What are the responsibilities and job description for the Vendor Liaison Analyst, IN - Hybrid position at McLaren Health Care?
We are looking for a Vendor Liaison Analyst, to join us in leading our organization forward.
McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.
McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive.As an employee of MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org .
MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ .
Position Summary:
Responsible for oversight and performance of vendor contracts per documentation standards required by the Plan policies. Responsible for review of current contracts and addendums for the defined vendors with a particular focus on metrics (what is measured, how often, how it is reported), Plan’s ability to correct poor performance (CAP’s, sanctions, contract termination, etc.), and ability to reward exceptional performance.
Essential Functions and Responsibilities:
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Qualifications:
Required:
McLaren Integrated HMO Group (MIG) is a fully owned subsidiary of McLaren Health Care Corporation and is the parent company of McLaren Health Plan in Michigan and MDwise, Inc. in Indiana. It is an organization with a culture of high performance and a mission to help people live healthier and more satisfying lives.
McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plans can thrive.As an employee of MIG, you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
McLaren Health Plan is our Michigan-based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at https://www.mclarenhealthplan.org .
MDwise is our Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ .
Position Summary:
Responsible for oversight and performance of vendor contracts per documentation standards required by the Plan policies. Responsible for review of current contracts and addendums for the defined vendors with a particular focus on metrics (what is measured, how often, how it is reported), Plan’s ability to correct poor performance (CAP’s, sanctions, contract termination, etc.), and ability to reward exceptional performance.
Essential Functions and Responsibilities:
- Responsible for monitoring performance, auditing vendor contracts and implementing action plans associated with findings.
- Perform as a key vendor analyst for the Health Plan to coordinate and collaborate with vendors .
- Review current contracts and addendums for defined vendors with a particular focus on established metrics.
- Conduct audits of selected vendors and reports findings to the Compliance team and Compliance committee.
- Review policies and procedures for contract owners regarding gathering, reviewing, and reporting metrics from their vendors.
- Work collaboratively with Plan departments to support compliance and auditing functions.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Qualifications:
Required:
- Associate degree in business, healthcare or related field.
- Two (2) years of progressively more responsible position using analytical skills.
- Two (2) years of vendor/account oversight or related experience.
- Bachelor’s degree in business, health care or related field.
- Two (2) years’ experience and knowledge of HMO, or PPO (e.g. accounting/finance, reinsurance, regulatory compliance, claims processing, membership/eligibility, and actuarial precepts).
- Schedule: Full-time
- Requisition ID: 25001722
- Daily Work Times: 8:00 am - 5:00 pm
- Hours Per Pay Period: 80
- On Call: No
- Weekends: No
