Highmark Health Vendor Operations Manager in Pittsburgh, Pennsylvania

Company :

Highmark Inc

Job Description :

JOB SUMMARY

This job will assume responsibility of operational support with vendor relationships, working directly with the vendor client relationship role and to ensure day-to-day oversight and management in meeting performance expectations outlined in the service level agreement (SLA), contract and governance document.

ESSENTIAL RESPONSIBILITIES

  • Oversee the work of external vendors and take responsibility for their work quality.Plan, manage and oversee all operational support of vendor relationships, working directly with the client relationship team and vendor to ensure performance is meeting our expectation outlined in the contract as wellfuture contract negotiation planning and implementation for new business needs.

  • Manage operational issues for day-to-day activities, respond to high priority, complex and/or escalated vendor requests and ensure vendors adhere to all operations service level agreement metrics. Makes recommendations for business process improvements with a thorough understanding of technical problems and solutions as they relate to the business needs.

  • Represent, engage and champion operational needs within the governance process and structure as outlined in the vendor contract to ensure efficient and effective relationship management of the services provided.

  • Perform responsibilities to include, but are not limited to: coaching and development of peers and vendor staff, vendor performance management and productivity.

  • Assist in the creation of vendor strategy specific to the functional area and operationalize the approach.Lead the creation and modification of the operating model by which the company and the vendor(s) interact.

  • Other duties as assigned or requested.

QUALIFICATIONS

Minimum:

  • High School Diploma/GED

  • 5 - 7 years' managementexperience in an operations environment

  • 1 - 3 years' experience working with external vendors

  • 1 - 3 years' call center, customer service, claims, or billing & enrollment experience

Preferred:

  • Bachelor's Degree - Business or other related area

  • 1 - 3 years' experience in contract negotiations

  • Knowledge of corporate control functions, particularly as applied to operational processing and data sharing

  • Proficiency in a variety of software applications

  • Ability to quickly assess situations, identify and provide recommendations on issues

  • Strong organizational and time management skills with the ability to multitask and reprioritize

  • Experience in team building, facilitation, negotiation, and conflict resolution

  • Communicate effectively


Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( http://www1.eeoc.gov/employers/upload/eeocselfprint_poster.pdf )

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For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

Highmark Health and its subsidiaries and affiliates comprise a national health and wellness organization that employs more than 40,000 people and serves nearly 50 million Americans in all 50 states and the District of Columbia. The organization includes businesses in health insurance, health care delivery, managed vision care, retail eyewear and eye care services, eyewear manufacturing, dental solutions, health risk solutions, and innovative, technology-based solutions. Highmark Health is the parent of Highmark Inc., Allegheny Health Network, HM Health Solutions, and HM Home and Community Services LLC.