Humana

Senior Vendor Management Professional

San Antonio, Texas, United States

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Senior Vendor Management Professional

Employment Type: Full time Work Style: Remote

Position Overview

The Senior Vendor Management Professional serves as a crucial liaison between vendors and the organization, managing moderately complex to complex issues that require in-depth analysis of variable factors. This role acts as a bridge between vendors, internal business owners, contracting, risk, and compliance teams, fostering positive relationships within the Humana Military Contract Management team.

Key Accountabilities

  • Relationship Management & Governance: Own and manage relationship and governance programs for assigned vendors, driving accountability and operational excellence.
  • Performance Monitoring: Monitor assigned vendor performance through Key Performance Indicator (KPI) analysis to identify risks, compliance gaps, and improvement opportunities.
  • Proactive Solutions: Analyze performance trends and partner with vendors to implement proactive solutions and process improvements.
  • Corrective Action Management: Guide business units in developing and submitting vendor corrective action requests, managing the process from issue identification through resolution and closure.
  • Cross-Functional Facilitation: Facilitate cross-functional meetings between operations and vendor teams to ensure contractual compliance and performance standards.
  • Statement of Work (SOW) Development: Develop vendor SOWs and participate in proposal review and vendor vetting activities.
  • Process Improvement: Track process improvements across multiple business areas and vendors, identifying trends, opportunities for change, and providing strategic recommendations.
  • Risk Assessment: Provide risk assessments and mitigation strategies to internal stakeholders for informed decision-making.
  • Documentation & Reporting: Document vendor issues and maintain comprehensive resolution tracking and reporting.

Note: This role description does not limit the scope of duties. Individuals may be required to perform other tasks as requested by their supervisor, consistent with the purpose of the position, department, and/or company objectives.

Required Qualifications

  • Four (4) or more years of vendor management experience, including writing process improvement documents (e.g., Statements of Work (SOWs), Policies & Procedures (P&Ps), and Standard Operating Procedures (SOPs)).
  • Three (3) years of experience managing corrective action plan processes, including root cause analysis and vendor implementation oversight.
  • Three (3) years of experience in healthcare, health insurance industry, and/or DOD contracting.
  • Familiarity with Subcontract terms and conditions.
  • Strong analytical and communication skills with the ability to present complex information to stakeholders.
  • Excellent problem-solving and conflict resolution skills with a detailed-oriented approach.
  • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint).
  • Experience with performance metrics and Service Level Agreements (SLAs).
  • Proven facilitation skills and ability to manage multiple priorities independently.
  • U.S. citizenship is required due to Department of Defense Contract requirements.
  • Must successfully receive approval for government security clearance (Via National Background Investigation Services NBIS).
  • Humana Military (HGB) is not authorized to do work in Puerto Rico per government contract, and therefore cannot hire candidates currently residing in Puerto Rico.

Preferred Qualifications

  • Vendor contracting experience.
  • Bachelor’s Degree.
  • Experience with TRICARE policies and/or the military healthcare delivery system.
  • Certification with Six Sigma and/or the Project Management Institute.

Application Instructions

Work at Home/Remote Requirements: To ensure Hybrid Office/Home association... (Further details on remote work requirements would typically follow here).

Skills

Vendor Management
Relationship Management
Governance
KPI Analysis
Risk Assessment
Process Improvement
Statement of Work (SOW)
Contract Management
Cross-functional Collaboration
Problem Solving

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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