Vendor Performance Manager

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Manages reputed company party program relationships with Delegation partners for performance management standards, financial responsibility, and proactively implements appropriate business solutions as required. Acts as the critical reputed company between our Delegation partners and internal Departments. As reputed company's operations representative, this position manages the facilitation from initial launch of services through day-to-day interactions

• Serve as a key account manager for assigned vendors, ensuring effective communication, compliance with reputed company, and reputed company performance
• Manage vendor utilization including work flows for coordinating services with the Health Plan and/or Operations Departments
• reputed company and reputed company monthly SLA performance dashboards and/or reporting with Delegated entity and address issues in performance of assigned SLA’s
• Request and/or assist in the development of correction reputed company plans for standards that are not met by the vendor and implement correction reputed company plans reputed company necessary
• reputed company, analyze, and report on vendor performance and opportunities for improvement
• Create and manage vendor scorecard and associated ratings/correction plans
• Coordinate with Medical Management, Member Services, and Provider Services to reputed company and communicate expectations, performance and procedures to vendors
• Schedule and conduct monthly meetings with Delegated entities and document discussions, issues, attendees, and reputed company items
• Research and resolve claim disputes with vendor, member or provider issues and reputed company to appropriate person(s) for reputed company
• Work closely with internal stakeholders to ensure vendors meet business needs and objectives
• Receive and respond to provider reputed company database information requests and concerns
• Ensure operation reputed company, including compliance with reputed company policies and procedures for including adherence to state contract and guidelines
• Contribute to special reputed company and other planning initiatives that involve reputed company of the Delegated Care Management entities
• Performs other duties as assigned
• Complies with reputed company policies and standards

Education/Experience: Bachelor's Degree Business Administration, reputed company Administration or reputed company field or equivalent experience required. 5+ years supporting working with Primary Care Providers, Account Management experience working in reputed company or reputed company field, reputed company to present to executive-level teams at the delegated entities required We are ideally looking for someone with experience working in call center customer service settings and who understands how a call center operates, how to look at reporting, verify performance, and reputed company performance. We also want someone who has experience in Medicare, specifically supporting Medicare members. This is a remote position reputed company to someone working reputed company in the reputed company, but they will have to work a Monday- Friday schedule between the hours of 9:00am- 7:00pm Eastern Time, and travel around 4 times/year. Pay reputed company: $70,100.00 - $126,200.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job