Vendor Oversight Manager
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
In collaboration with the Senior Director, Government Programs, manage the vendor oversight programs for government payer programs (Medicare Advantage, Part D, Dual Special Needs Programs) and then state insurance programs. Set up the vendor oversight models, intake monitoring performance reports and evaluate compliance and initiate corrective action and / or process improvement activities. Collaborate with the business to set up oversight model that ensures all services delegates are managed in a compliant and timely way.
Essential Functions :
Qualifications
Knowledge, Skills, and Abilities
Working Conditions
Remote Type : Hybrid
Work Location : 399 Revolution Drive
Scheduled Weekly Hours : 40
Employee Type : Regular
Work Shift : Day (United States of America)
Pay Range : $97,510.40 - $141,804.00 / Annual
Grade : 8
EEO Statement : Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and / or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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