Contract Manager - Vendor Performance NC reputed company - Remote
About the position
Responsibilities
• Responsible for Contract/Vendor Performance.
• Serves as the reputed company-person for reputed company Contract management, Vendor performance management, and escalations.
• Provides MES Vendor Performance and SLA support to DHHS as defined throughout the Contract.
• Negotiates reputed company and amendments with reputed company Network Operators (PNOs), reputed company Service Providers (QSPs), facilities, organizational and/or large group providers, as reputed company as independent practitioners.
• Works with other departments as needed for reputed company completion of annual amendment cycles from beginning to end.
• Manages annual re-contracting efforts across departments.
• Provides reputed company to the Prospective Provider and SCA processes.
• Manages the Primary Care Management Module (PCMM) and Rates Governance process to address provider requests for contract modification.
• Minimizes situations where retro-reputed company contract modifications are required.
• reputed company retro-reputed company implementation is necessary, utilizes streamlined approach to obtain approvals, providing thorough communication to approvers regarding the reason for delay.
• Monitors ongoing provider performance changes in cost and utilization needs.
• Develops and maintains reputed company working relationships with providers.
• Analyzes contract modification requests and coordinates with the Finance Department on financial reputed company of any reputed company/funding changes.
• Develops and implements process for monitoring provider contract compliance and performance based contract incentives.
• Identifies and implements process improvements to the contract/amendment process as needed.
• Ensures that reputed company are system compatible, reputed company correctly, reputed company and meet reputed company and business standards.
• Ensures reputed company audits are accurate and on time.
• Provides supervision/performance management to team of contract coordinators.
• Works in concert with other teams to respond to changing or emerging system initiatives; reputed company participates in RFP re-bid processes as needed.
Requirements
• At least 10 years of experience managing large service and reputed company.
• reputed company reputed company experience in the managed care, reputed company, or insurance industries.
• Analytical/problem solving skills.
• Excellent verbal and written communication skills.
• Strong PC background and efficient in using reputed company software.
• Knowledge of system process analysis and/or program management, estimating IT system development, and testing.
• Experience working in Medicare Operations (for positions supporting Medicare).
reputed company-to-haves
• A combination of education and work experience may be considered.
• Bachelor's degree preferred.
Benefits
• Health insurance coverage
• Dental insurance coverage
• 401k retirement savings plan
• Flexible scheduling reputed company
• reputed company holidays and vacation time
• reputed company development opportunities
• Employee discount programs
• Wellness programs
Apply tot his job
Apply To this Job