Humana

Senior Vendor Management Professional

San Antonio, Texas, United States

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

Senior Vendor Management Professional

Employment Type: Full-time

Position Overview

Become a part of our caring community and help us put health first. The Senior Vendor Management Professional serves as a liaison between vendors and the organization. This role involves moderately complex to complex issues requiring in-depth evaluation of variable factors for analysis of situations or data.

Responsibilities

  • Reviews and negotiates terms of vendor contracts and communicates with vendors regarding day-to-day matters.
  • Oversees ad hoc contracting/re-contracting campaigns for new or expanded services.
  • Builds and maintains positive relationships with vendors and monitors vendor performance.
  • Researches invoice and contractual issues and resolves discrepancies.
  • Makes decisions on moderately complex to complex issues regarding the technical approach for project components, performing work without direction.
  • Exercises considerable latitude in determining objectives and approaches to assignments.
  • Monitors performance against key performance indicators (KPIs) and ensures compliance with contractual commitments and requirements.
  • Partners with health plan leadership to improve KPI performance and ensure contractual compliance.
  • Participates in operating meetings for key provider relationships to facilitate strategic initiatives and improved performance.
  • Works collaboratively with the Chief Operating Officer, Provider Services Director, health plan finance, and clinical and quality teams to achieve strategic goals and priorities.

Required Qualifications

  • Bachelor's degree or equivalent experience of 6 years in the industry.
  • 6+ years of progressive operational experience.
  • 6 years of experience managing/negotiating multiple vendor contract relationships.
  • Leadership experience over a large metric-intensive operational unit.
  • Proficient in Microsoft Office applications including Word, Excel, and PowerPoint.
  • Strong verbal and written communication skills, including presenting to senior leaders.
  • Strong facilitation skills.
  • Must be available to travel to the Market office for meetings as needed for the business.

Preferred Qualifications

  • Master's degree.
  • Certification with Six Sigma and/or the Project Management Institute.
  • Prior experience in a healthcare or insurance setting.
  • Knowledge of Medicaid.

Work-At-Home Requirements

To ensure Home or Hybrid Home/Office employees can work effectively, the self-provided internet service must meet the following criteria:

  • A minimum download speed of 25 Mbps and an upload speed of 10 Mbps is required.
  • Wireless, wired cable, or DSL connection is required.
  • Satellite, cellular, and microwave connections can be used only if approved by leadership.

Employees who live and work from Home in California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work must be performed from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Social Security Number Statement

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue.

Skills

Vendor Management
Contract Negotiation
Performance Monitoring
Data Analysis
Relationship Building
Problem Resolution
Strategic Planning
Cross-functional Collaboration

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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