Director of Vendor Management Operations

Claritev•New York, NY

17h•Onsite

About The Position

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential. Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!! JOB SUMMARY The incumbent has primary responsibility for all Commercially supported Vendor Team(s) -- (Including the areas of Registrar, Credentialing, Provider Data Management, Surprise Bill Services, NSA related Operations, and other claim supporting or regulatory functions as assigned). This role ensures the accuracy, quality, and reliability of operational processes, systems, and data across supported functions. The incumbent serves as an operational subject matter expert, supporting enterprise workflows, policy adherence, process optimization, and the integration of automation and efficiency initiatives. The role partners closely with Vendor(s) to manage performance, meet budget expectations, achieve operational metrics, and support continuous improvement. Additionally, the position evaluates and supports the onboarding of new vendor partners and may assume responsibility for additional operational areas as organizational needs evolve.

Requirements

Minimum bachelor's degree, or HS Diploma (or GED) and 4 years of related experience
Minimum 8 years' operations management experience, ideally managing healthcare provider data
Required licensures, professional certifications, and/or Board certifications as applicable
Knowledge of managed care business preferred
Knowledge of Vendor Management is required
Knowledge of the organization, products and systems preferred
Knowledge of general business principles, industry dynamics, market trends and specific operational details including Network Management and provider/provider group contracts preferred
Communication (written, verbal, listening), decision-making, judgment, analytical, team building, leadership, coaching, people management, multi-tasking, organizational, detail orientation, presentation, time management, problem solving and customer service skills
Ability to create, refine, implement and manage new and innovative processes
Ability to work effectively at detail and big-picture levels while moving projects forward
Ability to diffuse challenging situations and follow through with resolution
Ability to use software, hardware and peripherals related to job responsibilities including MS Office (Visio, Excel, PowerPoint and Word)
Ability to travel up to 25%
The individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

Responsibilities

Serve as subject matter expert on corporate and area projects and initiatives.
Oversee daily Vendor operations, including registrar activities, provider data maintenance, credentialing tasks, project work, ad hoc requests, and support for Surprise Bill/NSA related workflows and other operational functions as assigned.
Act as primary owner for all related KPI's, work with team to ensure compliance and constant improvement (both in terms of quality and turnaround time.)
Serve as contact and subject matter expert for assigned areas with Legal on regulation issues affecting provider data and client deliverables.
Complies and assures compliance with all relevant governmental regulations and company policies.
Lead interdepartmental projects and serve as a member of multiple concurrent teams aimed at improving operations.
Design and implement business processes across assigned areas and maintain responsibility for ongoing business process engineering.
Develop short- and long-term strategies to support and align succession planning and business strategy.
Manage and monitor departmental budget and expenses.
Ad hoc support to Sr. Director and AVP, Operations as necessary
Select, develop, and evaluate staff to ensure the efficient operation of department.
Collaborate, coordinate, and communicate across disciplines and departments.
Ensure compliance with HIPAA regulations and requirements.
Demonstrate Company's Core Competencies and values held within
The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.