Sr Vendor Management Professional at Humana

Indianapolis, Indiana, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Managed CareIndustries

Requirements

Bachelor's degree OR equivalent experience
5+ years vendor management experience OR 5+ years provider relations or contracting experience OR 5+ years in a member service role, serving the member and external entities OR equivalent experience
2+ years Project Management, formal or informal OR 2+ years experience in facilitating meetings OR equivalent experience
Knowledge of Non-Emergent Medical Transportation (NEMT)
Must reside in the Indianapolis locale, and work in the office building at least 3 days per week

Responsibilities

Work as a member liaison when members have escalated urgent transportation issues requiring immediate resolution
Interact with health care providers such as nursing facilities, assisted living facilities, dialysis centers, hospitals, and emergency medical services and works to resolve issues ensuring member access to care and services
Proactively work to resolve potential transportation disruptions and implement creative solutions to ensure member transport
Build and maintain positive relationships with the vendor and healthcare providers and monitor vendor performance
Promote communication between the State of Indiana and the subcontractor on NEMT issues
Research invoice and contractual issues and resolve discrepancies
Respond to and track complaints and concerns from medical providers, facilities, drivers, and members
Ensure that an adequate transportation network is built and maintained to serve member needs
Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction
Identify and implement process improvement opportunities to enhance operational efficiency and effectiveness
Keep the SharePoint site updated
Back up vendor manager

Skills

Vendor Management

NEMT

Stakeholder Liaison

Contract Management

Issue Resolution

Performance Monitoring

Healthcare Provider Relations

Transportation Logistics

Invoice Research

Complaint Tracking

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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