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Senior Manager, Vendor Management

Company: Centene
Location: Harrisburg
Posted on: July 16, 2019

Job Description:

Senior Manager, Vendor Management Position Purpose: Manage all aspects of vendor activity, including but not limited to vendor compliance, engagement, oversight and performance. - Ensure operation integrity, including compliance with all policies and procedures for the Health Plan including adherence to state contract and guidelines. - Develop correction action and quality improvement plans for standards that are not met by vendors. - Provide guidance on researching and resolving claim disputes with vendor, member or provider issues and route to appropriate person(s) for resolution. - Conduct monthly meetings document, discuss and resolve issues as well as monitor completion of action items. - Direct negotiations and draft vendor RFI's, RFP's, SOW, and contracts. - Assist with the onboarding and transition of new vendors. - Monitor compliance with all contractual requirements, vendor performance and reporting. - Managing relationships with vendor partners to promote and maintain a high engagement. - Manage staff of vendor analyst and oversee their growth and development and assimilation into the vendor management department and the organization. Education/Experience: - Bachelor's degree in Business Administration, Public Administration or related field or equivalent experience. - 5+ years of healthcare management experience, preferably in vendor managed care or the health insurance field. - Experience with reporting and analyzing data. - Strong Excel skills and working with a variety of software data programs preferred. - Project management experience preferred. Licenses/Certifications: Certified Third Party Risk Professional (CTPRP) Preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Accounting & Finance USA-Pennsylvania-Harrisburg USA-Pennsylvania-Pittsburgh Pennsylvania Health & Wellness Full-time

Keywords: Centene, Harrisburg , Senior Manager, Vendor Management, Executive , Harrisburg, Pennsylvania

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