Mgr, Vendor Relationship Admin

• Collaborate with senior management and subject matter experts on business case development for vendor utilization, including business need and performance criteria. Creates, negotiates and incorporates contract and contract amendments. Adapts to scope changes as required.

• Work in partnership with internal stakeholders to lead the divisional process for vetting of potential vendors in RFP process.

• Manages implementation and/or transition of new vendor contracts.

• Manages vendor performance in an on-going manner through scorecards. Monitors performance guarantees. Where applicable, conducts and coordinates comprehensive audits. Reviews contract budget variances and takes corrective action as needed. Where applicable, accountable for remediating findings of third party vendors.

• Ensures vendor compliance with laws, mandates, policies, operation processes and regulatory agencies as required. Informs vendor changes to state (New Jersey, New York) and federal laws, NCQA, URAC, mandates established by Departments of Health, Insurance and Labor, and regulations for continuous compliance.

• Reviews, develops and recommends processes to improve and/or enhance vendor operations and performance as well as decrease administrative costs.

• Serves as focal point and subject matter expert for other Horizon BCBSNJ divisions. Responsible for solutions to contractual related issues and vendor disputes.

• Prepares and presents to senior management the status of vendor compliance while identifying any potential financial and/or compliance risks.

• Manage, develop and train staff; develop and monitor goals; conduct annual performance reviews, and administers salaries for the staff.

This position will oversee the vendor management process, contributes to vendor strategy, and is a liaison for vendor management functions throughout the Enterprise. The incumbent is responsible for understanding and reporting on supplier spend, mitigating risk, collaborating in the determination of SLAs, leveraging supplier relationships and driving the end-to-end policies and processes of engaging and managing vendors. This position requires strategic business decision making and analysis of sourcing decisions, and providers of these services for optimal effectiveness and efficiency from a cost, performance and risk perspective of SLAs.

• Independently own several of Horizon's high level vendor relationships.

• Partner with Sourcing, ERM, Compliance, IA and Legal as it relates to VM, including incorporating SLAs for new contracts, updates, amendments and renewals as business needs dictate.

• Identify, develop and maintain infrastructure for overseeing performance of significant suppliers; work with business owners to address performance issues and non-compliance including administration of Corrective Action Plans (CAPs) and application of financial penalties.

• Act as the primary point of contact and point of escalation for vendor relationship owners, Horizon stakeholders, and external stakeholders as it relates to vendors.

• Report regularly to EVM management and the Executive team the status of vendor contracts including, but not limited to financial information, risks, staffing issues, technology issues, and performance.

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

• High School Diploma/GED required.

• Bachelor degree in business administration or related fields preferred or relevant experience in lieu of degree.

• Masters degree preferred.

• Requires a minimum of 5 years experience in contract/vendor management, preferably in the health insurance industry.

• Requires valid drivers license.

• Requires knowledge of contracting concepts.

• Requires knowledge of the regulatory environment - New Jersey and New York health insurance laws, mandates and regulations.

• Requires knowledge of auditing procedures.

• Requires knowledge of the managed care and health insurance industries.

• Strong interpersonal skills.

• Strong verbal and written communication skills.

• Excellent analytical skills.

• Requires the ability to effectively interface with all levels of management.

• Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint) and Outlook; should be knowledgeable in the use of intranet and internet applications.

• Requires demonstrated ability in problem solving.

• May require up to 20% travel, both domestic and international.

Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware

Salary Range:

This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:

• Comprehensive health benefits (Medical/Dental/Vision)

• Retirement Plans

• Generous PTO

• Incentive Plans

• Wellness Programs

• Paid Volunteer Time Off

• Tuition Reimbursement

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.

Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.