Senior Vendor Management Professional – Clinical Operations

Description

The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

Location: remote

The Senior Vendor Management Professional reviews and negotiates terms of vendor contracts and communicates with vendors to regarding day-to-day matters. Builds and maintains positive relationship with vendors and monitor vendor performance. Researches invoice and contractual issues and resolve discrepancies.

We are a multi-disciplinary team with oversight of all non-clinical outsourced business functions within the Clinical Operations organization—to include Authorization Intake, Utilization Management, and Care Management areas.  The team delivers on effective BPO (vendor) management, improved quality, productivity, and savings through value based outsourcing—resulting in a higher ROI for Clinical Operations.

Responsibilities include, but are not limited to the following:

• Vendor management, contract oversight and invoice reconciliation

• Monitors operational data to ensure key performance indicators are met, including but not limited to compliance, quality, and cycle time

• Facilitate valuable and effective communication between vendor partners and Humana business teams

• Facilitate operational and vendor meetings to provide education, ensure compliance, and identify opportunities/needs for process changes or improvements

• Handles day to day escalations, research issues or complaints and address with the vendor, as appropriate

• Support and collaborate with Business Owners, Finance, Experience & Optimization, Workforce Management (WFM), Compliance and Humana leadership for matters that impact outsourced business functions

• Ensure that all necessary application security approvals for system functionality are handled timely.

• Utilizes Lean business principles to improve all operations, systems, and reports

  • Get into the data and support your team with actionable insights. Understand complex technical challenges and synthesize conversations for non-technical stakeholders.

  •  Identify projects and process improvements to drive business forward and increase synergy between the business and vendor teams

• Supports outsourcing implementations & onboarding efforts by partnering with business teams to develop process, training/curriculum, reporting, quality, and establishing KPI/SLAs metrics.

• Holds vendor accountable for daily operational results, researches performance gaps, and assist with the development of corrective action plans from vendor

               

Required Qualifications

• Bachelor's degree or equivalent experience

• 5+ years or more years of vendor management experience and/or process or project management experience  

• Vendor contracting and negotiations experience

• Experience managing and facilitating vendor relationships and/or contracts

• Demonstrated ability to define and track KPIs and/or service level agreement metrics and other measurable success criteria

• Strong verbal and written communication skills (ability to interact effectively with people at all levels within a team or internal division)

• Strong critical thinking, problem solving skills; detailed and well organized

• Ability to break down complex problems into actionable steps

• Strong critical thinking and problem solving skills

• Demonstrates accuracy and thoroughness, identifies process improvements

• Relationship management skills

Desired Qualifications

• Master’s degree

• Certification with Six Sigma and/or the Project Management Institute

• Healthcare knowledge

• Call Center experience

• Vendor Management experience

• Progressive Operational experience

• Knowledge of Clinical Operations and Humana enterprise systems that support Authorization Intake, Utilization Management, and/or Care Management functions.

Additional Information

This position will require 5-15% travel (to include both international and/or domestic)

Humana is an organization with careers that change lives—including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you’re ready to help people achieve lifelong well-being