Apply on Employer Site

APWU Health Plan · 1 week ago

SENIOR PROGRAM MANAGER, VENDOR COMPLIANCE

Elkridge, MD, US

Full-time

Onsite

Senior Level, Lead/Staff

8+ years exp

APWU Health Plan is focused on maintaining compliance with OPM regulations for Health Insurance Carriers, and they are seeking a Senior Program Manager for Vendor Compliance. The role involves managing vendor relationships, ensuring compliance with Service Level Agreements, and conducting risk assessments to mitigate potential issues.

Health CareInsuranceWellness

Responsibilities

Integrates risk management standards for business unit use and technical systems as applicable

Ensures that all vendor activities comply with company policies and regulatory requirements

Manages vendor risk through regular assessments and audits

Implements SLAs with the Business Owner(s) to align team workflows and tools with the SLAs requirements to ensure compliance

Conducts regular reporting on SLA performance and submit those reports to both parties. These reports will reflect the vendor’s compliance levels and identify any issues that need addressing

Monitors the terms of SLAs to ensure that the Business Owner(s) initiates a renewal of an agreement, termination of an agreement or RFP seeks a new vendor

Conducts a full assessment of vendor performance against established metrics and standards will be required before action is taken

Performs other duties as assigned

Qualification

Vendor managementHealthcare Insurance OperationsRisk assessment toolsData managementProcurement toolsAnalytical skillsRelationship managementNegotiation skillsCommunication skillsProblem-solvingAttention to detailProject management

Required

BS degree in business administration, healthcare management, or a related field

Must possess 8-10 years of progressive experience in Healthcare Insurance Operations, with a significant focus on vendor management and business integration in Information Technology and Business Operations

Strong negotiation, communication, and analytical skills

Proficiency in data management, familiarity with procurement tools and software, and competence with risk assessment tools and software

Proficiency in problem-solving and relationship management

High integrity and attention to detail

Ability to manage multiple, complex projects with deadlines