Fallon Health

  • Health Care Vendor Relations Manager

    Location US-MA-Worcester
    Posted Date 3 weeks ago(3/27/2018 5:03 PM)
    Job ID
    5169
    # Positions
    1
    Category
    Provider Relations
  • Overview

    About Fallon Health

    Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.

    Brief Summary of Purpose:

    The vendor relationship manager is responsible to handle multiple healthcare vendor relationships as the main point of contact, managing the day to day operational work, associated projects and instituting and monitoring operational metrics. This position will collaborate with various internal departments and program/product stakeholders at all levels to support the governance of the vendor contract relationships this will include but not be limited to evaluating and prioritizing multiple requests put forth by internal departments/stakeholders, cadence of joint operating meetings, potential change in scope of vendor contracts and problem resolution and corrective action plans. Key interface between Fallon Health Regulatory Compliance and healthcare vendor and to ensure healthcare vendor is in compliance with federal and state requirements.

    Responsibilities

    • Performance Management: Develop and institutionalize operational metrics
    • Performance Management: Research, collection, tracking and reporting of vendor metrics
    • Performance Management: Develop and maintain vendor scorecard to be reviewed with vendor and internal departments and stakeholders
    • Performance Management: Conduct vendor meetings to review vendor performance linked to regulatory compliance and contractual obligation
    • Main point of contact for vendor and internal departments: Track escalated issues and reporting of root cause analysis
    • Main point of contact for vendor and internal departments: Troubleshoot all vendor problems and present to management as required
    • Main point of contact for vendor and internal departments: Identify and implement continuous enhancements and efficiencies associated with vendor management
    • Main point of contact for vendor and internal departments: Perform regulatory compliance and performance of Fallon’s vendors
    • Main point of contact for vendor and internal departments: Maintain vendor information and share with internal team related to contract obligations and day to day updates
    • Other duties: may also be assigned a provider relations territory if needed

    Qualifications

    Education:

    Bachelor’s degree or equivalent experience required. Master’s degree in Business Administration, Healthcare Administration, or Public Health preferred but not required. Previous background in nursing or any allied health field is valuable but not required.

     

    Experience:

    Minimum of three year(s) experience in managed healthcare environment(s) or equivalent experience with related work in provider/healthcare vendor contracting, provider/healthcare vendor relations, healthcare finance, provider reporting/profiling, and/or provider relations. Analytical, strategic thinking, and creative thinking skills are required. Excellent verbal, written and computer skills (Microsoft Word, Excel, Power point) are essential to this position.

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed

    NOT READY TO APPLY?