Talent.com
Manager, Vendor Management

Manager, Vendor Management

CenteneCharleston, SC, US
3 days ago
Job type
  • Full-time
  • Part-time
Job description

Manager, Vendor Management

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose : Manage all aspects of vendor activity, including but not limited to dental, ancillary, pharmacy, and vision vendors for Meridian Illinois Health Plan.

  • The Manager, Vendor Management position is primarily remote with 10% travel expectation. Since it supports Illinois Health Plan, candidates must reside in the state of Illinois to be considered for the position.

Responsibilities :

  • Manage vendor utilization including workflows for coordinating services with the Illinois Health Plan
  • Analyze vendor data and complete required reports for the health plan, Corporate and state
  • Create and manage vendor scorecard and associated ratings / correction plans
  • Perform as a key account manager for the Illinois Health Plan to coordinate with high priority providers and vendors
  • Coordinate with Corporate Vendor Management team regarding vendor expectations, performance, and procedures
  • Coordinate with Medical Management, Member Services and Provider Services to educate and communicate expectations, performance and procedures to vendors
  • Conduct monthly meetings and document discussions, issues, attendees, action items, research and resolve claim disputes with vendor, member or provider issues and route to appropriate person(s) for resolution
  • Receive and respond to provider related database information requests and concerns
  • Ensure operation integrity, including compliance with all policies and procedures for the Illinois Health Plan including adherence to state contracts and guidelines
  • Request and / or assist in the development of correction action plans for standards that are not met by the vendor
  • Education / Experience : Bachelor's degree in public health, business or related field or equivalent experience. 4+ years of healthcare management experience, preferably in vendor managed care or the health insurance field. Experience with reporting and analyzing data preferred. Strong Excel skills and working with a variety of software data programs preferred. Project management experience a plus.

    Pay Range : $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

    Create a job alert for this search

    Manager Vendor • Charleston, SC, US

    Related jobs
    • Promoted
    FitLife Operations Manager

    FitLife Operations Manager

    One and Only Fitness ConsultingCharleston, SC, US
    Full-time
    Front Desk staff members are the face of the company and have a huge impact on the pace and environment of the gym.You will be the first and last impression for all our members and potential new me...Show moreLast updated: 30+ days ago
    • Promoted
    FP Movement Key Holder

    FP Movement Key Holder

    FP MovementCharleston, SC, United States
    Full-time
    This position is located at 420 King St, Charleston, South Carolina, 29403 United States.A Key Holder collaborates with the management team in supervision of store operations functions and leading ...Show moreLast updated: 1 day ago
    • Promoted
    FP Movement Key Holder

    FP Movement Key Holder

    Urban OutfittersCharleston, SC, US
    Full-time
    This position is located at 420 King St, Charleston, South Carolina, 29403 United States.A Key Holder collaborates with the management team in supervision of store operations functions and leading ...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Manager, Mobile Solutions

    Senior Manager, Mobile Solutions

    SterisCharleston, SC, US
    Full-time
    Senior Manager, Mobile Solutions.At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the glo...Show moreLast updated: 6 days ago
    • Promoted
    Store Management : Charleston, Mt Pleasant, Summerville SC

    Store Management : Charleston, Mt Pleasant, Summerville SC

    Harris TeeterSummerville, SC, US
    Full-time
    Assist the Store Manager to manage the store as to maximize controllable profit and minimize expenses, while maintaining Harris Teeter Standards in a union free environment.Ultimate responsibility ...Show moreLast updated: 30+ days ago
    • Promoted
    Manager, Sales Referral

    Manager, Sales Referral

    Lincare HoldingsSummerville, SC, US
    Full-time
    This employee manages the day-to-day lead program for the region.They will achieve team and individual quality and productivity goals in accordance with established objectives.They also drive reven...Show moreLast updated: 19 days ago
    • Promoted
    Business Development Manager

    Business Development Manager

    Performance Food GroupCharleston, SC, United States
    Full-time +1
    Competitive pay and benefits, including Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Paid Time Off, and much more. Growth opportunities performing essential work...Show moreLast updated: 9 days ago
    Vendor Relations & Sourcing Manager

