Centene Corporation · 7 hours ago

Senior Director, Vendor Partnerships

Illinois, United States

Full-time

Remote

Director/Executive

$142K/yr - $264K/yr

10+ years exp

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Hospital & Health Care

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Responsibilities

Responsible for the development of strategic contractual and business relationships with all vendors to assure that optimum quality, service and cost outcomes are achieved in alignment with the plan's goals and objectives. Responsible for identifying opportunities to expand vendor relationship opportunities.

Responsible for monitoring the operational aspects of the vendor relationship through spearheading the design, and execution of audits and evaluations of financial and operational performance that will confirm that contract terms, standards and expectations are met, which includes Internal operations (Claims, Appeals & Grievances, and Membership).

Ensures that vendors adhere to all applicable legal, regulatory and accreditation mandates. Manages the relationship governance process to ensure compliant operations and monitors fulfillment of contract obligations. Responsible for service level management and reporting; publishes and manages performance and/or KPI monitoring.

Responsible for clear, consistent and pertinent communications with vendors relative to all oversight activities and coordination of communications with internal PLA staff as necessary.

Assumes other duties as assigned.

Performs other duties as assigned

Complies with all policies and standards

Qualification

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Vendor managementContractual relationship developmentHealthcare management experienceFinancial performance evaluationOperational performance monitoringRegulatory complianceQuality managementProject management

Required

BA/BS - Bachelors Degree required.

Previous business management experience of at least 10 years in a related health care management position responsible for managing large business segments and projects and adhering to deadlines in a fast paced environment.

10 years related business management experience in a managed care environment required.