GEHA Health

Financial Planning and Analysis

• Provide accurate and data based information on company’s effectiveness and stability.
• Research and analyze financial information to help the company make well informed decisions.
• Write reports and monitor financial movements.
• Work with management and senior leadership to provide guidance on strategy and business outcomes.
• Consolidate and analyze financial data (budgets, income statement, forecasts etc.) taking into account company’s goals and financial standing.
• Provide creative alternatives and recommendations to reduce costs and improve financial performance.
• Support the annual budgeting process.
• Analyze project performance against expense and benefit expectations each month.
• Assemble and summarize data to structure sophisticated reports on financial status and risks.
• Develop financial models, conduct benchmarking and process analysis.
• Conduct business studies on past, future and comparative performance.
• Partner with management to understand financial reporting needs and desired outcomes.
• Identify trends, advise company and recommend actions to a FP&A management based on sound analysis.
• Develop reports and analyze nonfinancial data.
• Incorporate financial data into this analysis when appropriate.
• Track and determine financial status by analyzing actual results in comparison with budgets and prior periods.
• Consult with management to guide and influence long term and strategic decision making within the broadest scope.
• Drive process improvement and policy development initiatives that impact the function.
• Other duties as assigned.

Senior Financial Analyst

Director

• Guide and improve our Federal Employee Health Benefit (FEHB) and Postal Services Health Benefits (PSHB) environment.
• Manage delegated PBM contract oversight (inclusive of utilization and formulary management).
• Oversee clinical initiatives and programs (Medication Therapy Management, HEDIS/Quality).
• Partner closely with the VP of Pharmacy and other enterprise leadership to drive business outcomes.
• Set strategic direction for program development related to access, affordability, quality, and experience.
• Ensure operational excellence of the pharmacy benefit program.

Director, Pharmacy Health Plan

Brand Ambassador

• Represent GEHA at local health fairs and wellness events
• Educate federal employees and retirees about GEHA’s medical and dental plans
• Share educational materials, answer questions, and make health benefits easier to understand

Procurement

• 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.
• Onboard new external partners, ensuring they meet quality, cost, and compliance requirements.
• Lead supplier selection process, negotiate contracts, and manage supplier relationships to ensure favorable terms and conditions.
• Monitors daily workflow and provides guidance on processes and special handling items for major expenses to the business.
• Manages the daily performance of the current and future external partnerships.
• Establishes work priorities for the current and future external partnerships and monitors and reviews the work of the partners.
• Monitors productivity levels of the partners to ensure company goals are met.
• Maintains current and future external partnerships performance criteria as outlined in the contract and tracks such criteria, against actual performance.
• Provides external partners performance summary monthly.
• Evaluates the knowledge and skill levels of the current and future external partnerships staffing to ensure performance levels are meeting and exceeding standards needed to accomplish GEHA’s business requirements.
• Prepares analysis to evaluate partner’s contract performance for use in approval of monthly invoices.
• Manages grievances and partner relation issues as needed and involves the Director when issues become larger.
• Provides proper training for the current and future external partnerships on new GEHA processes, and any additional training needed on existing processes.
• Monitors current and future external partnerships recruitment to ensure current and future external partnerships has proper staffing for supporting and maintaining GEHA’s business requirements.
• Works with manager to design metrics and processes to ensure partner relationships are consistently reviewed and managed.
• Works with executives to determine and analyze new vendor relationships to determine the best partner by managing the RFP process end to end.
• Build RFP process end to end that can be used for all contracts including how often contracts need to be renewed, can be signed for, etc. Other miscellaneous projects, as assigned.

Senior Financial Analyst

Director, Pharmacy Health Plan

Brand Ambassador

Senior Strategic Sourcing Partner – Non-HR Role