Responsibilities:
- Evaluates member health metrics to develop targeted UM/CM initiatives.
- Refers members and providers to G.E.H.A resources.
- Monitors and evaluates program effectiveness.
Skills & Abilities:
- Objectively analyzes information and provides actionable insights.
- Communicates effectively through modern communication technologies.
- Reviews complex medical necessity appeals.
Work-at-home requirements:
- Must have high-speed internet.
- Minimum speed of 30x5.
- Dedicated space to protect member PHI / HIPAA information.
Government Employees Health Association
Government Employees Health Association (G.E.H.A) is a nonprofit member association providing health and dental benefits to millions of federal employees and retirees since 1937. G.E.H.A is headquartered in Lee's Summit, Missouri, offering hybrid and work-from-home options for many roles.