide.
• Ability to obtain and maintain a Public Trust clearance.

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.

#OPTNJobs

#GDITFedHealthJobs

The likely salary range for this position is $108,800 - $147,200. 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.

Scheduled Weekly Hours:
40

Travel Required:
Less than 10%

Telecommuting Options:
Remote

Work Location:
USA VA Falls Church

Additional Work Locations:

Total Rewards at GDIT:
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. 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.

Our Identity Verification Process:
As 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.

Join our Talent Community to stay up to date on our career opportunities and events at
gdit.com/tc.