Remote Vendor Operations Manager
About The Position
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Vendor Performance Manager - REMOTE. In this role, you will manage and enhance relationships with third-party program partners, ensuring compliance with performance standards and financial accountability. Your efforts will help in driving excellence in service delivery for our 28 million members by fostering effective communication between vendors and internal departments. This position is vital in addressing vendor performance issues proactively and facilitating smooth operation from service launch to everyday management. You will play a key role in strategic planning and operational integrity, influencing both vendor and organizational success. Accountabilities Serve as a key account manager for assigned vendors, ensuring effective communication, compliance with contracts, and optimal performance. Manage vendor utilization including workflows for coordinating services with the Health Plan and/or Operations Departments. Provide and share monthly SLA performance dashboards and/or reporting with delegated entities and address issues in performance of assigned SLAs. Request and/or assist in the development of correction action plans for standards that are not met by the vendor and implement these plans when necessary. Track, analyze, and report on vendor performance and opportunities for improvement. Create and manage vendor scorecards and associated ratings/correction plans. Coordinate with Medical Management, Member Services, and Provider Services to educate and communicate expectations, performance, and procedures to vendors. Schedule and conduct monthly meetings with Delegated entities and document discussions, issues, attendees, and action items. Research and resolve claim disputes with vendors, member, or provider issues and route to the appropriate parties for resolution. Work closely with internal stakeholders to ensure vendors meet business needs and objectives.
Requirements
- Bachelor's Degree in Business Administration, Public Administration or related field or equivalent experience required.
- 5+ years of account management experience working with Primary Care Providers in Healthcare or related fields.
- Ability to present to executive-level teams at delegated entities.
- Proficiency in performance management standards and operational compliance.
- Strong analytical skills for tracking and reporting on vendor performance.
- Excellent communication and interpersonal skills for effective relationship management.
Responsibilities
- Serve as a key account manager for assigned vendors, ensuring effective communication, compliance with contracts, and optimal performance.
- Manage vendor utilization including workflows for coordinating services with the Health Plan and/or Operations Departments.
- Provide and share monthly SLA performance dashboards and/or reporting with delegated entities and address issues in performance of assigned SLAs.
- Request and/or assist in the development of correction action plans for standards that are not met by the vendor and implement these plans when necessary.
- Track, analyze, and report on vendor performance and opportunities for improvement.
- Create and manage vendor scorecards and associated ratings/correction plans.
- Coordinate with Medical Management, Member Services, and Provider Services to educate and communicate expectations, performance, and procedures to vendors.
- Schedule and conduct monthly meetings with Delegated entities and document discussions, issues, attendees, and action items.
- Research and resolve claim disputes with vendors, member, or provider issues and route to the appropriate parties for resolution.
- Work closely with internal stakeholders to ensure vendors meet business needs and objectives.
Benefits
- Competitive pay range: $70,100.00 - $126,200.00 per year.
- Comprehensive benefits package including health insurance, 401K, and stock purchase plans.
- Tuition reimbursement and paid time off plus holidays.
- Flexible approach to work with remote, hybrid, field or office schedules.
- Opportunities for professional growth and development.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
11-50 employees
