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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in vendor management, including performance evaluation, compliance monitoring, and strategic relationship building. Proficient in analyzing vendor performance metrics and leading cross-functional teams to drive operational improvements in a highly regulated healthcare environment.
Highest-signal resume keywords
Vendor ManagementPerformance EvaluationRegulatory ComplianceCross-Functional CollaborationAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Vendor Performance MonitoringKPI DevelopmentSLA ManagementCorrective Action PlanningFinancial Analysis
Soft Skills
Executive CommunicationNegotiation SkillsRelationship ManagementFacilitation Skills
Tools & Technologies
Microsoft ExcelMicrosoft PowerPointMicrosoft TeamsVendor-Management Platforms
Industry Keywords
MedicaidMedicareManaged CareHealth InsuranceHealthcare Administration
About the role
Key responsibilities & impact- Manage assigned Medicaid vendor relationships as the primary point of contact between vendors, business owners, markets, and enterprise partners
- Develop understanding of vendors’ services, capabilities, contracts, regulatory obligations, operational dependencies, and strategic importance
- Establish and facilitate vendor governance routines, including Joint Operating Committees, performance reviews, and issue-resolution meetings
- Monitor vendor performance through scorecards, KPIs, SLAs, contractual commitments, member outcomes, and operational measures
- Identify performance trends, service gaps, and emerging risks and provide actionable recommendations
- Lead vendor improvement plans and corrective action plans, including root-cause analysis, milestones, accountable owners, and remediation validation
- Coordinate with operations, markets, compliance, finance, procurement, legal, clinical, product, and implementation teams
- Evaluate vendor capabilities, performance, risk, spend, and strategic value for portfolio-level decisions
- Monitor compliance with federal and state Medicaid requirements, contracts, Humana policies, data-security standards, and reporting expectations
- Review vendor financial performance, invoices, utilization, rates, and spend trends to identify discrepancies and savings opportunities
- Maintain accurate, audit-ready documentation of vendor interactions, governance decisions, performance, risks, corrective actions, and contractual commitments
- Strengthen vendor relationships through clear expectations, communication, constructive challenge, and continuous improvement
- Research invoice and contractual issues and resolve discrepancies
- Advise executives on significant functional strategies
Requirements
What you’ll need- Bachelor’s degree in business administration, healthcare administration, finance, operations, supply chain, or related field, or equivalent professional experience
- Five or more years of experience in vendor management, supplier relationship management, procurement, or related experience
- Experience managing complex vendor relationships, performance reviews, issue escalation, corrective action planning, and cross-functional problem-solving
- Experience developing and monitoring vendor scorecards, KPIs, SLAs, contractual commitments, operational metrics, and performance-improvement plans
- Strong analytical and financial acumen
- Ability to evaluate vendor performance, utilization, spend, invoices, risks, and value-realization opportunities
- Experience leading governance meetings and influencing cross-functional stakeholders
- Strong executive communication, facilitation, negotiation, and relationship-management skills
- Proficiency with Microsoft Excel, PowerPoint, Teams, and data-reporting or vendor-management platforms
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps
- Occasional travel to Humana offices for training or meetings may be required
- Master’s degree in a related field preferred
- Experience in Medicaid, Medicare, managed care, health insurance, or another highly regulated healthcare environment preferred
Benefits
Comp & perks- Bonus incentive plan
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Whole-person well-being support
- Flexible remote work arrangement
- HireVue interview scheduling flexibility
