Manager, Vendor Performance & Governance (Remote)

E2E Alignment Healthcare USA, LLC

California (MO)

Hybrid

USD 99,000 - 148,000

Full time

4 days ago
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Job summary

Alignment Health is seeking a Remote Vendor Manager to oversee third-party vendors supporting the Medicare Advantage program. You will serve as the primary relationship manager for vendors, ensuring services meet contractual obligations, regulatory requirements, and performance expectations.

Collaboration with Operations, Compliance, Regulatory Affairs, Technology, Finance, and Legal is essential. Responsibilities include governance meetings, KPI/SLAs, contract negotiations, cost oversight, risk

Qualifications

  • 5+ years of experience in vendor management or healthcare operations.
  • Medicare Advantage vendor management experience preferred.
  • Strong contract management and negotiation support.
  • Excellent communication and stakeholder management skills.
  • Ability to manage multiple priorities in a fast-paced environment.

Responsibilities

  • Vendor Relationship Management: be the primary contact for vendors and conduct governance meetings.
  • Vendor Performance Management: establish KPIs/SLAs and drive improvements.
  • Contract & Financial Management: support negotiations and monitor cost effectiveness.
  • Regulatory & Compliance Oversight: ensure CMS/HIPAA/regulatory compliance across vendors.
  • Risk Management and Change: assess risks and manage vendor-related changes.
  • Cross-Functional Reporting: create dashboards and present findings to leadership.

Skills

Vendor relationships
Performance metrics
Contract management
Stakeholder management
Analytical thinking

Education

Bachelor's degree in Business Administration
Healthcare Administration
Information Systems
Project Management

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Remote Vendor Manager is responsible for overseeing the performance, governance, and strategic management of third-party vendors supporting the Medicare Advantage health plan. This role serves as the primary relationship manager for key vendors and delegated entities, ensuring services are delivered in accordance with contractual obligations, regulatory requirements, performance expectations, and organizational objectives. The Vendor Manager partners closely with Operations, Compliance, Regulatory Affairs, Technology, Finance, Legal, Clinical, Provider Operations, and business leaders to drive vendor accountability, optimize vendor performance, mitigate risk, and support strategic initiatives. This position plays a critical role in ensuring vendors contribute to operational excellence, regulatory compliance, cost efficiency, and superior member and provider experiences.

Vendor Relationship Management

Serve as the primary point of contact for assigned vendors and strategic business partners. Develop and maintain strong relationships with vendor leadership and operational teams. Facilitate regular business reviews and governance meetings with vendors. Monitor vendor performance and drive continuous improvement initiatives. Resolve operational issues, service concerns, and escalations in a timely manner.

Vendor Performance Management

Establish and monitor key performance indicators (KPIs), service level agreements (SLAs), and contractual commitments. Analyze vendor performance data and identify opportunities for improvement. Conduct monthly, quarterly, and annual performance reviews. Develop corrective action plans when performance expectations are not met. Ensure vendors consistently meet quality, operational, and customer service standards.

Contract & Financial Management

Partner with Legal, Finance, Procurement, and business stakeholders throughout the vendor lifecycle. Support contract negotiations, renewals, amendments, and terminations. Monitor contract compliance and ensure vendors meet contractual obligations. Review invoices and financial performance to ensure cost effectiveness and budget compliance. Identify opportunities for cost savings, efficiencies, and value creation.

Regulatory & Compliance Oversight

Ensure vendors operate in compliance with CMS, Medicare Advantage, HIPAA, state regulatory, and organizational requirements. Coordinate vendor compliance reviews, audits, and operational assessments. Monitor delegated and non-delegated vendor compliance activities. Track remediation plans and corrective actions resulting from audits or compliance reviews. Partner with Compliance and Regulatory Affairs teams to address regulatory requirements impacting vendors.

Risk Management

Identify, assess, and mitigate vendor-related operational, financial, compliance, and reputational risks. Support vendor risk assessment and oversight programs. Monitor business continuity, disaster recovery, privacy, and security requirements. Escalate significant vendor risks and issues to leadership as appropriate. Ensure vendors maintain required certifications, controls, and documentation.

Implementation & Change Management

Support implementation of new vendors and vendor-delivered services. Coordinate vendor participation in strategic initiatives and operational projects. Manage vendor-related operational changes and business process improvements. Ensure vendors successfully implement regulatory, operational, and technology updates. Facilitate readiness activities for new products, markets, and programs.

Cross-Functional Collaboration

Ensure alignment between business needs and vendor service delivery. Coordinate issue resolution and performance improvement efforts across stakeholders.

Reporting & Governance

Develop executive dashboards and vendor performance reports. Present vendor performance, risks, and recommendations to leadership. Maintain vendor management documentation and governance records. Support internal committees and oversight forums related to vendor performance and risk management. Provide insights and recommendations to improve vendor management practices.

Job Requirements

Experience: Required: 5+ years of experience in vendor management, healthcare operations, account management, procurement, business operations, or related fields. Highly Preferred- Medicare Advantage vendor management experience.

Education: Required: Bachelor's degree in Business Administration, Healthcare Administration, Information Systems, Project Management, or related field.

Specialized Skills: Required: Experience managing vendor relationships and performance metrics. Strong contract management and negotiation support experience. Exceptional communication, relationship-building, and stakeholder management skills. Strong analytical and problem-solving abilities. Ability to manage multiple priorities in a fast-paced environment.

Pay Range: $98,550.00 - $147,825.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.

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