7 days old

Vendor Oversight and Transportation Manager - Telecommute in KY

Louisville, KY 40202 Work Remotely
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The Vendor Oversight and Transportation Manager provides management and oversight for health plan vendors (external and internal partners). 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.

This position is telecommute within the state of Kentucky; up to 25% in-state travel to Louisville for office based meetings and Frankfort for state based meetings may be required.

On an ongoing basis, this role leads health plan vendor oversight actions and transportation coordination, including:

  • 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
  • Serve as a liaison between care managers and transportation providers; serve as health plan subject matter expert on transportation resources and service providers within Kentucky
  • 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 and annual reviews of systems, staff and policies and procedures
  • Partnering with matrix partners to coordinate cross vendor process issues and opportunities for improvement

The Vendor Oversight & Transportation Manager has primary responsibility for identifying and elevating complex and/or critical vendor performance problems as well as serving as a resource to health plan and members on transportation resources. The VOM 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. The VOM 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. The VOM regularly obtains, validates, analyzes, audits and reports on vendor utilization and performance data. This role is also responsible for receiving, researching, resolving and responding to state regulator vendor-related concerns.

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.

Posted: 2020-09-15 Expires: 2020-10-16

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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Vendor Oversight and Transportation Manager - Telecommute in KY

UnitedHealth Group
Louisville, KY 40202

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