Director of Vendor Management, Operations

MultiPlan; McLean (VA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health insurance

401k

Bonus opportunity

Job summary

Claritev is seeking a Director of Commercial Vendor Operations to lead registrar, credentialing, and provider data management teams. You will drive KPI performance, budgets, and process engineering across departments with minimal supervision.

You will guide strategic direction, promote automation, ensure HIPAA compliance, and collaborate with Legal on regulations while mentoring staff and coordinating with leadership teams.

Qualifications

• Minimum bachelor's degree, or HS Diploma with four years related experience.
• 8+ years operations management experience in healthcare provider data preferred.
• Knowledge of HIPAA, regulatory requirements, and vendor management.
• Strong communication, leadership, and problem-solving skills.

Responsibilities

• Serve as SME on corporate and area projects and initiatives.
• Oversee day-to-day operations of Vendor teams (registrar, provider data, credentialing).
• Own KPIs and drive continuous improvement in quality and turnaround time.
• Lead cross-department projects and drive business process engineering.
• Manage departmental budget and expenses; support HR actions as needed.
• Collaborate across disciplines to ensure regulatory and client deliverables.

Skills

Leadership

Communication

Problem solving

Time management

Team building

Decision making

People management

Organizational skills

Analytical thinking

Education

Bachelor's degree

4 years related experience

Tools

MS Office (Visio, Excel, PowerPoint, Word)

Job description

JOB SUMMARY:

The incumbent has primary responsibility for all Commercially supported Vendor Team(s) - (Including the areas of Registrar, Credentialing, and Provider Data Management). This includes managing the ongoing development of quality and content of healthcare provider information including management of the corporate programs and processes, business process engineering and the ability to serve as systems sponsor for assigned department(s). Serve as subject matter expert on Operations areas, including those with corporate wide impact, ensuring efficient workflow distribution and that all procedures follow established guidelines and policies. This role, together with the Vendor(s), will create and achieve budget expectations, strategize future direction to include the infusion of automation, and will ensure metrics are achieved to realize operational efficiencies. Additionally, this role will assess new vendors for addition to operational area where applicable.

JOB ROLES AND RESPONSIBILITIES:

• 1. Serve as subject matter expert on corporate and area projects and initiatives.
• 2. Oversee the management of the day-to-day operations of Vendor teams maintaining incoming receipts (registrar), provider data, including rosters, ad-hoc and client requests, project related maintenance, and credentialing related tasks.
• 3. Act as primary owner for all related KPI's, work with team to ensure compliance and constant improvement (both in terms of quality and turnaround time).
• 5. Serve as contact and subject matter expert for assigned areas with Legal on regulation issues affecting provider data and client deliverables.
• 6. Complies and assures compliance with all relevant governmental regulations and company policies.
• 7. Lead interdepartmental projects and serve as a member of multiple concurrent teams aimed at improving operations.
• 8. Design and implement business processes across assigned areas and maintain responsibility for ongoing business process engineering.
• 9. Develop short- and long-term strategies to support and align succession planning and business strategy.
• 10. Manage and monitor departmental budget and expenses.
• 11. Ad hoc support to Sr. Director and AVP, Operations as necessary
• 12. Select, develop, and evaluate staff to ensure the efficient operation of department.
• 13. Collaborate, coordinate, and communicate across disciplines and departments.
• 14. Ensure compliance with HIPAA regulations and requirements.
• 15. Demonstrate Company's Core Competencies and values held within
• 16. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:

The incumbent has Director level decision making authority with supervisory accountabilities for multiple Managers. Significant interaction with leadership of internal and external business groups. This position requires minimal direction, leads and motivates staff and uses independent judgment to identify issues, trends and problems, recommend action plans, evaluate results and present to management in a timely manner. Work is varied and complex requiring the incumbent to use a broad range of knowledge gained through extensive experience. Oversee budget, hiring, termination and performance management of subordinates as well as their staff and works under limited supervision. This is a people management job with authority for all HR actions (hiring, firing, discipline, training, etc.

JOB REQUIREMENTS (Education, Experience, and Training):

• Minimum bachelor's degree, or HS Diploma (or GED) and 4 years of related experience
• Minimum 8 years' operations management experience, ideally managing healthcare provider data
• Required licensures, professional certifications, and/or Board certifications as applicable
• Knowledge of managed care business preferred
• Knowledge of Vendor Management is required
• Knowledge of the organization, products and systems preferred
• Knowledge of general business principles, industry dynamics, market trends and specific operational details including Network Management and provider/provider group contracts preferred
• Communication (written, verbal, listening), decision-making, judgment, analytical, team building, leadership, coaching, people management, multi-tasking, organizational, detail orientation, presentation, time management, problem solving and customer service skills
• Ability to create, refine, implement and manage new and innovative processes
• Ability to work effectively at detail and big-picture levels while moving projects forward
• Ability to diffuse challenging situations and follow through with resolution
• Ability to use software, hardware and peripherals related to job responsibilities including MS Office (Visio, Excel, PowerPoint and Word)
• Ability to travel up to 25%
• The individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

COMPENSATION:

The salary range for this position is $90k - $120K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

#LI-AW1

Why Claritev?

Healthcare is complex. We help make it clearer.

At Claritev, you'll do work that matters. Together, we're helping make healthcare more transparent and affordable for all through the power of data, technology, and expertise. We offer meaningful opportunities to grow your career, collaborate with talented colleagues, and make an impact on the clients and communities we serve. If you're looking for purpose, growth, and a team that succeeds together, you'll find it here.

What Guides Us

At Claritev, innovation, agility, and a focus on results drive our success. We embrace bold thinking, work as one team, take ownership, and strive for excellence in everything we do - creating meaningful impact for our clients, communities, and each other.