What are the responsibilities and job description for the Vendor Liaison Analyst, IN - Hybrid position at McLaren Integrated HMO Group?
About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Vendor Liaison Analyst, IN - Hybrid
Indiana, Indianapolis
NEW
Non-Health Professional
McLaren Integrated HMO Group
25001722
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:
- 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.
This is a hybrid position with requirements to come onsite as scheduled, Indianapolis, IN.
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
#LI-AK1
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.
Preferred:
- 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).
Additional Information
- 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
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
