Enterprise Quality Vendor Liaison

CareSource Management Services LLC; Dayton (OH); Hybride; USD 72 000 - 116 000; Plein temps

Avantages offerts par ce poste

Bonus potential

Total rewards package

Résumé du poste

CareSource is seeking an Enterprise Quality Vendor Liaison to support oversight of day-to-day activities for the Enterprise Quality Vendor programs. You will serve as a liaison between Quality vendors and CareSource departments, including Compliance.

The role emphasizes analytics, data visualization, and cross-department collaboration, with travel up to 25%. A BS/BA and 5 years in managed care are required to qualify.

Qualifications

• Bachelor of Science/Arts in business or related field or equivalent years of relevant work experience.
• A minimum of five (5) years of experience in a managed care organization.

Responsabilités

• Manage day-to-day oversight of vendor programs.
• Track vendor deliverables, action items and SLAs, problem management, trouble shoot & root cause analysis.
• Monitor and analyze vendor calls & vendor complaints to identify patterns and drive improvements.
• Manage large vendor data sets and develop data visualization.
• Research new vendor opportunities and provide analysis and/or recommendations to management.
• Coordinate department participation in federal and state contract and regulatory audits and site visits.

Connaissances

Analytic skills

Problem solving

Project management

Power BI

Excel

PowerPoint

Formation

BS/BA in business or related field

Outils

Power BI

Excel

Word

PowerPoint

Description du poste

Job Summary:

The Enterprise Quality Vendor Liaison is responsible for supporting the oversight of the day-to-day operational activities for the Enterprise Quality Vendor programs. In addition, act as a liaison between Quality vendors and CareSource departments, including Compliance.

Essential Functions:

• Manage day-to-day oversight of vendor programs.
• Track vendor deliverables, action items and SLAs, problem management, trouble shoot & root cause analysis.
• Monitor and analyze vendor calls & vendor complaints to identify patterns and drive improvements.
• Manage large vendor data sets and develop data visualization.
• Research new vendor opportunities and provide analysis and/or recommendations to management.
• Establish and maintain collaborative working relationships with the CareSource Corporate Compliance Department and other CareSource departments as needed.
• Ensure timely and accurate compliance with all state and federal contract requirements, inquiries, review, and submission deadlines, and required reporting.
• Support new and existing business development opportunities.
• Coordinate department participation in federal and state contract and regulatory audits and site visits.
• Ensure department policies and procedures are accurate and translate into actionable business decisions.
• Recognize inconsistencies and gaps in complex business processes.
• Identify strategies and processes to improve vendor performance.
• Create reports and data-driven presentations.
• Perform any other job duties as requested.

Education and Experience:

Bachelor of Science/Arts (BS/BA) degree in business or related field or equivalent years of relevant work experience is required. A minimum of five (5) years of experience in a managed care organization is required.

Competencies, Knowledge and Skills:

• Proven analytic skills
• Proficient problem-solving skills with attention to detail
• Proficient project management skills with ability to handle multiple projects within time constraints
• Advanced proficiency in Word, Excel and PowerPoint; Power BI knowledge preferred
• Effective verbal and written communication skills
• Critical listening and thinking skills
• Decision making and issue resolution skills
• Understanding of database relationships preferred
• Graphic development/presentation skills preferred
• Ability to work independently and within a team environment
• Knowledge of managed care preferred
• Strong interpersonal skills and high level of professionalism
• Ability to work with a variety of disciplines and levels of staff across departments

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time. May be required to travel - estimated at 25%.

Compensation Range:

• $72,200.00 - $115,500.00 - CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
• In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
• We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies:

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

Additional information:

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time.

Equal Opportunity Statement:

CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Company Culture & Mission:

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.

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