Senior Director, Vendor Partnerships

Centene Corporation

1d • $148,000 - $274,200 • 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: This position is responsible for the strategic development of contractual relationships with the plan's major vendors currently providing dental, vision, pharmacy and transportation services. This position manages all aspects of oversight for the operational, contractual, financial, network adequacy, utilization and quality management aspects of these relationships to assure compliance with all contractual and regulatory requirements and to meet the goals of the plan. In total this position will manage all aspects of these vendor relationships that currently exceed $1.2 billion in annual costs. This position is part of the plan's Senior Management team. Responsible for the development of strategic contractual and business relationships with all vendors to assure that optimum quality, service and cost outcomes are achieved in alignment with the plan's goals and objectives. Responsible for identifying opportunities to expand vendor relationship opportunities. Responsible for monitoring the operational aspects of the vendor relationship through spearheading the design, and execution of audits and evaluations of financial and operational performance that will confirm that contract terms, standards and expectations are met, which includes Internal operations (Claims, Appeals & Grievances, and Membership). Ensures that vendors adhere to all applicable legal, regulatory and accreditation mandates. Manages the relationship governance process to ensure compliant operations and monitors fulfillment of contract obligations. Responsible for service level management and reporting; publishes and manages performance and/or KPI monitoring. Responsible for clear, consistent and pertinent communications with vendors relative to all oversight activities and coordination of communications with internal PLA staff as necessary. Performs other duties as assigned Complies with all policies and standards

Requirements

• BA/BS - Bachelors Degree required.
• Previous business management experience of at least 10 years in a related health care management position responsible for managing large business segments and projects and adhering to deadlines in a fast paced environment required.
• Able to successfully manage a team from project inception through to project implementation.

Nice To Haves

• MA/MS - Masters Degree preferred.
• Preference given to management level candidates with experience managing large vendor relationships in a managed care environment

Responsibilities

• Responsible for the development of strategic contractual and business relationships with all vendors to assure that optimum quality, service and cost outcomes are achieved in alignment with the plan's goals and objectives.
• Responsible for identifying opportunities to expand vendor relationship opportunities.
• Responsible for monitoring the operational aspects of the vendor relationship through spearheading the design, and execution of audits and evaluations of financial and operational performance that will confirm that contract terms, standards and expectations are met, which includes Internal operations (Claims, Appeals & Grievances, and Membership).
• Ensures that vendors adhere to all applicable legal, regulatory and accreditation mandates.
• Manages the relationship governance process to ensure compliant operations and monitors fulfillment of contract obligations.
• Responsible for service level management and reporting; publishes and manages performance and/or KPI monitoring.
• Responsible for clear, consistent and pertinent communications with vendors relative to all oversight activities and coordination of communications with internal PLA staff as necessary.
• Performs other duties as assigned
• Complies with all policies and standards

Benefits

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

What This Job Offers

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