Vendor Relationship Management 

• Serve as the primary point of contact for assigned vendors and strategic business partners. 

• Develop and maintain strong relationships with vendor leadership and operational teams. 

• Facilitate regular business reviews and governance meetings with vendors. 

• Monitor vendor performance and drive continuous improvement initiatives. 

• Resolve operational issues, service concerns, and escalations in a timely manner. 

Vendor Performance Management 

• Establish and monitor key performance indicators (KPIs), service level agreements (SLAs), and contractual commitments. 

• Analyze vendor performance data and identify opportunities for improvement. 

• Conduct monthly, quarterly, and annual performance reviews. 

• Develop corrective action plans when performance expectations are not met. 

• Ensure vendors consistently meet quality, operational, and customer service standards. 

Contract & Financial Management 

• Partner with Legal, Finance, Procurement, and business stakeholders throughout the vendor lifecycle. 

• Support contract negotiations, renewals, amendments, and terminations. 

• Monitor contract compliance and ensure vendors meet contractual obligations. 

• Review invoices and financial performance to ensure cost effectiveness and budget compliance. 

• Identify opportunities for cost savings, efficiencies, and value creation. 

Regulatory & Compliance Oversight 

• Ensure vendors operate in compliance with CMS, Medicare Advantage, HIPAA, state regulatory, and organizational requirements. 

• Coordinate vendor compliance reviews, audits, and operational assessments. 

• Monitor delegated and non-delegated vendor compliance activities. 

• Track remediation plans and corrective actions resulting from audits or compliance reviews. 

• Partner with Compliance and Regulatory Affairs teams to address regulatory requirements impacting vendors. 

Risk Management 

• Identify, assess, and mitigate vendor-related operational, financial, compliance, and reputational risks. 

• Support vendor risk assessment and oversight programs. 

• Monitor business continuity, disaster recovery, privacy, and security requirements. 

• Escalate significant vendor risks and issues to leadership as appropriate. 

• Ensure vendors maintain required certifications, controls, and documentation. 

Implementation & Change Management 

• Support implementation of new vendors and vendor-delivered services. 

• Coordinate vendor participation in strategic initiatives and operational projects. 

• Manage vendor-related operational changes and business process improvements. 

• Ensure vendors successfully implement regulatory, operational, and technology updates. 

• Facilitate readiness activities for new products, markets, and programs. 

Cross-Functional Collaboration 

• Ensure alignment between business needs and vendor service delivery. 

• Coordinate issue resolution and performance improvement efforts across stakeholders. 

Reporting & Governance 

• Develop executive dashboards and vendor performance reports. 

• Present vendor performance, risks, and recommendations to leadership. 

• Maintain vendor management documentation and governance records. 

• Support internal committees and oversight forums related to vendor performance and risk management. 

• Provide insights and recommendations to improve vendor management practices. 

Job Requirements: 

Experience: 

Required:  

• 5+ years of experience in vendor management, healthcare operations, account management, procurement, business operations, or related fields. 

• Highly Preferred- Medicare Advantage vendor management experience.

Education: 

Required:  

• Bachelors degree in Business Administration, Healthcare Administration, Information Systems, Project Management, or related field. 

Specialized Skills: 

Required:  

• Experience managing vendor relationships and performance metrics. 

• Strong contract management and negotiation support experience. 

• Exceptional communication, relationship-building, and stakeholder management skills. 

• Strong analytical and problem-solving abilities. 

• Ability to manage multiple priorities in a fast-paced environment.