Manager, Dental Network Oversight

Manager, Dental Network Oversight

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.

The Manager, Dental Network Oversight leads the strategic oversight of G.E.H.A's dental network performance across dental lines of business, ensuring the network delivers measurable value through strong access, network adequacy, savings performance, provider availability, and partner accountability. This role serves as a strategic business owner for the dental network oversight function, evaluating owned and contracted network performance, identifying opportunities to improve affordability and competitiveness, and advancing recommendations that support member value, regulatory commitments, and long-term business objectives.

The Manager partners closely with Dental Product, the Connection Dental Network (CDN) team, the Third-Party Administrator (TPA), analytics, procurement, legal, compliance, and operational leaders to align network priorities, drive performance improvement, and ensure issues are addressed with clear ownership and measurable outcomes. Provider escalation governance is managed as an input to broader network oversight, using recurring themes to strengthen partner performance, reduce operational friction, and inform sustainable network improvement.

As the function evolves, this role will help shape the future network oversight operating model, including scalable processes, governance structure, role clarity, training needs, and readiness for future people-leadership responsibilities.

Duties and Responsibilities:

• Lead the dental network oversight function for G.E.H.A, establishing governance routines, performance expectations, savings monitoring, access reviews, partner accountability, reporting standards, and executive-ready action tracking across CDN, TPA, and internal stakeholders.
• Own dental network adequacy performance for G.E.H.A's dental members, using access metrics by geography, specialty, and product line to direct network development priorities and close gaps for G.E.H.A Connection Dental Federal through the Federal Employees Dental and Vision Insurance Program (FEDVIP) and Connection Dental Plus (CD+).
• Evaluate G.E.H.A's owned and contracted dental network model to determine whether current network strategy supports access, affordability, competitiveness, specialty coverage, provider availability, savings performance, and regulatory expectations.
• Identify and quantify network savings opportunities by analyzing utilization patterns, reimbursement trends, fee schedule performance, provider participation, market dynamics, and member value.
• Serve as the primary strategic point of accountability between Dental Product and the CDN team, aligning dental network priorities, resolving competing objectives, and ensuring network decisions support program performance and enterprise goals.
• Hold internal and external partners accountable for agreed-upon outcomes, ensuring performance concerns are escalated appropriately, corrective actions are implemented, and improvements are sustained through clear governance and follow-up.
• Support network expansion and market evaluation activities by defining business needs, assessing partner or market options, contributing to evaluation criteria, and coordinating limited RFP-related input when additional network solutions are required.
• Advance network innovation opportunities, including quality-focused approaches, provider performance models, improved access strategies, data-driven oversight tools, and capabilities that support affordability, transparency, and provider experience.
• Oversee provider complaint and escalation governance by ensuring recurring themes are analyzed, ownership is assigned, root causes are addressed, and escalation insights inform strategic network decisions.
• Develop executive-level dashboards, scorecards, and leadership updates that communicate network performance, savings opportunities, access risks, escalation themes, open issues, recommended actions, and decision points.
• Anticipate network-related risks to G.E.H.A's dental program performance and drive mitigation plans with defined owners, timelines, measurable outcomes, and appropriate leadership visibility.
• Shape the future network oversight operating model by defining core functions, documenting scalable processes, identifying staffing needs, developing training materials, and preparing the function for future people-leadership responsibilities as it expands.

Knowledge, Skills, and Abilities:

• Bachelor's degree in business…