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Vendor Management In Insurance information

What is vendor management in insurance?

Vendor management in insurance involves overseeing third-party service providers to ensure they meet contractual obligations, quality standards, and compliance requirements. It includes activities such as selecting vendors, negotiating contracts, monitoring performance, and managing risks, often using tools like vendor management systems. Professionals in this field need strong organizational and communication skills to coordinate between insurers and vendors effectively.

What is the difference between Vendor Management In Insurance vs Claims Specialist in Insurance?

AspectVendor Management In InsuranceClaims Specialist in Insurance
CredentialsTypically requires insurance knowledge, vendor management certifications, and industry experienceRequires insurance adjuster licenses, claims handling certifications, and industry knowledge
Work EnvironmentOffice-based, vendor negotiations, contract management, and coordinationField and office-based, claims assessment, customer interaction, and documentation
Employer & Industry UsageInsurance companies, third-party vendors, and brokersInsurance carriers, third-party administrators, and claims departments
Search & Comparison IntentUnderstanding vendor relations and management roles in insuranceClaims processing and customer service roles in insurance

Vendor Management In Insurance focuses on managing relationships with external vendors, negotiating contracts, and ensuring service quality. Claims Specialists handle claims processing, customer interactions, and assessing insurance claims. While both roles are essential in the insurance industry, they differ in responsibilities, required credentials, and daily tasks.

What is the role of vendor management in insurance?

Vendor management in insurance involves overseeing third-party providers to ensure they meet contractual obligations, quality standards, and compliance requirements. It includes activities such as selecting vendors, negotiating contracts, monitoring performance, and managing risks to support efficient insurance operations. Strong vendor management helps insurers reduce costs, improve service delivery, and maintain regulatory compliance.

What skills are needed for vendor management in insurance?

Vendor management in insurance requires strong communication, negotiation, and relationship-building skills to effectively coordinate with external providers. Analytical abilities, knowledge of insurance policies and regulations, and proficiency with vendor management tools or software are also essential for ensuring service quality and compliance.

Is a vendor management in insurance a good job?

Vendor management in insurance is a professional role that involves overseeing relationships with third-party providers, ensuring compliance, and managing contracts. It requires strong negotiation, communication skills, and knowledge of insurance regulations, often involving tools like vendor management systems. The job can offer stability and growth opportunities within the insurance industry.
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Vendor Management In Insurance jobs near you

Program Manager, Vendor Management Operations

Oscar Health

New York, NY • Hybrid

$111K - $146K/yr

Full-time

Posted 28 days ago

Oscar Health rating

6.9

Company rating: 6.9 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

251st of 301 rated insurance

Job description

Hi, we're Oscar. We're hiring a Program Manager, Vendor Management Operations to join our Workforce Management team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.

About the role:

The Program Manager is responsible for supporting all activities related to vendor management to ensure success. Additionally supports operational improvements for core vendor operations, including proper controls and monitoring, to ensure operational efficiency and effectiveness, supporting the program across the organization and helping implement project management fundamentals and standards across the organization.

You will report into the Associate Director, Workforce Management.

Work Location: This position is based in our New York City office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid

Pay Transparency: The base pay for this role is: $111,780 - $146,711 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

  • Identify optimization opportunities to support program objectives
  • Support implementations end to end to ensure success
  • Lead certain components of the program
  • Partner with other departments and various stakeholders to ensure operational excellence
  • Support a successful program end to end through assisting in project plan development, keeping your stakeholders in the loop on status, proactively flagging, managing escalations, tracking and helping to resolve program risks and milestones, and supporting program retros to assess strengths and weaknesses
  • Support the tracking and monitoring of controls
  • Develop tools and standards to support team programs year over year based on program retros
  • Develop meeting materials, track and follow-up on action items, assist with management of all project plans
  • Compliance with all applicable laws and regulations
  • Other duties as assigned

Requirements:

  • 4+ years of BPO program and/or project management experience, creating dashboards and playbooks
  • 4+ years experience in change management and process improvement

Bonus points:

  • PMP or Six Sigma certification
  • Proficiency in Excel or Sheets

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.

California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

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