Deputy Associate Director, Insurance Operations

Office of Personnel Management • Washington, DC

15h • Onsite

About The Position

The Deputy Associate Director, Insurance Operations (DAD IO) reports to the Principal Deputy Associate Director (PDAD) for Healthcare and Insurance (HI) and directs the Insurance Operations organization at the U.S. Office of Personnel Management (OPM). The incumbent advises the PDAD, HI Associate Director, and the OPM Director on insurance operations (including enrollment and customer experience), contract negotiations and administration (including disputed claims), and carrier performance. The DAD IO will serve as a trusted advisor to the PDAD, HI AD, and OPM Director and be the subject matter expert on matters related to the operations of FEHB, PSHB, FEGLI, FEDVIP, FLTCIP, and FSAFEDS. Under the general direction of the PDAD, the incumbent manages the negotiation and administration of contracts through which insurance and other benefits are provided to eligible Federal and Postal Service employees, retirees, and their families and other eligible populations. Responsibilities encompass the Federal Employees Health Benefits (FEHB) Program, Postal Service Health Benefits (PSHB) Program, Federal Employees' Group Life Insurance (FEGLI) Program, Federal Employees Dental and Vision Insurance Program (FEDVIP), Federal Long Term Care Insurance Program (FLTCIP), and Federal Flexible Spending Account Program (FSAFEDS). The position is responsible for administering these programs efficiently and effectively, protecting enrollee interests, securing value for the Government, and supporting efforts to reduce fraud, waste, and abuse. The incumbent addresses laws, regulations, and subregulatory guidance that materially affect program operations, including eligibility, enrollment, permissible plan choices, and enrollee rights. This responsibility includes applicable provisions affecting employees of tribes, tribal organizations, tribal grant schools, retired members of the Uniformed Services, and Postal Service employees and annuitants. The incumbent coordinates with other components of HI responsible for to ensure appropriate contract oversight, operational policy implementation, performance assessment, resolution of audits resolution, and compliance with internal controls.

Requirements

• Must be a U.S. Citizen or National
• Subject to a 1-year supervisory probationary period (unless already completed).
• Complete a Declaration for Federal Employment to determine your suitability for Federal employment, at the time requested by the agency
• If you are a male applicant born after December 31, 1959, certify that you have registered with the Selective Service System or are exempt from having to do so.
• File a Public Financial Disclosure Report OGE-278e within 30 days of appointment and annually from then on.
• You may be required to obtain and maintain an interim and/or final security clearance prior to entrance on duty. Failure to obtain and maintain the required level of clearance may result in the withdrawal of a job offer or removal.
• Demonstrated comprehensive technical and administrative knowledge of insurance principles and practices, including actuarial and financing considerations, insurance industry trends, and laws, rules, and regulations related to insurance benefits programs.
• Demonstrated knowledge of the American system of government, commitment to uphold the Constitution and the rule of law, and commitment to serve the American people.
• Demonstrated ability to strategically and efficiently manage resources, budget effectively, cut wasteful spending, and pursue efficiency through process and technological upgrades.
• Demonstrated knowledge, ability and technical competence to effectively and reliably produce work that is of exceptional quality.
• Demonstrated ability to lead and inspire a group toward meeting the organization's vision, mission, and goals, and to drive a high-performance, high-accountability culture. This includes, when necessary, the ability to lead people through change and to hold individuals accountable.
• Demonstrated ability to achieve both individual and organizational results, and to align results to stated goals from superiors.

Nice To Haves

• Demonstrated comprehensive technical and administrative knowledge of laws, rules, and regulations related to employee health insurance and other insurance benefit programs.

Responsibilities

• Directing the development, implementation, oversight, and ongoing management of the assigned insurance and benefit programs.
• Establishing coordinated operational priorities while addressing each program's distinct requirements.
• Overseeing implementation of applicable program laws, policies, regulations, and subregulatory guidance.
• Developing operational policies and coordinate the development of regulations and guidance, including provisions governing interagency responsibilities.
• Providing technical consultation and advice to OPM leadership on insurance principles and practices and on laws, regulations, and instructions relevant to HI programs.
• Overseeing negotiation of benefits, premiums, rates, and contract amendments for the assigned programs.
• Ensuring that contracts with health, dental, and vision carriers, issuers, and other contracted entities provide the best value for the Government and eligible participants.
• Directing acceptance and review of applications from health insurance carriers seeking to participate in the FEHB Program, PSHB Program, and FEDVIP.
• Overseeing the ongoing administration and management of FEHB, PSHB, FEGLI, FEDVIP, and FLTCIP carrier contracts, as well as the contract for BENEFEDS and FSAFEDS.
• Monitoring carrier and contractor compliance with contractual requirements, including required claims data submissions.
• Identify deficiencies and direct corrective action through the appropriate contractual and program processes.

Benefits

• A career with the U.S. government provides employees with a comprehensive benefits package.
• As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding.
• Learn more about federal benefits.
• Review our benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Education Level: No Education Listed