Clinical Operations Analyst (Non-IT position)
Summary The Clinical Operations Analyst (Non IT) plays a pivotal role in GEHA and is responsible for the analysis, development, and delivery of comprehensive clinical reports that provide actionable insights to senior leadership. This position requires a strong background in healthcare data analysis, a deep understanding of clinical operations, and the ability to translate complex data into meaningful, actionable information. This role will help meet the executive reporting and clinical specific data
GEHA, Inc.Director - Procurement and Vendor Management and Performance Management
Summary The Director - Procurement and Vendor Management COE and Performance Management, reporting to the VP, Vendor Management Office, will own three distinct functions – VMO Center of Excellence, TPRM & Critical Contract oversight (non-UMR). Responsible for driving operational excellence and function as the senior executive for vendor contracts oversight. Provide leadership in the standardization of purchasing, contracting, oversight, service delivery and solutions for the organization. Direct and
GEHA, Inc.Manager - VMO Oversight
Summary The Manager of Supplier/Supplier Oversight is responsible for managing and supporting critical supplier relationships. This role ensures that the supplier adheres to contractual obligations, deliver optimal performance, and complies with healthcare regulations. The ideal candidate will possess strong leadership, analytical, and communication skills to effectively manage supplier engagements across various departments and ensure alignment with the organization's strategic goals. Duties
GEHA, Inc.Medicare Part D Performance Management Specialist - Pharmacy
Summary The Medicare Part D Performance Management Specialist will report to the Director of Pharmacy and will be responsible for monitoring contractual, operational, reporting, and regulatory requirements for Medicare Part D / EGWP lines of business. Duties Serves as a subject matter expert to Centers for Medicare & Medicaid Services (CMS) Part D / EGWP regulatory requirements.Able to navigate and research CMS policies and memorandums specific to Part D / EGWP and provide guidance to the plan and
GEHA, Inc.Nurse Consultant II
Summary The Nurse Consultant II provides professional nursing care to our members through the execution of key duties within the discipline of the Clinical Operations division. Incumbents at level II support members through assessment, evaluation, planning, and evidence-based research that promotes optimum health care and service delivery. Key responsibilities may include assessment of open gaps in care, education of the member on how to close those gaps, review of clinical history, and review of
GEHA, Inc.Sr. Clinical Process Analyst
Summary The Senior Clinical Business Process Analyst role is critical to GEHA, responsible for overseeing the large-scale integration of clinical platforms across multiple departments, including Population Health, Health & Wellbeing, Clinical Quality, Pharmacy, Medical Management, and Dental. This role ensures that all internal stakeholders are aligned with a new vendor's processes, facilitates organizational integration, and enhances operational efficiency through data-driven strategies. This role
GEHA, Inc.Sr. Strategic Procurement VMO Partner
Summary Serves as company point of contact for issues with GEHA partners within the Vendor Manager Office division for vendors with high impact to company cost and program completion. Acts as a liaison between current and future external partners and GEHA to address issues surrounding contract performance. Duties Onboard new external partners, ensuring they meet quality, cost, and compliance requirements.Lead supplier selection process, negotiate contracts, and manage supplier relationships to ensure
GEHA, Inc.Supervisor, Clinical Operations
Summary Responsible for supervising the daily operations of the Care Management Department clinical programs and processes. Serves as the primary contact for staff, assigned to internal and external programs, and escalated care management issues. Assists Administrator/Manager with developing Care Management and utilization policies and procedures. Monitors internal and external policies and workflow for compliance in regards to departmental goals. Provides support and supervision to internal clinical
GEHA, Inc.