Clinical Operations Specialist
Summary Performs routine administrative workflow tasks that support functions of Clinical Operations. Engages and educates members and providers about GEHA benefits and programs. Identifies cases for internal and external Clinical programs. Duties Uses various communication methods to identify and solicit information from providers and vendors as relevant to clinical and business need.Coordinates, reviews and investigates claims to determine the medical necessity and appropriateness of the
GEHA, Inc.
Customer Experience Analyst Coordinator
Position Title: Customer Experience Analyst CoordinatorOpen Positions: 1Posted Date: January 16, 2025Location: RemoteDepartment: Communications and Marketing Strategy Supervisor: Jennifer Baisa Apply online at: https://geha.wd5.myworkdayjobs.com/GEHACareers/job/Remote/Customer-Experience-Analyst_R-004891 Summary The Customer Experience Analyst is responsible for supporting customer experience (CX) and retention programs
GEHA, Inc.Manager Vendor Management – Non-HR Role
Summary The Manager of the Vendor Management Office (VMO), reporting to the Head of vendor Management Office, will lead the entire vendor management process from procurement to renewal/termination. Provide support and management in the standardization of purchasing, contracting, service delivery, and solutions for the organization. Identify and nurture relationships with vendor partners to promote a sustainable, profitable and cost-effective supply chain. Duties •Responsible for the performance and
GEHA, Inc.Product Owner – HDHP
Summary - This is a NON-IT focused product role. The Product Owner is a dynamic role, essential for articulating the value propositions of GEHA’s product offers. This individual serves as the primary advocate GEHA’s FEHB/PSHB/FEDVIP/VEBA (depending on role) product, balancing the needs of customers, business stakeholders, and the development team. They are responsible for defining the product roadmap and guiding the product development lifecycle from conception to launch and beyond. The Product Owner is
GEHA, Inc.Product Support Specialist
Summary - This is a non-IT focused product role. Concentrates on the detailed planning aspects of product development and lifecycle management, assisting in the creation and maintenance of product roadmaps and other key artifacts used in product management. This role is designed for individuals passionate about contributing to the success of innovative products, offering a unique opportunity to support key initiatives within a leading-edge product environment Duties The Product Support Specialist is
GEHA, Inc.Quality Assurance Analyst
Summary The Quality Assurance Specialist audits claim coding, customer service calls or electronic files for accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Duties Updates and completes daily, monthly and annual reports.Prepares responses to correspondence and handles complex provider issues and calls.Answers questions from PDM staff and other departments regarding provider updates and issues.Makes recommendations to improve quality, workflow
GEHA, Inc.Sales Insights & Reporting Analyst
Summary The Sales Insights and Reporting Analyst is accountable for informing the sales function to help GEHA meet or exceed growth goals by employing best practices to transform sales metrics into information and intelligence through dashboard development and assisting the Mgr -Marketing Infrastructure and Sales Insights in producing sale prospect insights at every state in the sales funnel. The successful candidate will have a background in sales success metrics, data manipulation, and dashboard
GEHA, Inc.Senior Accountant
Summary Maintains financial records and ensures that financial transactions are properly recorded. Research and analyze financial information. Ensures the accuracy of entries to ledger accounts and reconciles subsidiary ledger accounts to the general ledger. Prepares complex balance sheets, profit and loss statements and other financial reports to guide management and senior leadership to provide guidance on strategy and business outcomes. Analyzes current costs, revenues, financial commitments, and
GEHA, Inc.Sr. Contact Center Engineer
Summary The Senior Engineer’s role is to be accountable for Technology, Infrastructure, & Operations projects that impact company security and operational efficiency. This includes maintaining applications, systems, network, and/or telecommunications infrastructure to provide operational integrity and meet best practice guidelines for operational availability. Assists all teams with development and communication of strategic planning, project planning and plans for ongoing development of technological
GEHA, Inc.Sr. Developer - Salesforce
Summary As a Salesforce Senior Developer, you will be responsible for designing, coding, and implementing Salesforce applications to enhance our business functionality and improve user experience. You will work closely with our marketing, sales and dental insurance operations teams to translate business requirements into technical solutions. In this role you will be responsible for the participating in the development life cycle from participating in requirements refinement to deployment and maintenance.
GEHA, Inc.Supv - Non-Clinical Operations
Summary Responsible for supervising the daily operations of Clinical Quality member outreach programs and processes. Serves as the primary contact for staff, assigned to internal and external programs, and escalated management issues. Assists Administrator/Manager with developing Clinical Quality utilization policies and procedures. Monitors internal and external policies and workflow for compliance in regard to departmental goals. Provides support and supervision to department staff. Works under the
GEHA, Inc.Team Lead - Salesforce
Summary The Salesforce Team Lead plays a critical role in managing and leading a team of Salesforce Administrators and Developers to achieve the organization’s technological goals. The Team Lead is responsible for overseeing and managing a team of technology professionals in their respective area of discipline, to ensure the successful development, implementation, and oversight of technology solutions. The Team Lead is the bridge between the manager (who focuses more strategy and oversight) and the
GEHA, Inc.