    Vendor Relations & Sourcing Manager

    Allegiance Flag Supply, LLCCharleston, South Carolina, United States, 29401
    Full-time
    About Allegiance Flag Supply, LLC.At our core, we believe that productsespecially American flagsshould be made in the USA by proud Americans. When you join the team, you become a part of the Allegia...Show moreLast updated: 21 days ago
    • Promoted
    Business Development Representative (Account Manager) - Behavioral HealthSetting

    Business Development Representative (Account Manager) - Behavioral HealthSetting

    Universal Health Services, Inc.North Charleston, South Carolina, United States
    Full-time
    Palmetto Lowcountry Behavioral Health (a Universal Health Services facility).South Carolina with a broad range of psychiatric and substance abuse services. Located on the beautiful Ashley River near...Show moreLast updated: 30+ days ago
    • Promoted
    Business Development Representative (Account Manager) - Behavioral Health Setting

    Business Development Representative (Account Manager) - Behavioral Health Setting

    Universal Health Services, Inc.North Charleston, SC, United States
    Full-time
    Palmetto Lowcountry Behavioral Health (a Universal Health Services facility).South Carolina with a broad range of psychiatric and substance abuse services. Located on the beautiful Ashley River near...Show moreLast updated: 30+ days ago
    • Promoted
    Business Development Manager

    Business Development Manager

    South Carolina StaffingCharleston, SC, US
    Full-time
    Competitive pay and benefits, including Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Paid Time Off, and much more. Growth opportunities performing essential work...Show moreLast updated: 6 days ago
    • Promoted
    Manager, Sales Development

    Manager, Sales Development

    TebraCharleston, SC, US
    Full-time
    The Sales Development Manager will supervise a team of high-performing outbound Sales Development Representatives (SDRs) to achieve revenue targets, optimize processes and results, and educate heal...Show moreLast updated: 5 days ago
    • Promoted
    US - Regional Sales Director (Nevada)

    US - Regional Sales Director (Nevada)

    Job&TalentCharleston, SC, US
    Full-time
    Regional Sales Director - Remote Within Nevada.Location : Must reside in Nevada to be able to commute to clients within the state. Compensation : Competitive Base Salary + Commission.Job&Talent is a l...Show moreLast updated: 6 days ago
    • Promoted
    Vendor Specialist

    Vendor Specialist

    Brookfield PropertiesCharleston, SC, US
    Full-time
    Maymont Homes Vendor Specialist.Charleston - 997 Morrison Drive, Suite 402.At Maymont Homes, our success starts with putting residents first. We're expanding to bring clean, safe, attractive, and af...Show moreLast updated: 30+ days ago
    • Promoted
    Manager - Sales (US)

    Manager - Sales (US)

    Interview KickstartCharleston, SC, US
    Full-time
    Interview Kickstart is a premier career transformation platform turbocharging tech careers through AI upskilling.Founded in 2014 in Santa Clara by Soham Mehta, ex-Box Engineering Leader, and Ryan V...Show moreLast updated: 6 days ago
    • Promoted
    US-Senior Manager

    US-Senior Manager

    South Carolina StaffingCharleston, SC, US
    Full-time
    Apple Retail is where the best of Apple comes together.We bring our expertise to help people do what they love, delivering an only-at-Apple experience. We believe inclusion is a shared responsibilit...Show moreLast updated: 7 days ago
    • Promoted
    Branch Manager

    Branch Manager

    First National Bank of PennsylvaniaCharleston, SC, United States
    Full-time
    Make a difference - for us and for your future.This position is primarily responsible for the overall sales and operations management of the branch. The incumbent is the directing sales manager for ...Show moreLast updated: 30+ days ago
    • Promoted
    Vendor Manager, Business Consultant (Aetna Dental)

    Vendor Manager, Business Consultant (Aetna Dental)

    CVS HealthCharleston, SC, US
    Full-time
    This role is responsible for the strategic management, evaluation, and oversight of vendor relationships to ensure optimal performance, compliance, and alignment with organizational goals.This role...Show moreLast updated: 7 days ago