Vendor Management Analyst

Bachelors’ degree in Public Health, Business, related field or equivalent experience
3+ years of healthcare management experience, preferably in vendor managed care or the health insurance field
Strong Excel skills and working with a variety of software data programs preferred

Assist with all vendor activity, including but not limited to dental, ancillary, pharmacy and vision vendors for the Health Plan
Assist with vendor utilization including work flows for coordinating services with the Health Plan
Analyze vendor data and complete required reports for the health plan, Corporate and state
Perform as a key account manager for the Health Plan to coordinate with high priority providers and vendors
Coordinate with Medical Management, Member Services and Provider Services to educate and communicate expectations, performance and procedures to vendors
Respond to provider related database information requests and concerns
Ensure operation integrity, including compliance with all policies and procedures for the Health Plan including adherence to state contract and guidelines
Request and/or assist in the development of correction action plans for standards that are not met by the vendor
Serve as a point of contact and resource for the business unit and vendors for all credentialing inquiries and issues
Ensure compliance with NCQA, URAC, federal, state and payor standards