Experience Inc. Jobs

• Effectively negotiate rates, service level agreements and key business terms in delegated vendor contracts to realize savings and to mitigate company risk.

• Lead negotiations and participate in RFP and other business development opportunities and supports due diligence and evaluation process for new potential vendors as needed.

• Reviews claims data and expense details for multiple delegated services to identify medical spend savings opportunities at each vendor.

• Lead and direct employees with responsibilities in vendor contracting to successfully negotiate contracts for delegated vendors and other key procurement needs such as outsourcing and IT contracting.

• Provide senior leadership-level oversight and guidance across all vendor management risk areas between vendors and business owners

• Lead coordination with Subject Matter Experts (SMEs), Finance, Compliance, Legal and IT / Security to conduct enterprise risk assessment & technical due diligence of vendor selection. Participates in assessing risk associated with services being subcontracted and vendors being considered

• Actively engage and partner with teams responsible for vendor contracting specifically in the areas of Providers, Delegated Vendors, and Ancillary Vendors.

• Serve as thought leader in cross-functional work to establish appropriate Service-Level Agreements (SLAs) and benchmarks/ metrics for vendor relationships.

• Provide an escalation point to resolve vendor performance issues and communicate unresolved issues or compliance risks to executive management for discussion and action planning

• Performs other duties as necessary or assigned

Minimum Qualifications:

• Bachelors Degree from an accredited institution or equivalent work experience

• Experience managing others in positions of increasing responsibility

• Previous experience in managing healthcare vendor performance and relationships

• Experience with Medicare/Medicaid and Commercial Healthcare

• Experience communicating to senior leadership and cross-functional groups within an organization

• History of demonstrated ability to manage, mentor, and optimize performance of others

• Experience having developed and implemented an effective vendor management strategy with high impact

Preferred Qualifications:

• Excellent communication skills (verbal/written)

• Change leadership skills coupled with exceptional relationship building and influencing ability

• Ability to problem solve and approach issues strategically

Compliance & Regulatory Responsibilities: Noted above

License/Certification: N/A

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.