Vendor Management Analyst

Company: Centene
Location: Albuquerque
Posted on: September 12, 2020

Job Description:

Vendor Management Analyst Position Purpose: Assist with all vendor activity, including but not limited to dental, ancillary, pharmacy and vision vendors for the Health Plan - Assit with vendor utilization including work flows for coordinating services with the Health Plan - Analyze vendor data and complete required reports for the health plan, Corporate and state - Perform as a key account manager for the Health Plan to coordinate with high priority providers and vendors - Coordinate with Medical Management, Member Services and Provider Services to educate and communicate expectations, performance and procedures to vendors - Respond to provider related database information requests and concerns - Ensure operation integrity, including compliance with all policies and procedures for the Health Plan including adherence to state contract and guidelines - Request and/or assist in the development of correction action plans for standards that are not met by the vendor - Serve as a point of contact and resource for the business unit and vendors for all credentialing inquiries and issues - Ensure compliance with NCQA, URAC, federal, state and payor standards Education/Experience: Bachelors' degree in Public Health, Business, related field or equivalent experience. 3+ years of healthcare management experience, preferably in vendor managed care or the health insurance field. Experience with reporting and analyzing data preferred. Strong Excel skills and working with a variety of software data programs preferred. Project management experience is a plus. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Network Development & Contracting USA-New Mexico-Albuquerque Western Sky Community Care Full-time

Keywords: Centene, Albuquerque , Vendor Management Analyst, Executive , Albuquerque, New Mexico