Vendor Management Lead

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $94.9k - $130.5k / year

⏰ Full Time

🟠 Senior

🛒 Procurement

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Manage assigned Medicaid vendor relationships as the primary point of contact between vendors, business owners, markets, and enterprise partners • Develop understanding of vendors’ services, capabilities, contracts, regulatory obligations, operational dependencies, and strategic importance • Establish and facilitate vendor governance routines, including Joint Operating Committees, performance reviews, and issue-resolution meetings • Monitor vendor performance through scorecards, KPIs, SLAs, contractual commitments, member outcomes, and operational measures • Identify performance trends, service gaps, and emerging risks and provide actionable recommendations • Lead vendor improvement plans and corrective action plans, including root-cause analysis, milestones, accountable owners, and remediation validation • Coordinate with operations, markets, compliance, finance, procurement, legal, clinical, product, and implementation teams • Evaluate vendor capabilities, performance, risk, spend, and strategic value for portfolio-level decisions • Monitor compliance with federal and state Medicaid requirements, contracts, Humana policies, data-security standards, and reporting expectations • Review vendor financial performance, invoices, utilization, rates, and spend trends to identify discrepancies and savings opportunities • Maintain accurate, audit-ready documentation of vendor interactions, governance decisions, performance, risks, corrective actions, and contractual commitments • Strengthen vendor relationships through clear expectations, communication, constructive challenge, and continuous improvement • Research invoice and contractual issues and resolve discrepancies • Advise executives on significant functional strategies

🎯 Requirements

• Bachelor’s degree in business administration, healthcare administration, finance, operations, supply chain, or related field, or equivalent professional experience • Five or more years of experience in vendor management, supplier relationship management, procurement, or related experience • Experience managing complex vendor relationships, performance reviews, issue escalation, corrective action planning, and cross-functional problem-solving • Experience developing and monitoring vendor scorecards, KPIs, SLAs, contractual commitments, operational metrics, and performance-improvement plans • Strong analytical and financial acumen • Ability to evaluate vendor performance, utilization, spend, invoices, risks, and value-realization opportunities • Experience leading governance meetings and influencing cross-functional stakeholders • Strong executive communication, facilitation, negotiation, and relationship-management skills • Proficiency with Microsoft Excel, PowerPoint, Teams, and data-reporting or vendor-management platforms • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps • Occasional travel to Humana offices for training or meetings may be required • Master’s degree in a related field preferred • Experience in Medicaid, Medicare, managed care, health insurance, or another highly regulated healthcare environment preferred

🏖️ Benefits

• Bonus incentive plan • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Whole-person well-being support • Flexible remote work arrangement • HireVue interview scheduling flexibility