Senior Manager, Vendor Management Contract Lead

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Senior Manager Medicare Product, Vendor Management Contract Lead is responsible for contracting, negotiations, oversight of vendors and assisting in achieving CVS goals, work strategically together, and remain as adaptable as possible in an ever-changing environment. This role's scope of responsibility includes overseeing the following in relation to Medicare Product vendor management: Finance, Contracts, Invoicing, Negotiations, Provisioning, Aetna Medicare Supplemental & Duals benefits, Vendor relationship management, Compliance oversight, Auditing, and projects as assigned.

Senior Manager – Vendor Management is a high impact role, you will lead advance contract and negotiation skills, work with other partner to identify root cause, address, and resolve vendor issues, manage vendors to the contract SLAs, performance guarantees and provide insight into complex vendor problems. This role is responsible to:
* Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors 

*Contract lifecycle management

*Contract negotiations and drafting

*Invoices and financial oversight

*Lead and assist with vendor audits, state reporting and audits

*Lead and improve the outsourced benefits administration which focuses on vendor teams support of Operations, Customer Care, Grievance & Appeals, Member Experience, and additional specialized resource teams.
* Stakeholder accountability within projects supporting the operational business areas, such as, vendor Compliance, System Enhancements, Product Conversions, and Operational Initiative implementation, as needed
* Work with Implementation, Business Operations, and CVS resources to manage daily operations and performance guarantees in accordance with CVS Health expectations
* Demonstrate proficiency in Medicare and Medicare programs and contract execution within the business domain. Including Process flow, Contractual and Financial components

*Vendor management – Set up/onboard new vendors 

* Build and maintain positive relationships with vendors 

* Monitor open commitments and follow up with vendors for reporting, invoicing, contracting, price negotiations, reconciliation and expedited payments
* Demonstrate ability to lead and communicate effectively at all levels, providing data-based information that influences decisions
* Mitigate financial risk by managing invoice validation processes, monthly accruals, weekly estimates, and final invoice uploads. Managing to contractual spend budget, overtime charges, billing discrepancies, and contractual cost negations
* Apply analysis based, interpretive thinking on Contract and Statement of Work reviews. Evaluate and recommend solutions during contract negations that allows for consistent and equitable outcomes
* Lead program team to deliver strategic value and collaborate with internal and external partners to deliver on shared goals
* Use communications effectively to inform and influence intended audiences and proactively network with relevant stakeholders across CVS Health and Vendor Partners to advocate for the needs and success of members and clients
* Identify core problems or opportunities within business processes, understand the root cause and impacts, and apply proven business acumen for strategic and creative results
* Help vendors to refine their skills and behaviors to help close their service gaps

* Build and assist in establishing standardization for vendor management processes
* Taking on additional projects as assigned within the organizations

Required Qualifications
*7+ years of prior healthcare vendor relations, contract management, negotiations, and government programs

*7+ years of Medicare and Medicaid

* Must be passionate about contributing to an organization focused on continuously improving healthcare experiences

*Strong verbal and written communication skills 

* Strong attention to detail and organizational skills 

* Highly motivated self-starter and problem solving passion with minimal guidance

*Knowledge of Vendor Pricing Models and Fee schedules

Preferred Qualifications
Paralegal certificate

Education