Enterprise Quality Vendor Liaison

Job Summary:

The Enterprise Quality Vendor Liaison is responsible for supporting the oversight of the day-to-day operational activities for the Enterprise Quality Vendor programs. In addition, act as a liaison between Quality vendors and CareSource departments, including Compliance.

Essential Functions:

• Manage day-to-day oversight of vendor programs.
• Track vendor deliverables, action items and SLAs, problem management, trouble shoot & root cause analysis.
• Monitor and analyze vendor calls & vendor complaints to identify patterns and drive improvements.
• Manage large vendor data sets and develop data visualization
• Research new vendor opportunities and provide analysis and/or recommendations to management.
• Establish and maintain collaborative working relationships with the CareSource Corporate Compliance Department and other CareSource departments as needed.
• Ensure timely and accurate compliance with all state and federal contract requirements, inquiries, review, and submission deadlines, and required reporting
• Support new and existing business development opportunities
• Coordinate department participation in federal and state contract and regulatory audits and site visits
• Ensure department policies and procedures are accurate and translate into actionable business decisions
• Recognize inconsistencies and gaps in complex business processes
• Identify strategies and processes to improve vendor performance
• Create reports and data-driven presentations
• Perform any other job duties as requested

Education and Experience:

• Bachelor of Science/Arts (BS/BA) degree in business or related field or equivalent years of relevant work experience is required.
• A minimum of five (5) years of experience in a managed care organization is required

Competencies, Knowledge and Skills:

• Proven analytic skills
• Proficient problem-solving skills with attention to detail
• Proficient project management skills with ability to handle multiple projects within time constraints
• Advanced proficiency in Word, Excel and PowerPoint; Power BI knowledge preferred
• Effective verbal and written communication skills
• Critical listening and thinking skills
• Decision making and issue resolution skills
• Understanding of database relationships preferred
• Graphic development/presentation skills preferred
• Ability to work independently and within a team environment
• Knowledge of managed care preferred
• Strong interpersonal skills and high level of professionalism
• Ability to work with a variety of disciplines and levels of staff across departments

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• May be required to travel – estimated at 25%

Compensation Range:

$72,200.00 - $115,500.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

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Fostering a Collaborative Workplace Culture

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Cultivate Partnerships

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Develop Self and Others

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Drive Execution

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Influence Others

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Pursue Personal Excellence

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Understand the Business

Brand= CareSource

Originally posted on Himalayas