Vendor Management Manager, MI Community & State Plan - Remote in Michigan

Davita Inc.; Southfield (MI); Remote; USD 89,000 - 177,000; Full time

Job summary

A leading company in health care seeks a Vendor Management Manager to oversee vendor quality and compliance for Medicaid and Medicare programs. The role involves ensuring vendor documentation is accurate, leading performance assessments, and collaborating with various departments to improve vendor services. This position offers the flexibility to work remotely within Michigan and provides opportunities for professional development while impacting the health care experience positively.

Benefits

Comprehensive benefits package

Incentive and recognition programs

Equity stock purchase options

401k contribution

Qualifications

• 2+ years in vendor oversight and Medicaid/Medicare experience.
• Intermediate proficiency with MS Office and experience with SQL.
• Proven ability to manage and meet project deadlines.

Responsibilities

• Lead vendor oversight actions and assess performance metrics.
• Manage vendor documentation and cross-functional communication.
• Ensure compliance with Medicaid/Medicare regulations.

Skills

Vendor Oversight

Project Management

Regulatory Compliance

Communication

Analytical Skills

Education

Bachelor's Degree in Related Field

Tools

MS Word

Excel

PowerPoint

SQL

PowerBI

Job description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Vendor Management Manager (VMM) provides Vendor Management and Oversight for health plan vendors (external and internal partners). The VMM works with health plan executive leaders to inform vendor strategy, analyze vendor quality and affordability, and drive improvements in the appropriateness and effectiveness of vendor services provided. This individual provides input to vendor selection, and has a central role in vendor implementation, including determining business requirements, overseeing program design, testing/validation to ensure processes/networks meeting regulatory requirements, participating in regulatory readiness reviews, and assessing post-implementation performance. This individual will be expected to operate and develop relationships seamlessly between departments and divisions and will be engaged in vendor reporting requirements. The VMM collaborates with vendors and holds them accountable for achieving immediate remediation and long-term solutions to performance deficiencies as outlined in improvement plans or Corrective Action Plans.

If you are located in Michigan, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

• Serves as a subject matter expert on vendor contracts for Medicaid and Medicare MI C&S programs


• Maintains vendor documentation according to department guidelines


• Leads health plan vendor oversight actions


• Assess vendor performance to required metrics/SLAs and mitigate emerging risks


• Review and ensure that vendor network meets member care and state contractual accessibility and availability requirements


• Ensure documentation and required regulatory and business operational reports are produced timely, accurately and completely by vendors


• Validate that vendor processes, policies and other documentation align with state contractual and accreditation requirements


• Scheduling, leading and following up on cross functional Vendor Joint Operating Committee meetings, including vendor and health plan operations, finance, compliance and quality assurance leadership


• Develop effective lines of communication and frequent engagement


• Responding to state complaints, compliance issues and developing corrective action plans


• Convening regular meetings (Joint Operating Committee meetings) with partners


• Conducting periodic reviews of systems, staff and policies and procedures


• Partnering with matrix partners to coordinate cross vendor process issues and opportunities for improvement


• Focus on dental, vision, and transportation, along with other health plan vendors, including clinical and administrative vendors

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 2+ years of Vendor Oversight experience


• 2+ years of Medicaid and/or Medicare experience


• 2+ years of experience managing multiple projects


• Intermediate level of proficiency with MS Word, Excel, and PowerPoint


• Understanding of Medicaid and Medicare contracting process, including downstream agreements


• Ability to establish and monitor key performance indicators


• Proven ability to meet deadlines


• Ability to influence course of action when other teams are directly accountable for outcomes


• Resident of Michigan


• Driver's license and access to reliable transportation


• Ability to travel up to 25%

Preferred Qualifications:

• Experience interacting with state regulators


• Experience with Compliance Audits


• Proven excellent organizational and planning skills


• Advanced reporting techniques (SQL, PowerBI, etc.)

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.