Vendor Implementation Manager

Vendor Implementation Manager

Hybrid 1 : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid / virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Vendor Implementation Manager is responsible for Provider Network 3rd party delegated dental, vision and non-emergency transportation vendors. Manages more complex vendors, vendor operational enhancement and issue management for multiple states and for Medicaid and Medicare lines of business.

How You Will Make an Impact :

Conducts quarterly Joint Operation Committee (JOC) and strategic Monthly Operations meetings between delegated vendors and internal business partners.

Monitors vendor performance to ensure compliance with corporate, state, federal and regulatory requirements.

Develops and monitors vendor action plans aimed at improving the member experience.

Ensures successful Enterprise Vendor Management oversight including but not limited to monitoring corrective action plans, issuing financial penalties, monitoring vendor network development efforts, workflow process development, performance metric development and maintenance, operational issue management resolution for ongoing relationships, planned initiatives to achieve cost of care savings for a state and / or complex regional initiatives.

Identifies, resolves and implements operational vendor processes that ensure appropriate vendor payments and data needs for multiple states with similar system platforms, or a state or a more complex regional initiative.

Supports the Project Management Office initiatives.

May be responsible for more complex vendor and internal business affiliate performance metric development and ongoing monitoring of operational workflow processes.

Required Qualifications :

• Requires a BA / BA degree and a minimum of 3 years of business analysis, process improvement, project management, network management or related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences :

Experience in project management preferred

Experience with 3rd party delegated Healthcare Vendors (Vision, Dental, Transportation) strongly preferred

Experience with Medicaid and Medicare grievances and appeals processes

Experience with network development within Medicaid and Medicare space preferred

Data analysis experience strongly preferred

Intermediate to advanced Microsoft Office Suite Experience

Intermediate Microsoft Excel experience

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.