Deputy Associate Director, Insurance Operations

Summary

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.

Duties

As the Deputy Assicate Director for Insurance 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.

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. This is not a remote position, selectee will be required to report to the duty station on a regular basis. Telework may be authorized. There are three key documents that contain important information about your rights and obligations. Please read and retain these documents: Noncriminal Justice Applicant's Privacy Rights, for those who undergo an FBI fingerprint-based criminal history record check for personnel vetting, which includes Rap Back, FD-258 Privacy Act Statement - FBI (this is the same statement used when your fingerprints are submitted as part of your background investigation), and SEAD-3-Reporting-U.pdf (dni.gov), (applicable to those who hold a sensitive position or have eligibility for access to classified information)

Qualifications and evaluation

Once the application process is complete, a review of your resume and supporting documentation will be conducted. If you meet minimum qualifications, your Application Package will be further reviewed to determine if you possess the Executive Core Qualifications (ECQ) and Mandatory Technical Qualification (MTQ) listed above. ECQs and MTQ must be thoroughly addressed within your two (2) page resume. Separate narratives will not be accepted or reviewed. Highly Qualified applicants may undergo one or more interviews and may be referred to the selecting official for further consideration. Upon selection, if not already a member of the SES serving under a career appointment, the individual selected must have his/her executive qualifications certified by the U.S. Office of Personnel Management's SES Qualifications Review Board (QRB) before appointment to this position. The selected individual's application will be forwarded to the OPM for review and certification by the QRB, unless the selectee provides evidence of their noncompetitive status (i.e., a current SES, OPM QRB certified SESCDP graduate, or SES reinstatement eligible). Upon QRB certification, the selected individual will be required to serve a one-year probationary period. For more information regarding the SES, go to Hiring and Talent Development for the Senior Executive Service.

Education

This position does not have an education requirement.

How to apply

To apply for this position, you must complete the online application and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (EST) on 10/21/2026 to receive consideration. To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application. Follow the prompts to select and upload your résumé and/or other required documents to be included with your application package. You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process. After acknowledging you have reviewed your application package, complete the "Include Personal Information" section as you deem appropriate and click to continue with the application process. You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. It is applicant's responsibility to verify that information entered and uploaded, (i.e., resume and other required documents) is complete, accurate, and submitted by the closing date. Human Resources will not modify or change any part of your application. Application packages will NOT be accepted via mail. Due to security processes, mail delivery takes approximately 2-3 weeks to process at which time the vacancy announcement will be closed, and no further consideration will be given to additional application packages.

Required documents

A complete application includes items described below. Please note that if you do not provide all required information, as specified in this announcement, you may not be considered for this position (or may not receive the special consideration for which you may be eligible). Please carefully review the following list to determine what documentation you need to submit. Some documents may not apply to all applicants. 1. RESUME: All applicants are required to submit a resume limited to two (2) pages (i.e., 1 page that is double-sided or 2 pages that are one-sided each) showing all relevant experience. Applicants seeking initial career appointment to the Senior Executive Service (SES) must include evidence of the ECQs and MTQ. Your resume should also include the following: Vacancy Number: 13083971 Full name, mailing and email addresses, day and evening telephone numbers Educational information, including the name, city and state of colleges or universities you attended, as well as the type of degree received. Information about your paid and non-paid work experiences related to this position including: job title, duties and accomplishments, employer's name and address, duration of employment, and salary You may also include information about honors, awards, and special accomplishment. 2. VACANCY QUESTION/ASSESSMENT QUESTIONNAIRE RESPONSES: Responses are automatically submitted through USA Jobs when you apply to this vacancy. 3. ADDITIONAL REQUIRED DOCUMENTS: Applicants are required to submit the following supporting documentation if applicable: CURRENT OR FORMER SES MEBERS: Must provide your SES appointment SF-50 (Notification of Personnel Action), and an SF-50 showing current career SES status or career SES reinstatement eligibility. SES CANDIDATE DEVELOPMENT PROGRAM (SESCDP) GRADUATES: Verification of successful completion of an OPM-approved SESCDP and OPM SES QRB certification. CURRENT FEDERAL CIVIL SERVICE EMPLOYEE: Must provide a copy of your Notification of Personnel Action, Standard Form 50 (SF-50) or equivalent personnel action form reflecting you are a current Federal Civil Service employee. STRONGLY RECOMMENDED: Most recent performance evaluation.

Additional information

Recruitment or relocation incentives may be authorized. Relocation expenses (Permanent Change in Station costs) will not be paid. Actual salary for Senior Executive Service positions may vary depending on the scope and the complexity of the qualifications and current compensation of the selectee. Veteran's Preference does not apply to the Senior Executive Service. Mobility: Organizational and geographical mobility is essential in developing and managing SES leaders. Individuals selected for SES positions members may be subject to reassignment across geographical, organizational, and functional lines, and may be required to sign a Reassignment Rights and Obligation Agreement. Equal Employment Opportunity (EEO) Policy Statement: http://www.eeoc.gov/federal/index.cfm Employment Information Resources - Resource Center: https://help.usajobs.gov/how-to Males born after 12-31-1959 must be registered or exempt from Selective Service (see https://www.sss.gov/RegVer/wfRegistration.aspx) OPM must authorize any employment offers made to current or former (within the last 5 years) political Schedule A, Schedule C, or Non-career SES employees in the executive branch. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, or Noncareer SES employee in the executive branch, you must disclose that to the Human Resources Office.