Senior Vendor Management Professional
HumanaAbout the role
Become a part of our caring community and help us put health first
The Senior Vendor Management Professional reviews and negotiates terms of vendor contracts and communicates with vendors regarding day-to-day matters. Builds and maintains positive relationship with vendors and monitor vendor performance. Research invoice and contractual issues and resolve discrepancies. You will influence vendor strategy and make decisions on moderately complex to complex issues regarding technical approach for project components. A requirement of this role is to be a self-starter who is comfortable working with little to no direction and exercises considerable latitude in determining objectives and approaches to assignments. This role includes oversight of clinical work which requires a clinical background to review audit data, collaborate with business partners on process and educational opportunities.In the role of Senior Vendor Management Professional you’ll:
- Monitor, research and resolve contractual, performance, and invoice issues and/or errors.
- Collaborate to identify vendor opportunities and strategy.
- Facilitate meetings with varying levels of leadership and project resources.
- Manage vendor back-office inventory to include volume forecasting, staffing based on forecasting, reporting, and process.
- Regularly and consistently communicates with business and vendor partners regarding daily operations, clinical quality and project responsibilities and tasks.
- Build and maintain positive relationships with vendor and internal business partners.
- Manage mid to large size projects through the entire life cycle of project - Gather project and service requirements. Develop project plan and schedule. Measure project progress and status against project plan to achieve project objectives and adhere to timeline. Set priorities and manage team through implementation and postproduction validation.
Use your skills to make an impact
Required Qualifications
- Associate’s degree in nursing or business health Field
- 3+ years prior professional experience
- Progressive operational Leadership experience over a large clinical metric-intensive operational unit
- Certification with Six Sigma – Lean or Project Management certification
- Proficient in Microsoft Office applications including Word, Excel and PowerPoint
- Strong verbal and written communication skills Strong facilitation skills
- Management experience including evaluation of clinical metrics
- MUST be able to work a Monday-Friday schedule from 8-530 (EST)
Preferred Qualifications
- Bachelor's degree
- Prior experience in a healthcare or insurance setting
- Knowledge of Medicare Advantage
- Grievance and Appeals experience
- Experience working in a virtual environment
- Previous Vendor management experience
- Previous work with auto dialer or call center work
- Previous experience in SNP
Additional Information
Social Security Usage
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.
Modern Hire Interview Platform
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 Internet Requirement
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 posit
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