Senior Manager, Vendor Management

Position Purpose

Manage all aspects of vendor activity, including but not limited to vendor compliance, engagement, oversight and performance.

• Ensure operation integrity, including compliance with all policies and procedures for the Health Plan including adherence to state contract and guidelines.
• Develop correction action and quality improvement plans for standards that are not met by vendors.
• Provide guidance on researching and resolving claim disputes with vendor, member or provider issues and route to appropriate person(s) for resolution.
• Conduct monthly meetings document, discuss and resolve issues as well as monitor completion of action items.
• Direct negotiations and draft vendor RFI's, RFP's, SOW, and contracts.
• Assist with the onboarding and transition of new vendors.
• Monitor compliance with all contractual requirements, vendor performance and reporting.
• Managing relationships with vendor partners to promote and maintain a high engagement.
• Manage staff of vendor analyst and oversee their growth and development and assimilation into the vendor management department and the organization.

Education/Experience: Bachelor's degree in Business Administration, Public Administration or related field or equivalent experience. 5+ years of healthcare management experience, preferably in vendor managed care or the health insurance field. Experience with reporting and analyzing data. Strong Excel skills and working with a variety of software data programs preferred. Project management experience preferred.

Licenses/Certifications: Certified Third Party Risk Professional (CTPRP) Preferred.

Pay Range: $107,700 - $199,300

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It's work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including

competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.