Manager of PB Vendor Management - FPA CBO

Mount Sinai Health System•New York, NY

About The Position

The Manager of PB Vendor Management, reporting to the Senior Director of PB Operations, is responsible for overseeing all external vendor relationships that support Professional Billing revenue cycle functions. This includes managing vendor performance, ensuring adherence to contractual obligations, optimizing workflows, and driving operational excellence across outsourced services such as coding, billing, AR follow‑up, denials management, and customer service. The Manager serves as the primary point of contact for PB vendor‑related issues and ensures that vendor activities align with organizational revenue cycle goals. They proactively monitor key performance indicators, evaluate vendor productivity and quality, and implement corrective action plans when necessary. The role requires strong analytical skills, deep understanding of PB revenue cycle operations, and the ability to build collaborative relationships with both internal stakeholders and external partners. The Manager leads vendor governance meetings, analyzes performance trends, and recommends strategies to improve efficiency, reduce denials, and maximize collections. They ensure seamless integration between internal PB teams and vendor operations while maintaining compliance with institutional policies and regulatory requirements.

Requirements

Bachelor’s degree or equivalent experience required.
5–7 years of healthcare revenue cycle experience, preferably in Professional Billing.
Experience managing external vendors or outsourced revenue cycle functions strongly preferred.
Strong understanding of PB billing, coding, AR, and denials workflows.

Responsibilities

Oversees day‑to‑day operations of PB revenue cycle vendors, ensuring compliance with contractual terms, service‑level agreements, and performance expectations.
Develops and monitors KPIs related to vendor productivity, quality, turnaround times, AR performance, denials, and customer service metrics.
Conducts regular vendor performance reviews, prepares scorecards, and leads governance meetings with internal leadership and vendor partners.
Identifies operational gaps and collaborates with vendors and internal teams to implement process improvements.
Serves as the primary liaison between PB operations and external vendors, ensuring timely communication and issue resolution.
Reviews vendor workflows to ensure alignment with institutional policies, payer requirements, and regulatory guidelines.
Tracks and reports vendor performance on a daily, weekly, monthly, and annual basis; escalates concerns and recommends corrective actions.
Collaborates with PB leadership, IT, Compliance, and Finance to support system enhancements, workflow redesign, and strategic initiatives involving vendor services.
Supports contract renewals, RFP processes, and vendor evaluations by providing data, analysis, and operational insights.
Ensures vendors maintain appropriate staffing levels, training, and competency to meet organizational needs.
Monitors internal controls to ensure accurate and timely billing, coding, and AR follow‑up performed by vendor teams.
Participates in revenue cycle meetings and presents vendor performance data and improvement recommendations.
Maintains professional and technical knowledge by attending educational workshops, reviewing publications, and participating in professional networks.
Performs other related duties as assigned.