Clinical Program Strategist

GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees.

GEHA has one mission: To empower federal workers to be healthy and well.

Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, GEHA empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization.

Duties and Responsibilities

• Utilization Trend Analysis: Conduct in-depth analysis of member utilization patterns, leveraging advanced analytics to identify key trends, anomalies, and opportunities for improvement. Translate findings into strategic recommendations to drive decision-making.
• Program Design and Implementation Support: Lead the ideation, design, and implementation of innovative intervention programs aimed at mitigating member spend while enhancing health outcomes. Collaborate with interdisciplinary teams to ensure seamless execution and alignment with organizational objectives.
• Strategic Planning and Advisory: Contribute to the formulation of long-term strategies by providing insights derived from data analysis. Offer advisory support to senior leadership, highlighting opportunities and risks within the clinical operations landscape.
• Data Drive Insights: Utilize innovative analytical tools and methodologies to interpret complex healthcare data in collaboration with the Data and Analytics team. Develop comprehensive reports to effectively communicate findings and recommendations to stakeholders.
• Collaborative Partnership: Work closely with cross-functional teams in Quality, Population Health, Health and Wellbeing, and Utilization Management to identify collaborative opportunities, streamline processes, and ensure cohesive implementation of initiatives.
• Continuous Improvement and Innovation: Stay abreast of emerging trends, regulations, and advancements in healthcare. Integrate new knowledge into strategies, fostering a culture of continuous improvement and innovation within the division.

Education and Experience:

• Bachelor's in health administration or related field (Masters preferred)
• Additional years of experience may be considered in lieu of education
• 5+ years of experience in healthcare program design and population health management.
• 5+ years of experience in healthcare settings, public sector, or health plan space
• 2+ years of experience in data analytics, statistical analysis, and business intelligence tools. (SQL, Excel, data visualization tools (Power BI)
• Strong understanding of healthcare operations, regulations, and trends.
• Excellent communication, presentation, and people skills.
• Ability to work collaboratively in a cross-functional team environment.
• Strong problem-solving and critical-thinking abilities.

Knowledge, Skills, and Abilities

• Analytical mindset with a strategic approach to problem-solving.
• Adaptability to work in a fast-paced, dynamic environment.
• Strong leadership qualities and the ability to influence and collaborate effectively.
• Meticulous with a focus on delivering high-quality results.
• Commitment to continuous learning and professional development in the healthcare

#LI-REMOTE

Work-at-home requirements

• Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
• A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
• Latency (ping) response time lower than 80 ms
• Hotspots, satellite and wireless internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

How we value you

• Competitive pay/salary ranges
• 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

Please note that the salary information is a general guideline only. GEHA considers factors such as (but not limited to) scope and responsibilities of the position, candidate's work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.

GEHA is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. GEHA will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization.

GEHA is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.