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The Senior Vendor Management Professional works as liaison between vendors and organization. The Senior Vendor Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Location:Louisville, KY or WAH anywhere in the US

The Senior Vendor Management Professional reviews and negotiates terms of vendor contracts and communicates with vendors to regarding day-to-day matters. You will build and maintain positive relationships with vendors and monitor vendor performance while researching invoices and contractual issues to resolve discrepancies.

We are a multi-disciplinary team which is focused on outpatient spends from both a utilization and unit cost perspective. The team delivers improved quality and savings through value based purchasing and ensuring medically appropriate care delivery. Our outcome analysis work seeks to answer relevant clinical, operational, & financial questions, and identify areas for improvement.

• Vendor management, vendor sourcing, contract oversight and clinical operations
• Support and collaborate with Business Owners, Clinical Ops, Finance, Service Fund, Compliance and Humana leadership
• Research operational issues as reported by Clinical Operations, Markets, Provider Contracting, Market Clinical-Sr. Products, Provider Relations and member support areas as it relates to authorization processing and claims payment.
• Identify opportunities to improve operational processes for the managed vendors. These improvements may include file enhancements, program operational changes or transaction process improvement.
• Ideation: Explore Pro-active opportunities, design solutions, develop Corrective Action Plans
• Mitigate Trend: Lead or coordinate cross-functional project/program teams with Business Owner of spend, category and vendor relationships, and Trend Bender development and implementation
• Outcome Analysis: Research to seek answers to relevant clinical, operational, & financial questions, and identify areas for improvement.
• Investigates facts and develops solutions to problems during the design and planning phases.
• Monitor performance, and make recommendations for changes, cost adjustments or resource additions
• Collaborate across the company and bring out the best in others to get us to the right answers
• Get into the data and support your team with actionable insights. Understand complex technical challenges and synthesize conversations for non-technical stakeholders.

This is a remote position.

#LI

Use your skills to make an impact

Required Qualifications

• 2 or more years of Utilization Management experience in the outpatient or inpatient space

• Bachelor’s degree

• Excellent organizational skills

• Demonstrated ability to define and track KPIs and other measurable success criteria

• Demonstrated ability to get things done in a rapidly changing environment

• Ability to break down complex problems into actionable steps

• Ability to facilitate collaborative decision-making in a workshop context

• Excellent verbal and written communication skills and ability to adapt your communication style for the audience

Preferred Qualifications

• Master’s degree in health or business-related field.

• Experience in oversight of initiatives yielding new trend bender savings

• Experience in managed care or health care administration

• Experience managing medium to large-scale projects in a fast-paced environment

• Working knowledge of Utilization Management

• Working knowledge in: Visio, Power Point, Excel

Work-At-Home Requirements

• WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

• Satellite and Wireless Internet service is NOT allowed for this role.

• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Additional Information

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$69,800 - $96,200 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.