You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

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

• Lead the direct management of vendors supporting Centene members
• Ensure operation integrity, including compliance with all policies and procedures for the Health Plan
• Oversee vendor performance and compliance, and Develop correction action and quality improvement plans as needed for standards that are not met by vendors
• Support the research and resolution of disputes with applicable vendor, member or provider issues and route to appropriate person(s) for resolution
• Conduct recurring meetings (monthly, quarterly, etc.) to review and monitor vendor performance, address issues / CAPs etc. and present on the same to senior leadership
• Serve as a critical thought partner in contract negotiations and vendor RFI’s, RFP’s, SOW’s, etc.
• Assist with the onboarding and transition of new vendors, including the annual AEP planning and implementation cycle
• Managing relationships with vendor partners to promote and maintain a high engagement
• Manage staff and oversee their growth and development and assimilation into the vendor management department and the organization
• Serve as a member of the department leadership team including acting as a captain for cross-department and/or division initiatives

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 and PowerPoint skills. Project management experience preferred.

 

Pay Range: $103,500.00 - $191,600.00 per year

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.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act