Senior Program Intelligence – Performance Management Consultant

This is a fully remote position, open to applicants in Kansas.

📋 Description

• Define and take ownership of the performance measurement framework for G.E.H.A.'s ancillary product offerings.

• Develop KPIs, benchmarks, thresholds, and leading indicators for dental, vision, and future ancillary business lines.

• Align program scorecards with strategic priorities and contractual obligations set by OPM.

• Identify measurement gaps and collaborate with enterprise Data & Analytics to enhance capabilities.

• Establish baseline performance assumptions and measurement infrastructure for new products prior to their launch.

• Take ownership of metric definitions, calculation methodologies, and data quality standards.

• Act as the accountable owner for OPM-required performance reporting, CAP evidence packages, mid-year updates, and ad hoc data requests.

• Convert performance data into narratives suitable for OPM that comply with federal regulatory standards.

• Maintain the regulatory reporting calendar to ensure all submission deadlines are met.

• Assist in preparing for OPM site visits and suggest proactive disclosures.

• Provide guidance to leadership on regulatory reporting risks and mitigation strategies.

• Synthesize reports from TPA, network performance data, actuarial summaries, enterprise dashboards, and member satisfaction inputs.

• Establish a routine for collecting cross-functional performance inputs and ensure partners are accountable for timely and accurate delivery.

• Identify discrepancies, anomalies, risks, and emerging trends, and recommend appropriate actions.

• Create decision-ready performance packages, dashboards, and executive summaries.

• Support reporting at the Board level regarding dental product performance.

• Advise the Director and senior leadership on implications of program performance, available options, trade-offs, and recommendations.

• Develop analytical business cases for changes in benefit design, vendor interventions, and program investments.

• Lead in-depth performance analyses, identify root causes, and suggest corrective actions.

• Represent the ancillary program in enterprise-level forums.

• Establish reporting standards, documentation practices, and quality assurance protocols.

• Mentor and review analytical work while serving as an escalation point for complex analytical inquiries.

⛳️ Requirements

• A Bachelor's degree in Business Administration, Health Informatics, Public Administration, Statistics, or a related field is required; a Master's degree is preferred.

• Additional years of relevant work experience may be considered in place of formal education.

• A 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 role.

• Outstanding written communication and data storytelling abilities.

• A strategic analytical mindset.

• Strong skills in cross-functional collaboration.

• High proficiency in Microsoft Office Suite, especially Excel and PowerPoint.

• Advanced skills in Power BI or similar enterprise visualization tools, including data modeling and designing self-service reporting for executive audiences.

• Experience in synthesizing data from various sources into cohesive narratives for program-level performance.

• Experience advising senior leadership on performance issues and influencing decisions through analytical recommendations.

• Experience in establishing measurement standards and enhancing the analytical capabilities of others through coaching and mentoring.

• Direct experience supporting OPM, CMS, or other federal regulatory reporting requirements is strongly preferred.

• Familiarity with FEDVIP or FEHB programs is a significant advantage.

• Knowledge of the federal health benefit program structure, OPM reporting expectations, or government contracting compliance is preferred.

• Experience working in or alongside a dental or vision insurance program is preferred.

• Familiarity with dental benefit structures, CDT coding, or managed care financial metrics is a strong plus.

• Must have a non-cellular high-speed internet connection such as fiber, DSL, or cable modem.

• Minimum internet speed of 30 Mbps download and 5 Mbps upload.

• Latency response time should be lower than 80 ms.

• Hotspots, satellite, and wireless internet services are not permitted.

• A dedicated workspace free from ongoing interruptions to protect member PHI/HIPAA information is required.

🏝️ Benefits

• Incentive plan.

• Health, Vision, and Dental benefits effective from day one.

• 401(k) retirement plan with company matching—dollar for dollar up to 4% of employee contributions (pretax or Roth options) plus a 6% annual company contribution.

• Comprehensive employee well-being program.

• Paid Time Off.

• Personal Community Enrichment Time.

• Company-provided Basic Life and AD&D insurance.

• Company-provided Short-Term and Long-Term Disability coverage.

• Tuition Assistance Program.

• Opportunity for remote work.

• Hybrid and work-from-home options available for many roles.