18 days old

Vendor Oversight Manager - Minnetonka, MN or Telecommute - 943075

Minnetonka, MN 55345 Work Remotely
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  • Job Code
    943075

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)

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The Vendor Oversight and Transportation Manager provides management and oversight for health plan vendors (external and internal partners) for the Minnesota UnitedHealthcare Community Plan, a new plan serving Minnesotas most vulnerable population. 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 meet 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.

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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.

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The Vendor Oversight & Transportation Manager is a valuable part of the leadership team with a unique opportunity to build a new health plan from the ground up, reimagine with proactive efforts to develop strategies and materialsto support business and member engagement goals and exceed State requirements.

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Youll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

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Primary Responsibilities

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  • Assess vendor performance to required metrics/SLAs and mitigate emerging risks
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  • Review and ensure the vendor network meets member care and state contractual accessibility and availability requirements
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  • Ensure documentation and required regulatory and business operational reports are produced timely, accurately and completely by vendors
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  • Validate vendor processes, policies and other documentation align with state contractual and accreditation requirements
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  • 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
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  • Serve as a liaison between care managers and transportation providers; serve as health plan subject matter expert on transportation resources and service providers within the state
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  • Develop effective lines of communication and frequent engagement
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  • Responding to state complaints, compliance issues and developing corrective action plans
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  • Partnering with matrix partners to coordinate cross vendor process issues and opportunities for improvement
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Youll 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.

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Required Qualifications

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  • Bachelors degree or equivalent experience
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  • 2+ years of experience managing and/or driving vendor or team performance
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  • 2+ years of project management experience managing multiple diverse projects
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  • 1+ years of experience demonstrating the ability to coordinate with external community-based organizations and/or transportation service providers
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  • Intermediate level of proficiency with MS Word, Excel, and PowerPoint
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Preferred Qualifications

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  • Experience interacting with state regulators
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  • Experience with Compliance Audits
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  • Managed Care Experience
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  • Proven collaboration skills
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  • Excellent organizational skills
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  • Results orientation
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  • Ability to influence course of action when others are directly accountable for outcomes
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Careers at UnitedHealthcare Community & State. Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. We serve the health care needs of low income adults and children with debilitating illnesses such as cardiovascular disease, diabetes, HIV/AIDS and high-risk pregnancy. Our holistic, outcomes-based approach considers social, behavioral, economic, physical and environmental factors. Join us. Work with proactive health care, community and government partners to heal health care and create positive change for those who need it most. This is the place to do your life's best work.(sm)

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*All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.

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Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, youll find a far-reaching choice of benefits and incentives

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Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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Job Keywords: Vendor Oversight Manager, Vendor Oversight Liaison, Transportation Manager, Project Manager, Managed Care, Health Care, Healthcare, Minnetonka, MN, Minnesota, Telecommute, Remote, Work from Home

Posted: 2021-07-15 Expires: 2021-08-14

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.

Sponsored by:
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Vendor Oversight Manager - Minnetonka, MN or Telecommute - 943075

UnitedHealth Group
Minnetonka, MN 55345

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