The Deputy Associate Director, Insurance and 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.
As the Deputy Associate Director, Insurance and Operations, you will be part of Healthcare and Insurance. 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.
If selected, some key responsibilities include: 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.
This position does not have an education requirement.
This position is with Office of Personnel Management, Other Agencies and Independent Organizations.
The posted pay range is $151661 – $228000/yr.
This position is eligible for telework.
Applications close on 2026-10-21.
This position is open under the 'Ses' hiring path.
Source: USAJOBS.gov — U.S. Federal Government
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