Job Family: Enterprise Operations
Type: Full time
Date Posted: Dec 04, 2023
Reference: JR96302
Description
The Vendor Implementation Mgr is responsible for Provider Network 3rd party delegated dental, vision and non-emergency transportation vendors. Manages more complex vendors, vendor operational enhancement and issue management for multiple states and for Medicaid and Medicare lines of business.
Primary duties may include, but are not limited to:
Conducts quarterly Joint Operation Committee (JOC) and strategic Monthly Operations meetings between delegated vendors and internal business partners.
Monitors vendor performance to ensure compliance with corporate, state, federal and regulatory requirements.
Ensures successful Enterprise Vendor Management oversight including but not limited to monitoring corrective action plans, issuing financial penalties, monitoring vendor network development efforts, workflow process development, performance metric development and maintenance, operational issue management resolution for ongoing relationships, planned initiatives to achieve cost of care savings for a state and/or complex regional initiatives.
Identifies, resolves and implements operational vendor processes that ensure appropriate vendor payments and data needs for multiple states with similar system platforms, or a state or a more complex regional initiative.
Supports the Project Management Office initiatives.
May be responsible for more complex vendor and internal business affiliate performance metric development and ongoing monitoring of operational workflow processes.
Minimum Requirements
Requires a BA/BA degree and a minimum of 3 years of business analysis, process improvement, project management, network management or related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills/Experience
Six Sigma and/or project management certification strongly preferred.
Other preferred skills include vendor management, customer service, Microsoft office, and the ability to set and meet deadlines.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.comfor assistance.