What are the responsibilities and job description for the Payment Integrity Vendor Operations Manager position at Devoted Health?
At Devoted Health, we're on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Job Description
A bit about this role :
Our Payment Integrity Department ensures that provider claims are paid correctly by the responsible party, for eligible members, according to contractual terms, not in error or duplicate, and free of wasteful or abusive practices. As part of this function, the Vendor Operations Manager is responsible for overseeing and managing the Payment Integrity team's relationships with external vendors. This role will focus on optimizing vendor performance, improving process efficiency, and troubleshooting operational issues.
The ideal candidate is a self-starter who can establish and monitor vendor performance metrics, consistently enhance workflows to achieve organizational objectives, and maintain strong working relationships with internal stakeholders and vendor partners.
Your Responsibilities and Impact will include :
- Manage vendor relationships, addressing day-to-day issues and serving as the primary liaison between the Payment Integrity team and external vendors
- Partner with other operators and the tech team to scale day-to-day operational oversight and workflows involving vendors, including escalations and invoicing
- Establish and monitor vendor metrics to regularly assess vendor operational and program performance against targets and identify opportunities for continuous improvement
- Collaborate with internal and external stakeholders to successfully implement new vendor programs, scope changes, and process improvement projects
- Develop and maintain documentation (e.g., policies, SOPs, training material) regarding vendor-related processes and systems
- Analyze vendor performance data and provide insights to support strategic decision-making around vendor selection and renewals
- Assist with development of vendor contracts, including amendments
Required skills and experience :
Desired skills and experience :
LI-DS1
LI-Remote
Salary range : $76,000 - $120,000 annually
Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and / or from which they will be performing the job.
Our Total Rewards package includes :
Healthcare equality is at the center of Devoted's mission to treat our members like family. We are committed to a diverse and vibrant workforce.
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted's Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Salary : $76,000 - $120,000
