Senior Program Intelligence – Performance Management Consultant

🔥 12 hours ago

🌪️ Kansas – Remote

🌪️ Kansas – Remote

💵 $115.7k - $146.4k / year

⏰ Full Time

🟠 Senior

💼 Consultant

👻 Ghost score 0%

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GEHA Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1937

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

GEHA Health is a large benefits association dedicated to serving federal employees, retirees, and their families. Founded by postal workers in 1937, GEHA offers a comprehensive range of health and dental plans, including FEHB and PSHB options, as well as additional benefits such as gym memberships, vision benefits, and wellness rewards. With a network of 1. 7 million providers nationwide and extensive prescription drug coverage, GEHA prioritizes reinvesting profits to enhance member experiences and support federal workforce health. Their plans include Medicare Advantage options and a robust telehealth offering, ensuring their members receive the best possible care and coverage.

📋 Description

• Define and own the performance measurement framework for G.E.H.A.'s ancillary product portfolio • Establish KPIs, benchmarks, thresholds, and leading indicators across dental, vision, and future ancillary lines of business • Align program scorecards with strategic priorities and OPM contractual obligations • Identify measurement gaps and work with enterprise Data & Analytics to build capabilities • Establish baseline performance assumptions and measurement infrastructure for new product lines before launch • Own metric definitions, calculation methodologies, and data-quality criteria • Serve as accountable owner for OPM-required performance reporting, CAP evidence packages, mid-year updates, and ad hoc data requests • Translate performance data into OPM-ready narratives meeting federal regulatory standards • Maintain the regulatory reporting calendar and ensure submission deadlines are met • Support OPM site visit preparation and recommend proactive disclosures • Advise leadership on regulatory reporting risk and mitigation strategies • Synthesize TPA reports, network performance data, actuarial summaries, enterprise dashboards, and member satisfaction inputs • Establish a cadence for collecting cross-functional performance inputs and hold partners accountable for timely, accurate delivery • Identify discrepancies, anomalies, risks, and emerging trends and recommend actions • Produce decision-ready performance packages, dashboards, and executive summaries • Support Board-level reporting on dental product performance • Advise the Director and senior leadership on program performance implications, options, trade-offs, and recommendations • Develop analytical business cases for benefit design changes, vendor interventions, and program investments • Lead performance deep-dives, determine root causes, and recommend corrective action • Represent the ancillary program in enterprise forums • Establish reporting standards, documentation practices, and quality-assurance protocols • Coach and review analytical work and serve as escalation point for complex analytical questions

🎯 Requirements

• Bachelor's degree in Business Administration, Health Informatics, Public Administration, Statistics, or a related field required; Master's degree preferred • Additional years of qualifying relevant work experience may be considered in lieu of formal education • Minimum of 7 years of progressive experience in program reporting, performance management, or health plan analytics • At least 2 years in a lead, senior, or principal capacity • Exceptional written communication and data storytelling skills • Strategic analytical mindset • Strong cross-functional collaboration skills • High proficiency in Microsoft Office Suite, particularly Excel and PowerPoint • Advanced proficiency with Power BI or comparable enterprise visualization platforms, including data modeling and design of self-service reporting for executive audiences • Experience synthesizing data from multiple sources into cohesive program-level performance narratives • Experience advising senior leadership on performance matters and influencing decisions through analytical recommendation • Experience establishing measurement standards and coaching, mentoring, or elevating the analytical capability of others • Direct experience supporting OPM, CMS, or other federal regulatory reporting obligations strongly preferred • FEDVIP or FEHB program experience is a significant advantage • Knowledge of federal health benefit program structure, OPM reporting expectations, or government contracting compliance preferred • Experience working in or alongside a dental or vision insurance program preferred • Familiarity with dental benefit structures, CDT coding, or managed care financial metrics is a strong plus • Must have non-cellular high-speed internet service such as fiber, DSL, or cable modem • Minimum internet speed of 30 Mbps download x 5 Mbps upload • Latency response time lower than 80 ms • Hotspots, satellite, and wireless internet service are not allowed • Dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information

🏖️ Benefits

• Incentive plan • Health/Vision/Dental benefits effective day one • 401(k) retirement plan: company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution • Robust employee well-being program • Paid Time Off • Personal Community Enrichment Time • Company-provided Basic Life and AD&D • Company-provided Short-Term & Long-Term Disability • Tuition Assistance Program • Remote work opportunity • Hybrid and work-from-home options for many roles