Become a part of our caring community
 

The Senior Vendor Management Professional will work as liaison between vendors and Humana supporting internal business areas while helping ensure vendors meet contractual obligations as part of the Medicare Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an option to pay $0 at the pharmacy for any qualified Part D medication and have their costs “smoothed” out over the remainder of the calendar year.

The Senior Vendor Management Professional builds and maintains positive relationships with vendors while monitoring vendor activities: SLA’s, reporting, system reliability, and CMS compliance. Facilitates meetings with vendors to monitor business activity and conducts quarterly business review meetings to discuss performance. Investigates escalated vendor concerns and collaborates with internal business partners and vendors to ensure resolution. Monitors all M3P vendors budget vs actual spend, addresses any billing discrepancies, and provides details to the Finance team. Supports system monitoring, file transmissions, member communications, call center inquiries, and production issues resolution. Works well independently and as part of a project team in determining objectives and approaches to assignments. Assists with quality assurance and user acceptance testing. Collaborates with the Risk and Compliance team to ensure vendors are in compliance with CMS regulations.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree or equivalent experience
• 3+ years of demonstrated vendor management experience
• Familiar with procurement and contracting process
• Experience over a large metric-intensive operational unit
• Proficient in Microsoft Office applications including Word, Excel and PowerPoint
• Strong verbal and written communication skills
• Strong facilitation skills
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
• Prior experience in a healthcare or insurance setting, preferably in operations

Preferred Qualifications

• Master's Degree
• Certification with Six Sigma and/or the Project Management Institute
• Knowledge of Medicare Advantage

Additional Information: Interview Format

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at home requirements:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

SSN Alert:

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$78,400 - $107,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Ben