
201 - 500 employees
Founded 2011
At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.
🔥 16 hours ago
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201 - 500 employees
Founded 2011
At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges.
• Develop and execute the enterprise strategy, operating model, and governance framework for third-party vendor management • Establish standards, policies, procedures, and controls governing the full vendor lifecycle • Align vendor strategy with business objectives, healthcare operations priorities, financial goals, member experience, and quality outcomes • Develop and maintain a comprehensive vendor portfolio strategy and segmentation • Provide executive recommendations on outsourcing, insourcing, vendor consolidation, strategic partnerships, and sourcing opportunities • Provide executive oversight of strategic and critical vendor relationships • Establish vendor KPIs, SLAs, quality measures, performance guarantees, scorecards, and reporting • Lead executive business reviews with vendors and internal stakeholders • Evaluate vendor performance and direct corrective action and performance improvement plans • Oversee vendors supporting critical healthcare functions and ensure regulatory, contractual, accreditation, privacy, security, quality, and continuity compliance • Lead vendor-related audits, regulatory reviews, investigations, risk assessments, and remediation • Partner on strategic sourcing, contract negotiations, renewals, amendments, and terminations • Oversee vendor financial performance, spend, pricing, utilization, invoicing, savings, and value realization • Provide executive oversight of vendor selection, due diligence, implementation, transition, optimization, renewal, and termination • Lead complex vendor transitions and enterprise initiatives • Monitor vendor risk and lead responses to critical vendor events • Lead, develop, and retain a high-performing vendor management team • Foster partnerships across Operations, Clinical, Finance, Procurement, Legal, Compliance, IT, Risk, and other enterprise functions • Develop executive reporting, dashboards, analytics, and strategic recommendations for senior leadership
• Bachelor's degree in Business Administration, Healthcare Administration, Operations, Supply Chain, Finance, or a related field • 10+ years of progressive experience in vendor management, healthcare operations, outsourcing, procurement, third-party management, or a related discipline • 5+ years of leadership experience, including responsibility for teams, enterprise programs, strategic vendor relationships, or complex cross-functional initiatives • Knowledge of managed healthcare operations and highly regulated healthcare environments • Ability to develop and execute enterprise-level strategies and operating models • Knowledge of vendor governance, contract management, SLA/KPI development, performance management, financial oversight, and third-party risk management • Experience managing strategic or complex third-party vendor relationships • Executive presence and ability to communicate with senior and executive leadership • Exceptional negotiation, analytical, strategic planning, problem-solving, and decision-making skills • Ability to influence across organizational boundaries and lead through complex, matrixed environments • Strong written, verbal communication, and executive presentation skills • Interpersonal skills including coaching staff, conflict resolution, implementing initiatives or projects, and collaboration • Ability to select, motivate, evaluate, train, and develop staff • Ability to work in a fast-paced, diverse, performance-oriented organization • Proficiency with Microsoft Office and vendor-management, contract-management, GRC, business-intelligence, or reporting platforms • Valid and current Driver's License, Auto Insurance, and professional licensure(s) • Advanced computer skills in MS Office products • Preferred qualifications include a master's degree, managed healthcare vendor experience, Medicare Advantage/Medicaid/commercial health plan experience, delegated vendor oversight, strategic sourcing, cost optimization, executive reporting, and professional certification
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