Humana

Vendor Management Lead

Humana

full-time

Posted on:

Location Type: Remote

Location: California • Illinois • United States

Visit company website

Explore more

✨ AI Apply
Apply

Salary

💰 $94,900 - $130,500 per year

Job Level

Senior

About the role

  • Oversee vendor management operations from a market perspective
  • Direct a team of RN professionals
  • Foster effective vendor and provider relationships
  • Drive resolution of clinical and operational issues to support quality care and compliance
  • Provide strategic leadership and guidance to the Senior Vendor Management Professional (RN) team
  • Oversee and optimize vendor relationships, including performance monitoring and compliance management
  • Facilitate collaboration between Humana, vendor partners, and providers
  • Support the review of clinical authorizations and ensure consistency with established guidelines
  • Identify systemic gaps and process improvement opportunities across vendor partnerships
  • Analyze market trends, operational data, and vendor performance metrics
  • Ensure adherence to privacy, security, and enterprise information protection protocols
  • Mentor and develop team members
  • Participate in strategic planning, vendor selection, and contract negotiations

Requirements

  • Active and unrestricted Compact license (RN) license required
  • Prior experience in a healthcare or insurance setting
  • 5 + years of Utilization Management experience
  • 3 + years of vendor management and/or process or project management experience
  • Demonstrated ability to define and track KPIs and/or service level agreement metrics and other measurable success criteria
  • Proven verbal and written communication skills with the ability to interact effectively across all organizational levels
  • Ability to break down complex problems into actionable steps
  • Demonstrated critical thinking and analytical problem-solving skills
  • Exceptional relationship management skills
  • Demonstrates accuracy and thoroughness, identifies process improvements
  • Proficient in Microsoft Office applications including Word, Excel and PowerPoint
  • Advanced facilitation skills with experience leading cross-functional discussions
Benefits
  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance and many other opportunities
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
Utilization Managementvendor managementprocess managementproject managementKPI trackingservice level agreement metricsclinical authorizationsdata analysisperformance monitoringcompliance management
Soft Skills
leadershipcommunicationcritical thinkinganalytical problem-solvingrelationship managementmentoringcollaborationstrategic planningproblem breakdownaccuracy
Certifications
Compact license (RN)