This Vendor Manager role drives the strategy and execution for the organization's ancillary and supplemental benefit partners. It offers significant ownership and accountability, working with key stakeholders to execute long-term strategies for an improved member experience and cost reduction. The position supports sourcing, contract execution, and performance management for key vendor partners, including those for Dental, Vision, Durable Medical, Transportation, and Hearing benefits.
Responsibilities
Manage contractual performance and oversight, working with internal business partners on vendor Service Level Agreements and Performance Guarantees
Receive vendor reports, arrange and attend Joint Operating meetings, review and document vendor performance, and assess corrective actions where applicable
Collaborate with internal and external business partners on the collection, analysis, and maintenance of relevant data
Support the development of plans and operational solutions to address changes to vendor programs annually
Work with finance and internal business owners to analyze the ROI of various vendors
Evaluate, negotiate, and recommend changes to new and existing contracts in partnership with Product Leaders to best support Point32Health stakeholders
Project manage contract implementations and renegotiation functions, from pre-contracting to activation, according to predetermined internal guidelines and financial standards
Ensure a smooth transition of services for members
Assist in new vendor delegation implementation or de-delegation
Assist with management of Material Subcontractors
Manage vendor relationships, including building, nurturing, and maintaining positive working relationships between Point32Health and its vendors
Ensure contract requirements are adhered to, including language, terms, and reimbursement requirements
Ensure vendors obtain and maintain compliance with any Point32Health and/or regulatory requirements
Act as a resource for internal teams when consultant, business associate, and nondisclosure agreements or other information to support Compliance are required
Drive continuous improvement in all aspects of the vendor oversight process
Perform other duties and projects as assigned
Requirements
Bachelor
Minimum of 5-7 years of experience in Managed Care, preferably at a Health Plan, in a network/procurement/compliance/regulatory/legal/product/operations/marketing or project management role
Minimum of 2 years of experience managing vendor relationships at either a Health Plan or Vendor
Demonstrated ability to conduct negotiations
Demonstrated experience with value-based vendor arrangements
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Detail-oriented, excellent proofreading and editing skills
Demonstrated ability in managing work plans and holding stakeholders accountable
Excellent analytical skills, as demonstrated by significant ability to pull data, analyze complex data sets, and present in consumable reports/presentations to management
Ability to thrive in a matrix-management, hands-on environment that demands a consultative approach and solutions that span multiple environments in a business area
Motivated and flexible, a proponent/champion of change, able to conceptualize and envision the impact of change, and propose new ways to do business
Able to work independently and prioritize work, operating under tight deadlines
Strong interpersonal, presentation, and communication skills
Ability to maintain effective and productive peer relationships
Ability to motivate fellow employees by fostering team spirit, an attitude of cooperation, and a commitment to the organization
Well-developed interpersonal skills to act as liaison to the user community
Nice to have:
Advanced degree in business or a related industry
7+ years of relevant health plan experience
Familiarity with contract terms
Benefits
Medical, dental, and vision coverage
Retirement plans
Paid time off
Employer-paid life and disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Full suite of benefits to support career development, individual and family health, and financial health
Important Details
Schedule: May be required to work additional hours beyond standard work schedule
Working conditions: Must be able to work under normal office conditions and work from home as required; work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations
About the Company
Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Its culture revolves around being a community of care and having shared values that guide behaviors and decisions. The company has a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background. Point32Health values the rich mix of backgrounds, perspectives, and experiences of all its colleagues, which helps it to provide service with empathy and better understand and meet the needs of the communities where it serves, lives, and works.
Guiding and empowering healthier lives for everyone..
