Medicaid Clinical Vendor Management amp Program Delivery Lead

Profile

Description

The Vendor Management Lead works as liaison between vendors and organization. The Vendor Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial.

Responsibilities

The Clinical Vendor Management& Program Delivery Lead 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. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action.

Detailed Job Responsibilities include:


Leads Clinical Operations in identifying and delivering Medicaid services and products to address strategic initiatives;
Administers operational process delivery for National clinical vendor pilots and partnerships;
Works closely with Medicaid's Vendor Management contracting team to procure contracts and support relationships with vendors and partners;
Identifies and documents operational policies, process and workflows with vendors; submits IT business requirements, and develops training content for clinical teams;
Supports Director of Clinical Vendor Program Delivery in identifying best in class clinical partnerships, capabilities, and vended solutions to support industry-leading capabilities for Medicaid population;
Works closely with Medicaid Business Development, National and Medicaid Market Operational leaders, and Vendor Contracting team to identify clinical products and solutions;
Determines detailed business requirements, operational workflows, business area reporting, service level standards, and processes; works with vendors and internal partners to implement and support delivery of products and services;
Collaborates with Population Health Strategy team, Analytics, and Quality teams to establish reporting requirements, measures of success, and test pilot assumptions;
Leads operational clinical vendor implementations, provides oversight of effectiveness studies and recommends program changes needed to optimize health outcomes;
Monitors and supports ongoing decision making around scaling clinical solutions across Medicaid markets.


Required Qualifications


6 years of Clinical industry or Managed Care organization experience
5 years of Clinical Product Management or Clinical Vendor Management experience
5 of Managed Care Leadership experience
5 years of clinical product or vendor leadership experience, including implementation of large scale enterprise projects and/or pilot oversight experience
2 years of Medicaid experience
5 years developing and leading collaborative partnerships with enterprise cross-functional teams and external partners
Background in Client Success or Vendor Account Management experience
Demonstrated experience and recommendations from peers as a customer-focused, team player, with collaborative approach to leading
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 and project management skills


Preferred Qualifications


Master's Degree
Certification with Six Sigma and/or the Project or Product Management certification
Clinical licensure (RN)


Additional Information

This position is open to working remote. (with the ability to work and support in the Eastern Time Zone)

Scheduled Weekly Hours

40

Company info

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