Manager, Vendor Performance & Governance (Remote)
Core
Overseeing the performance, governance, and strategic management of third-party vendors supporting a Medicare Advantage health plan.
Role type
Manager, Vendor Performance & Governance
Builds
Operational excellence, regulatory compliance, cost efficiency, and superior member/provider experiences for a Medicare Advantage plan.
Domain
Healthcare (Medicare Advantage) + Vendor Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Vendor relationship management, KPI/SLA monitoring, contract negotiation, regulatory compliance oversight, risk mitigation, cross-functional collaboration, financial performance analysis
Preferred skills
Medicare Advantage vendor management experience
Technologies
CMS, Medicare Advantage, HIPAA
Responsibilities
Serve as primary point of contact for assigned vendors; Establish and monitor KPIs, SLAs, and contractual commitments; Partner with Legal, Finance, and Compliance to manage the vendor lifecycle; Ensure vendors operate in compliance with CMS, Medicare Advantage, and HIPAA requirements; Identify and mitigate vendor-related operational, financial, and reputational risks; Develop executive dashboards and present performance reports to leadership.
Seniority
Manager, hands-on leadership