Government Employees Health Association, Inc. (G.E.H.A) is a nonprofit member association that provides health and dental benefits that millions of federal employees and retirees, military retirees and their families have counted on since 1937. Offering one of the largest health and dental benefit provider networks available to federal employees in the United States, G.E.H.A empowers health and wellness by meeting its members where they are, when they need care.
G.E.H.A has one mission: To empower federal workers to be healthy and well.
Manages leased partner network data integration into I-Network (Network Data Management and Exchange System). Creates requirement documents for GEHA Solutions Inc. projects and enhancements. Manages Quality Assurance review of projects and enhancements, providing sign-off for production. Collaborates with external I-Network developers and external project management team to meet client contractual requirements and delivery of customer products. Manages Data Quality of products delivered to client’s internal claims systems and to file with state regulatory agencies. Supports SFTP site for client use. Act as a backup for network analysis for the Marketing Specialist. Provides daily support to Business Development and National Accounts to maintain current customer accounts and assist with acquiring new accounts. Assists manager with project management.
SKILLS
Responsibilities
- Manages Leased Network data integration with I-Network, maintaining network data and system stability to meet contractual delivery requirements.
- Manages the CDFLEX and Connection Dental network product creation and delivery. Works in conjunction with GEHA Operations to direct data transfer protocols are met and build product delivery jobs.
- Responsible for data quality of products delivered to maintain external clients’ internal claims systems and to file with state regulatory agencies. Works closely with key stakeholders for clients systems teams to ensure delivery of products and SFTP site access.
- Responsible for the development of analytical insights for all client and prospective clients.
- Maintains a strong product knowledge, functions as I-Network subject matter expert.
- Creates data requirements and maintains documents for projects and enhancements. Collaborates with I-Network developers and project management team to meet client requirements and delivery of customer products
- Creates and oversees completion of service tickets for change control management.
- Completes Quality Assurance review of projects and enhancements.
- Responsible for Data Cleansing of the leased partners network data. Collaborates directly with network partners to resolve any data discrepancies.
- Participates in development of standards, design and implementation of proactive processes to collect and rep