Healthcare Vendor Management Jobs (NOW HIRING)

• Manage healthcare vendor contracts and oversee the bidding and renewal processes to ensure cost-effectiveness and service quality.
• Oversee vendor performance related to customer service, claims processing, and administrative functions, including MagnaCare Customer Service and Claims.
• Manage HRA administration and vendor relationships.
• Oversee Pacific Health Coalition partnership with Aetna CVS to ensure contractual compliance and operational effectiveness.

• Lead cost containment initiatives and identify opportunities to reduce healthcare costs while maintaining access and quality.
• Collaborate with internal leadership to recommend operational improvements, vendor changes, and plan design strategies.

• Ensure vendors meet contractual obligations, regulatory requirements, and service level agreements (SLAs).
• Monitor trends and resolve escalated vendor, claims, or service issues as needed.

• Oversee and provide leadership to the Analytics and Vendor Specialist team, ensuring performance, accountability, and professional development.
• Plans, analyzes, and evaluates programs and services, operational needs, and fiscal constraints
• Supervises, leads, and delegates work and coaches, mentors, develops employees
• Analyzes problems, identifies, and develops alternative solutions, projects consequences of proposed actions, and implements recommendation/solutions.
• Recommends hires and promotions, directs, and evaluates employment decisions for all assigned positions
• Assists with developing and coordinating policies and procedures
• Responsible for the oversight of continued employee training requirements, safety, and quality initiatives
• Exemplifies the Fund’s BETTER Values and professional effectiveness dimensions in leading and fostering a respectful, trusting, and engaged culture of diversity and inclusion
• Performs other duties as assigned within the scope of responsibilities and requirements of the job
• Performs Essential Job Functions and Duties with or without reasonable accommodation

Analytics, Reporting & Presentations

• Direct the development and analysis of reports related to utilization, cost containment, vendor performance and plan outcomes.
• Ensure timely and accurate reporting and prepare presentations for leadership, committees, and stakeholders.
• Use data insights to support strategic planning, vendor decisions and plan design enhancements.

• 5 ~ 7 years minimum of direct experience working directly in the RFP process and participating in the negotiations of contracts with entities such as BCBS, Aetna and Third Party Administrators (TPA).
• 3 ~ 5 years of department management experience required
• Working experience in healthcare vendor management, analytics and managed care operations
• Experienced in relationship building and contract negotiations
• Experienced in project management processes
• Experienced in data analysis and report writing
• Working knowledge of Unions and Taft Hartley Funds preferred

• Bachelor's degree in healthcare administration, business, analytics, or related field or equivalent work experience required
• Preferred: Master’s degree in Business Administration, Public Health, Healthcare Administration, or related field

• Intermediate level Microsoft Office skills (PowerPoint, Word, Outlook)
• Intermediate level Microsoft Excel skills
• 10% ~ 15% travel
• Comfortable with the use of technology in the accomplishment of responsibilities such as videoconferencing, creating PowerPoint presentations, use of Excel to create statistical analysis and use of other Microsoft Office tools
• Strong written and verbal skills.
• Project management skills strongly desired
• Able to manage competing deadlines and multiple projects in a fast-paced environment

Salary range for this position: Salary $113,600 - $142,000. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location.

We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Pension, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).

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