Vendor Performance Manager
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Arizona, California, Florida, Montana, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $68,700 - $123,700 per year
Job Level
Mid-LevelSenior
About the role
- Manages third party program relationships with Delegation partners for performance management standards
- Acts as the critical link between our Delegation partners and internal Departments
- Serves as a key account manager for assigned vendors, ensuring effective communication, compliance with contracts, and optimal performance
- Manages vendor utilization including work flows for coordinating services with the Health Plan and/or Operations Departments
- Provides and shares monthly SLA performance dashboards and/or reporting with Delegated entity and addresses issues in performance of assigned SLA’s
- Requests and/or assists in the development of correction action plans for standards that are not met by the vendor and implements correction action plans when necessary
- Tracks, analyzes, and reports on vendor performance and opportunities for improvement
- Creates and manages vendor scorecard and associated ratings/correction plans
- Coordinates with Medical Management, Member Services, and Provider Services to educate and communicate expectations, performance and procedures to vendors
- Schedules and conducts monthly meetings with Delegated entities and documents discussions, issues, attendees, and action items
- Researches and resolves claim disputes with vendor, member or provider issues and routes to appropriate person(s) for resolution
- Ensures operation integrity, including compliance with all policies and procedures for including adherence to state contract and guidelines
- Contributes to special projects and other planning initiatives that involve oversight of the Delegated Care Management entities
- Performs other duties as assigned
Requirements
- Bachelor's Degree in Business Administration, Public Administration or related field or equivalent experience required
- 5+ years supporting working with Primary Care Providers
- Account Management experience working in Healthcare or related field
- Able to present to executive-level teams at the delegated entities
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
performance managementvendor managementSLA reportingdata analysiscorrection action plansscorecard managementclaim dispute resolution
Soft skills
communicationaccount managementproblem-solvingorganizational skillspresentation skills
Certifications
Bachelor's Degree