Base Career helps you apply smarter for this job.
Key skills for this role
Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: MBI (T2) Job Family: Process and Operational Efficiency Job Qualifications: Skills: Business Processes, Business Process Improvements, Process Analysis, Process Governance, Process Improvements Certifications: None Experience: 5 + years of related experience US Citizenship Required: No Job Description: BUSINESS PROCESS MANAGER At GDIT, people are our differentiator. We are seeking a Business Process Manager / TPA Core Services Requirements & Testing Lead to support Third Party Administrator (TPA) healthcare implementation and long ‑ term operations for the World Trade Center (WTC) Health Program. MEANINGFUL WORK AND PERSONAL IMPACT This hybrid role combines business process ownership with requirements and testing leadership for core TPA services. The manager will lead end ‑ to ‑ end operational process design, maintain governance frameworks, and oversee coordination of requirements, testing readiness, and validation activities across eligibility, claims workflows, provider management, member services, and cross ‑ system integrations. You will ensure TPA processes are documented, compliant, efficient, and performing at required levels — while also driving structured requirements oversight, test alignment, and operational readiness throughout Transition ‑ In and steady ‑ state delivery. Process Governance & Operational Leadership Develop, maintain , and govern end ‑ to ‑ end business processes for eligibility operations, claims lifecycle workflows, provider management, member services, appeals, payments, and issue resolution. Establish operational SOPs, workflow maps, RACI charts, decision trees, and governance structures. Oversee operational readiness activities during Transition ‑ In , ensuring staffing models, workflows, system dependencies, and controls are documented, validated , and prepared for launch. mon itor operational performance using KPIs, dashboards, quality checks, and audits; initiate corrective actions as needed. Lead requirements coordination for core TPA operational capabilities, ensuring alignment across eligibility, claims, provider data, and member engagement processes. Work closely with Business Analysts to validate that requirements map correctly to real-world business process needs. Maintain traceability between business processes, requirements, SOPs, system configuration rules, and testing artifacts. Oversee change control for process ‑ related requirements and ensure they align with federal program rules, HIPAA, PHI/PII security, and contract obligations. WHAT YOU’LL NEED TO SUCCEED Bring your initiative and drive for innovation to GDIT. The Business Process Manager must have:
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
Falls Church, USA
, USA
Arlington, USA
, USA
, USA
Falls Church, USA
Falls Church, USA
Falls Church, USA
, USA
developing SOPs, process maps, BPMN artifacts, governance documents, and readiness frameworks.
P roficiency with Visio, Lucidchart , Miro, or BPMN tools for process modeling.
Familiarity with HIPAA, PHI/PII secure handling, and federal program compliance requirements.
coordinating cross-functional teams across technical, operational, and program areas.
Strong analytical, documentation, and communication skills.
Bachelor’s degree required .
GDIT IS YOUR PLACE At GDIT, the mission is our purpose, and our people are at the center of everything we do.
Provider of enterprise IT services and defense solutions.
Visit company websiteJobs and hiring trendsUSD 112840-138000 yearly / year
Full-time
Senior · 5+ years experience
Remote
Apply faster on company sites with our extension.