Mgr, Clinical Vendor Partnerships Job Listing at Medical Mutual in United States of America (Job ID 2400417)

Description

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans.  

Medical Mutual' s status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.  

Leads the development and oversight of the clinical vendor framework that provides the governance infrastructure for vendor selection, relationship management, and performance oversight. Establishes the end-to-end clinical vendor process with a focus on cost optimization, risk mitigation, and assessment of innovation and alignment of vendors to the strategic goals of the clinical businesses. Collaborates with various levels of internal and external leadership.

Responsibilities 

• Oversees vendor selection, implementation, and maintenance of clinical vendors
• Fosters strong relationships with documented communication protocols and escalation procedures
• Develops policies, contractual guidelines, and performance measures consistent with regulatory requirements through close collaboration with compliance and quality
• Monitors spend through invoice review and payment, reports savings, and tracks performance metrics (initiates corrective action plans when applicable)
• Communicates performance and action plans on a routine basis to senior leadership
• Ensures vendor performance is available through reporting and bi-directional data channels are created and maintained
• Performs other duties as assigned

Qualifications

Education and Experience:

• Bachelor's degree in business/health administration, finance, accounting, or related field.  In lieu of degree, may consider equivalent combination of education/training and experience.
• 8 to 10 years of progressive experience in Vendor/Relationship Management or delegation oversight, preferably in a health plan or health care setting, 3 years of which are in a leadership capacity.

Professional Certification(s):

• Project Management or other industry recognized certification a plus.

Technical Skills and Knowledge:

• Demonstrate clear ability to apply critical thinking, strategy development, and vision towards the growth of clinical vendor partnership plans, while overseeing the day-to-day execution.
• Excellent coordination and strong project management skills.
• Proficient with Microsoft Office Suite (Word, PowerPoint, Excel) and vendor management systems.
• Strong negotiating and conflict management abilities.
• Strong organizational, communication, and presentation skills.
• Ability to manage multiple stakeholders and priorities.
• Strong team player with demonstrated ability to collaborate with a diverse group of internal and external stakeholders.
• Proficient in managing sourcing, service agreements and vendor contracts (vendor management selection, relationship management and performance oversight, and the ability to apply to business operations.)

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• We will provide the equipment you need for this role, including a laptop, monitors, keyboard, mouse and headset.
• Whether you are working remote or in the office, employees have access to on-site fitness centers at many locations, or a gym membership reimbursement when there is no Medical Mutual facility available. Enjoy the use of weights, cardio machines, locker rooms, classes and more.
• On-site cafeteria, serving hot breakfast and lunch, at the Brooklyn, OH headquarters.
• Discounts at many places in and around town, just for being a Medical Mutual team member.
• The opportunity to earn cash rewards for shopping with our customers.
• Business casual attire, including jeans.

Excellent Benefits and Compensation:

• Employee bonus program.
• 401(k) with company match up to 4% and an additional company contribution.
• Health Savings Account with a company matching contribution.
• Excellent medical, dental, vision, life and disability insurance insurance is what we do best, and we make affordable coverage for our team a priority.
• Access to an Employee Assistance Program, which includes professional counseling, personal and professional coaching, self-help resources and assistance with work/life benefits.
• Company holidays and up to 16 PTO days during the first year of employment with options to carry over unused PTO time.
• After 120 days of service, parental leave for eligible employees who become parents through maternity, paternity or adoption.

An Investment in You:

• Career development programs and classes.
• Mentoring and coaching to help you advance in your career.
• Tuition reimbursement up to $5,250 per year, the IRS maximum.
• Diverse, inclusive and welcoming culture with Business Resource Groups.

About Medical Mutual:

Medical Mutuals status as a mutual company means we are owned by our policyholders, not stockholders, so we dont answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us.

Theres a good chance you already know many of our Medical Mutual customers. As the official insurer of everything you love, we are trusted by businesses and nonprofit organizations throughout Ohio to provide high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans. Our plans provide peace of mind to more than 1.2 million Ohioans.

Were not just one of the largest health insurance companies based in Ohio, were also the longest running. Founded in 1934, were proud of our rich history with the communities where we live and work.

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.