Senior Vendor Management Professional - Humana
Providence, RI
About the Job
Become a part of our caring community and help us put health first
The Senior Vendor Management Professional will work as liaison between vendors and Humana supporting internal business areas while helping ensure vendors meet contractual obligations as part of the Medicare Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an option to pay $0 at the pharmacy for any qualified Part D medication and have their costs 'smoothed' out over the remainder of the calendar year beginning 1/1/2025.
The Senior Vendor Management Professional builds and maintains positive relationships with vendors while monitoring vendor activities: SLA's, reporting, system reliability, and CMS compliance. Facilitates meetings with vendors to monitor business activity and conducts quarterly business review meetings to discuss performance. Investigates escalated vendor concerns and collaborates with internal business partners and vendors to ensure resolution. Monitors all M3P vendors budget vs actual spend, addresses any billing discrepancies, and provides details to the Finance team. Supports system monitoring, file transmissions, member communications, call center inquiries, and production issues resolution. Works well independently and as part of a project team in determining objectives and approaches to assignments. Assists with quality assurance and user acceptance testing. Collaborates with the Risk and Compliance team to ensure vendors are in compliance with CMS regulations.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree or equivalent experience
+ 3+ years of demonstrated vendor management experience
+ Familiar with procurement and contracting process
+ Experience over a large metric-intensive operational unit
+ Proficient in Microsoft Office applications including Word, Excel and PowerPoint
+ Strong verbal and written communication skills
+ Strong facilitation skills
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
+ Prior experience in a healthcare or insurance setting, preferably in operations
Preferred Qualifications
+ Master's Degree
+ Certification with Six Sigma and/or the Project Management Institute
+ Knowledge of Medicare Advantage
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$69,800 - $96,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The Senior Vendor Management Professional will work as liaison between vendors and Humana supporting internal business areas while helping ensure vendors meet contractual obligations as part of the Medicare Prescription Payment Plan program. The M3P program will provide all Medicare Part D enrollees an option to pay $0 at the pharmacy for any qualified Part D medication and have their costs 'smoothed' out over the remainder of the calendar year beginning 1/1/2025.
The Senior Vendor Management Professional builds and maintains positive relationships with vendors while monitoring vendor activities: SLA's, reporting, system reliability, and CMS compliance. Facilitates meetings with vendors to monitor business activity and conducts quarterly business review meetings to discuss performance. Investigates escalated vendor concerns and collaborates with internal business partners and vendors to ensure resolution. Monitors all M3P vendors budget vs actual spend, addresses any billing discrepancies, and provides details to the Finance team. Supports system monitoring, file transmissions, member communications, call center inquiries, and production issues resolution. Works well independently and as part of a project team in determining objectives and approaches to assignments. Assists with quality assurance and user acceptance testing. Collaborates with the Risk and Compliance team to ensure vendors are in compliance with CMS regulations.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree or equivalent experience
+ 3+ years of demonstrated vendor management experience
+ Familiar with procurement and contracting process
+ Experience over a large metric-intensive operational unit
+ Proficient in Microsoft Office applications including Word, Excel and PowerPoint
+ Strong verbal and written communication skills
+ Strong facilitation skills
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
+ Prior experience in a healthcare or insurance setting, preferably in operations
Preferred Qualifications
+ Master's Degree
+ Certification with Six Sigma and/or the Project Management Institute
+ Knowledge of Medicare Advantage
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$69,800 - $96,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana