Sr. Vendor Manager, Remote

Job Summary The Sr Vendor Manager is accountable for managing Tier 1 vendor programs and relationships for all functional lines of business to include Clinical/Care Partners and traditional indirect vendor contracts. Tier 1 vendors encompass approximately 100 contracts worth $200M per Sr Vendor Manager. This role partners with the business to focus on developing a program's objectives, strategy and benchmark/scorecard items to ensure vendors meet KPIs. The key responsibilities include oversight of vendor program performance and relationships as well as integration of activities between vendor companies and business partners. The Sr Vendor Manager will ensure resolution of issues and/or implementation of process improvements. Essential Functions

• Contract Management, Program & Performance Management & Reporting:

Responsible for monitoring program performance, including but not limited to the vendors adherence to established SLA's, ROI. Contribute to the development and maintenance of vendor program performance scorecards Coordinate regular vendor meetings with internal business partners to facilitate sharing and monitoring of operational performance, service level agreements, compliance, and process improvement opportunities Coordinate with vendors to maintain appropriate reporting; identifying metrics that will reflect complete and accurate program performance Responsible for monitoring and consulting with business partners overall performance of the program per agreed upon contract terms, annual budget and business strategy Program Management Accountable for ensuring program performance per contract terms and developing renewal strategy to ensure company remains advantaged. Manage program financials against budget target. Assess financial risk and make recommendations against those risks. (50%)

• Strategy Development, Integration and Execution:

Facilitate vendor deep dive strategy/scorecard meetings quarterly with key internal partners and the vendor. Translate business strategies into tactical application for vendor management. Coordinate with IT to establish and maintain vendor bi-directional data feeds and sunset when appropriate Participate as a SME in projects to assist with development of business and system requirements and ensure vendor processes and systems align with our operations and regulatory requirements (25%)

• Operational Support/Issue Management:

Support the issue management process to ensure timely and accurate resolution of issues. Act as a liaison with external and internal business partners for issues resolution Work collaboratively with other areas to address process issues or program enhancements Provide support and resolution for member and provider escalations. Ensure member and provider satisfaction by understanding grievances & appeal processes of the vendors, ensuring timeliness of reviews and monitoring overturn rates. Reporting of resolution and research of critical inquiries aligned with the vendor issue management process. Act as direct liaison between the vendor partner, issue management team, and internal business partners to drive resolution of issues and underlying causes of the issues. (20%)

• Regulatory Compliance:

Support BEIC & TPRM with corporate compliance, legal, and regulatory requirements for vendor agreements. Supports completion of corporate compliance requirements, training and annual due diligence requirements (i.e. FWA, VSA, licensure, annual questionnaire). Gather remediation documents and coordinate with the LOB to ensure completion, then submit to the audit team for final review Facilitate calls and outreach to non-responsive vendors Coordinate monthly CMS audit data collection and quarterly audits; and remediation of identified deficiencies. Collaborate with Compliance areas in the implementation of specific requirements for membership such as CMS . Enforcement and operational integration of regulatory and Accreditation (Medicare, HEDIS) requirements. (5%)

Qualifications

Required Work Experience 6+ years related work experience. Experience Details: Required Management Experience No supervisory/management experience required Required Education Related Bachelor’s degree or additional related equivalent work experience Additional Required Qualifications Contract negotiation experience Knowledge of health care industry and business related processes Working knowledge of various components of the Medicare business Ability to understand and integrate external entities business models with Florida Blue Ability to build and maintain strong business relationships Analytical and financial acumen, learning agility competency, collaboration skills, integration skills, and project management skills Strong written and verbal communication skills Ability to interact (with positive results) with a broad spectrum of internal and external individuals and departments Additional Preferred Qualifications Project Management experience managing healthcare related projects Delivery System experience (Medical Cost Management, Network, Care Management or DS Analytics) Experience working with external entities at the Senior Management Level General Physical Demands Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. Physical/Environmental Activities Must be able to travel to multiple locations for work (i.e. travel to attend meetings, events, conferences). Occasionally What We Offer: As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance;
• Income protection benefits: life insurance, short- and long-term disability programs;
• Leave programs to support personal circumstances;
• Retirement Savings Plan including employer match;
• Paid time off, volunteer time off, 10 holidays and 2 well-being days;
• Additional voluntary benefits available; and
• A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Annualized Salary Range: $92,100 - $149,600 Typical Annualized Hiring Range: $92,100 - $115,100 Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment. Apply tot his job Apply To this Job