Manager, Vendor Management

Centene Management Company • Springfield, MO

12d • Remote

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manage all aspects of vendor activity, including but not limited to dental, ancillary, pharmacy, and vision vendors for Meridian Illinois Health Plan. The Manager, Vendor Management position is primarily remote with 10% travel expectation. Since it supports Illinois Health Plan, candidates must reside in the state of Illinois to be considered for the position.

Requirements

• Bachelor's degree in public health, business or related field or equivalent experience.
• 4+ years of healthcare management experience, preferably in vendor managed care or the health insurance field.
• Experience with reporting and analyzing data preferred.
• Strong Excel skills and working with a variety of software data programs preferred.

Nice To Haves

• Project management experience a plus.

Responsibilities

• Manage vendor utilization including workflows for coordinating services with the Illinois Health Plan
• Analyze vendor data and complete required reports for the health plan, Corporate and state
• Create and manage vendor scorecard and associated ratings/correction plans
• Perform as a key account manager for the Illinois Health Plan to coordinate with high priority providers and vendors
• Coordinate with Corporate Vendor Management team regarding vendor expectations, performance, and procedures
• Coordinate with Medical Management, Member Services and Provider Services to educate and communicate expectations, performance and procedures to vendors
• Conduct monthly meetings and document discussions, issues, attendees, action items, research and resolve claim disputes with vendor, member or provider issues and route to appropriate person(s) for resolution
• Receive and respond to provider related database information requests and concerns
• Ensure operation integrity, including compliance with all policies and procedures for the Illinois Health Plan including adherence to state contracts and guidelines
• Request and/or assist in the development of correction action plans for standards that are not met by the vendor

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees