Senior Clinical Vendor Management Professional

Profile

Description

The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

Location: Louisville, KY or WAH anywhere in the US

The Clinical Senior Vendor Management Professional reviews and negotiates terms of vendor contracts and communicates with vendors to regarding day-to-day matters. You will build and maintain positive relationships with vendors and monitor vendor performance while researching invoices and contractual issues to resolve discrepancies.

We are a multi-disciplinary team which is focused on outpatient spends from both a utilization and unit cost perspective. The team delivers improved quality and savings through value based purchasing and ensuring medically appropriate care delivery. Our outcome analysis work seeks to answer relevant clinical, operational, & financial questions, and identify areas for improvement.

Vendor management, vendor sourcing, contract oversight and clinical operations

Support and collaborate with Business Owners, Clinical Ops, Finance, Service Fund, Compliance and Humana leadership

Research operational issues as reported by Clinical Operations, Markets, Provider Contracting, Market Clinical-Sr. Products, Provider Relations and member support areas as it relates to authorization processing and claims payment.

Identify opportunities to improve operational processes for the managed vendors. These improvements may include file enhancements, program operational changes or transaction process improvement.

Ideation: Explore Pro-active opportunities, design solutions, develop Corrective Action Plans

Mitigate Trend: Lead or coordinate cross-functional project/program teams with Business Owner of spend, category and vendor relationships, and Trend Bender development and implementation

Outcome Analysis: Research to seek answers to relevant clinical, operational, & financial questions, and identify areas for improvement.

Investigates facts and develops solutions to problems during the design and planning phases.

Monitor performance, and make recommendations for changes, cost adjustments or resource additions

Collaborate across the company and bring out the best in others to get us to the right answers

Get into the data and support your team with actionable insights. Understand complex technical challenges and synthesize conversations for non-technical stakeholders.

Role Essentials

Bachelor's degree

Vendor contracting and negotiations experience

5 years or more years of vendor management experience and/or process or project management experience

Experience managing and facilitating vendor relationships and/or contracts

Healthcare knowledge

Demonstrated ability to define and track KPIs and other measurable success criteria

Strong verbal and written communication skills (ability to interact effectively with people at all levels within a team or internal division)

Strong critical thinking, problem solving skills; detailed and well organized

Ability to break down complex problems into actionable steps

Strong critical thinking and problem solving skills

Demonstrates accuracy and thoroughness, identifies process improvements

Relationship management skills

Role Desirables

Master's degree

Clinical experience - highly desired

PMP Certification

Six Sigma/Lean Certification

Additional Information

Humana is an organization with careers that change lives-including yours. As an innovator in the fast-paced industry of healthcare, we offer our associates careers that challenge, support and inspire them to use their passion for helping others and to lead their best lives. If you're ready to help people achieve lifelong well-being, and be a part of an organization that is growing and poised to make an impact on the future of healthcare, Humana has the right opportunity for you.

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com