Remote Vendor Operations Manager

About Jobgether

Jobgether is a platform that connects job seekers with remote job opportunities.

Job Summary

We are currently looking for a Vendor Performance Manager – REMOTE. In this role, you will manage and enhance relationships with third-party program partners, ensuring compliance with performance standards and financial accountability.

Key Responsibilities

• Serve as a key account manager for assigned vendors, ensuring effective communication, compliance with contracts, and optimal performance.
• Manage vendor utilization including workflows for coordinating services with the Health Plan and/or Operations Departments.
• Provide and share monthly SLA performance dashboards and/or reporting with delegated entities and address issues in performance of assigned SLAs.
• Request and/or assist in the development of correction action plans for standards that are not met by the vendor and implement these plans when necessary.
• Track, analyze, and report on vendor performance and opportunities for improvement.
• Create and manage vendor scorecards and associated ratings/correction plans.
• Coordinate with Medical Management, Member Services, and Provider Services to educate and communicate expectations, performance, and procedures to vendors.
• Schedule and conduct monthly meetings with Delegated entities and document discussions, issues, attendees, and action items.
• Research and resolve claim disputes with vendors, member, or provider issues and route to the appropriate parties for resolution.
• Work closely with internal stakeholders to ensure vendors meet business needs and objectives.

Requirements

• Bachelor’s Degree in Business Administration, Public Administration or related field or equivalent experience required.
• 5+ years of account management experience working with Primary Care Providers in Healthcare or related fields.
• Ability to present to executive-level teams at delegated entities.
• Proficiency in performance management standards and operational compliance.
• Strong analytical skills for tracking and reporting on vendor performance.
• Excellent communication and interpersonal skills for effective relationship management.

Benefits

• Competitive pay range: $70,100.00 – $126,200.00 per year.
• Comprehensive benefits package including health insurance, 401K, and stock purchase plans.
• Tuition reimbursement and paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field or office schedules.
• Opportunities for professional growth and development.