Vendor Management Analyst
Why Choose Jefferson Health Plans?
We are an award-winning, not-for-profit health maintenance organization offering Medicaid, Medicare, and Children’s Health Insurance Program (CHIP) plans that include special benefits to improve the health and wellness of our members. We are committed to creating a community where everyone belongs, acknowledges, and celebrates diversity and has opportunities to grow to their fullest potential.
While this job currently provides a flexible remote option, due to in-office meetings, training as required, or other business needs, our employees are to be residents of PA or the nearby states of DE or NJ.
Perks of JHP and why you will love it here:
- Competitive Compensation Packages, including 401(k) Savings Plan with Company Match and Profit Sharing
- Flextime and Work-at-Home Options
- Benefits & Wellness Program including generous Time Off
- Impact on the communities we service
We are seeking a talented and enthusiastic (insert posting title) to join our team!
Working with general supervision, the – Vendor Management analyst supports the vendor operations of Jefferson Health Plans (CPM) by managing the day-to-day oversight functions of various vendor contracts, emphasizing delegated and subcontractor contracts and vendors' performance. Assist the Manager in managing and overseeing assigned vendors to ensure compliance with Health Partners Plans' policies and procedures, including requirements mandated by applicable regulatory and accreditation agencies. Maintain a system for accurate review, tracking, filing, and dissemination of vendor reports. Establish deadlines to allow adequate review time to ensure all responses/correspondence are timely and appropriate. Assist Manager in conducting auditing of specialty subcontractors' operations.
As the Vendor Management Analyst, your daily duties may include:
- Review, analyze, and disseminate, as needed, vendor monthly, quarterly, annual, and ad-hoc reports and prepare trend reporting as required. Maintain vendor reporting grids and reports folder to ensure all information is up-to-date.
- Assist Manager in coordinating vendor audits and working with responsible business units to establish and follow up corrective action plans (CAPs).
- Create and maintain a system to accurately track all internal and external inquiries/issues to ensure timely follow-up, completion, and resolution.
- Draft routine amendments to agreements as directed.
- Assist in the implementation of new vendors and coordinate responses to relevant RFPs
- Actively participate in monthly and quarterly meetings with vendors to discuss operational issues, member issues, reports, etc. Prepare meeting agendas in advance of the panels and maintain meeting minutes.
- Assist the Manager with a regular review process alongside the vendor business owner of each vendor agreement, function, performance, and effectiveness and take actions accordingly.
- Provide data to the Manager for quarterly updates to the various Management teams on vendor performance, financial ROI, and any improvement opportunities, including corrective action, Process Improvement, and Termination if indicated.
- Assist in the development of an annual gap analysis of all active contracts and possible opportunities for assigned vendors
- Assist the Manager in establishing and revising departmental policies, procedures, and workflows as directed to facilitate departmental functions.
- Maintain and foster a collaborative relationship with internal and external customers.
- Cross Train with the purchasing and invoice department
- Assist with oversight of the Small Diverse Business Program.
- Perform other duties as assigned.
Qualifications
- Required High School diploma or equivalent
- Associate’s degree preferred
Skills, We Value:
- Required 3 years’ experience in health care, managed care, or insurance in relation to vendor management, delegated oversight and or procurement functions
- Experience with mainframe systems as well as PC based applications such as Excel, Access, and Word.
- Knowledge of statistically valid sampling techniques that result in credible quality reporting
- Knowledge of establishing and implementing standards of performance in a self-directed team environment
- Excellent organizational, interpersonal, time management and communications skills. Strong conflict resolution skills
- Process and project management ability
Other details
- Pay Type Salary
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