Director, Vendor Performance & Governance - Hybrid

BrightonOne

Boston (MA)

Hybrid

USD 140,000 - 170,000

Full time

14 days+
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Job summary

BrightonOne in Boston-area is seeking a Director, Vendor Performance Management to lead USFHP's oversight of third-party vendors, focusing on claims and core operations. The role is hybrid—four days in Brighton, MA and one day remote; it is an exempt position.

You will own vendor governance end-to-end, manage SLAs and scorecards, and drive audits, CAPs, and remediation. You will partner with operations, compliance, finance, and clinical teams, reporting to leadership and governance committees.

Qualifications

  • Bachelor's degree required; Master's preferred.
  • 10+ years of vendor management, delegation oversight, claims operations, or health plan operations with leadership experience.
  • Experience with claims and delegated-vendor oversight in managed care; government-program experience preferred.

Responsibilities

  • Own the vendor management framework, including due diligence, onboarding, delegation agreements, and audits.
  • Maintain delegation oversight per contractual and accreditation requirements (NCQA/URAC).
  • Manage vendor inventory, risk tiering, and oversight calendar.

Skills

Vendor governance
SLA management
Cross‑functional leadership
Regulatory compliance
Vendor risk assessment

Education

Bachelor's degree
Master's degree

Tools

Facets
QNXT
HealthRules

Job description

BrightonOne in Boston-area is seeking a Director, Vendor Performance Management to lead USFHP's oversight of third-party vendors, focusing on claims and core operations. The role is hybrid—four days in Brighton, MA and one day remote; it is an exempt position.

You will own vendor governance end-to-end, manage SLAs and scorecards, and drive audits, CAPs, and remediation. You will partner with operations, compliance, finance, and clinical teams, reporting to leadership and governance committees.

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