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

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. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. 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.

Additionally, in the role of Senior Vendor Management Professional you will:

• 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.

Required Qualifications

• Active RN License in the state that you reside

• One (1) year of prior clinical experience as a RN

• Progressive operational experience Leadership experience over a large metric-intensive operational unit

• Proficient in Microsoft Office applications including Word, Excel and PowerPoint

• Strong verbal and written communication skills Strong facilitation skills

• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

• Utilization management experience including evaluation of clinical metrics

• Associates degree

Preferred Qualifications

• Bachelor's degree

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

• Prior experience in a healthcare or insurance setting

• Knowledge of Medicare Advantage

• Grievance and Appeals experience

• Utilization management experience

• Experience working in a virtual environment

Additional Information

As part of our hiring process, we will be using an exciting interviewing technology provided by Modern Hire, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

Work-At-Home Requirements

WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana’s secure website.

#LI-Remote

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay decisions will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$69,800 - $96,200 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.