Senior Director, Vendor Partnerships

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🔥 6 minutes ago

🐊 Florida, Illinois, +4 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🍂 Massachusetts – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $134.6k - $249k / year

⏰ Full Time

🟠 Senior

💰 Account Manager

👻 Ghost score 0%

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Strategically develop contractual relationships with major dental, vision, pharmacy and transportation vendors • Manage operational, contractual, financial, network adequacy, utilization and quality management oversight of vendor relationships exceeding $1.2 billion in annual costs • Develop strategic contractual and business relationships to achieve quality, service and cost outcomes aligned with plan goals • Identify opportunities to expand vendor relationships • Design and execute audits and evaluations of financial and operational performance • Confirm internal operations, including Claims, Appeals & Grievances, and Membership, meet contract terms, standards and expectations • Ensure vendors adhere to legal, regulatory and accreditation mandates • Manage relationship governance and monitor fulfillment of contract obligations • Manage service levels, reporting and performance/KPI monitoring • Communicate oversight activities clearly and coordinate with internal PLA staff • Participate as part of the plan's Senior Management team • Perform other duties as assigned

🎯 Requirements

• BA/BS - Bachelors Degree required • 10 years related business management experience in a managed care environment required • At least 10 years of previous business management experience in a related health care management position • Experience managing large business segments and projects and adhering to deadlines in a fast paced environment • Experience managing large vendor relationships in a managed care environment preferred • Ability to successfully manage a team from project inception through project implementation • Must comply with applicable policies, standards, legal, regulatory and accreditation mandates

🏖️ Benefits

• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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