Manager, Business Consultant - Federal Accounts

• Manage complex projects that advance the goals of self-insured federal plans, driving improvements in plan performance, operational effectiveness, and compliance.
• Collaborate with internal and external stakeholders, including clients, senior management, and cross-functional teams, to ensure alignment of strategic objectives and support key business priorities.
• Manage procurement activities for the team, including contract administration, vendor coordination, and invoice reconciliation to ensure accuracy, compliance, and timely processing.
• Manage the annual LM 10 reporting process, ensuring accurate identification, tracking, and submission of all reportable employer–union transactions in compliance with Department of Labor requirements.
• Manage network reporting for self insured federal health plans, including monitoring performance, developing and presenting client-facing insights, coordinating reporting and data validation, and resolving escalated network provider issues.
• Support the annual prescription drug audit process, ensuring accurate validation of member coverage and compliance with plan requirements.
• Support the annual prescription drug audit process, ensuring accurate validation of member coverage and compliance with plan requirements.
• Manage assigned project activities independently, meeting timelines while proactively identifying and communicating risks that could impact milestones or outcomes.
• Support additional projects and initiatives as needed to meet business priorities.

• 5+ years of health insurance experience
• 3+ years of Project Management experience within the healthcare industry
• Strong problem-solving and decision-making skills, including the ability to assess risks and recommend effective solutions
• Strong organization and project planning and management skills
• Proven ability to collaborate and work effectively within cross-functional teams
• Experience and advanced knowledge of MS Office Suite applications, including Excel with the ability to use Pivot Tables for reporting

Experience working with the Federal Employees Health Benefits (FEHB) Program

• Medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs