Director of Vendor Management Operations

Director of Vendor Management Operations

 

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY

The incumbent has primary responsibility for all Commercially supported Vendor Team(s) -- (Including the areas of Registrar, Credentialing, Provider Data Management, Surprise Bill Services, NSA related Operations, and other claim supporting or regulatory functions as assigned). This role ensures the accuracy, quality, and reliability of operational processes, systems, and data across supported functions. The incumbent serves as an operational subject matter expert, supporting enterprise workflows, policy adherence, process optimization, and the integration of automation and efficiency initiatives. The role partners closely with Vendor(s) to manage performance, meet budget expectations, achieve operational metrics, and support continuous improvement. Additionally, the position evaluates and supports the onboarding of new vendor partners and may assume responsibility for additional operational areas as organizational needs evolve.

 

DUTIES

1. Serve as subject matter expert on corporate and area projects and initiatives.
   2. Oversee daily Vendor operations, including registrar activities, provider data maintenance, credentialing tasks, project work, ad hoc requests, and support for Surprise Bill/NSA related workflows and other operational functions as assigned.
   3. Act as primary owner for all related KPI's, work with team to ensure compliance and constant improvement (both in terms of quality and turnaround time.)
   5. Serve as contact and subject matter expert for assigned areas with Legal on regulation issues affecting provider data and client deliverables.
   6. Complies and assures compliance with all relevant governmental regulations and company policies.
   7. Lead interdepartmental projects and serve as a member of multiple concurrent teams aimed at improving operations.
   8. Design and implement business processes across assigned areas and maintain responsibility for ongoing business process engineering.
   9. Develop short- and long-term strategies to support and align succession planning and business strategy.
   10. Manage and monitor departmental budget and expenses.
   11. Ad hoc support to Sr. Director and AVP, Operations as necessary
   12. Select, develop, and evaluate staff to ensure the efficient operation of department.
   13. Collaborate, coordinate, and communicate across disciplines and departments.
   14. Ensure compliance with HIPAA regulations and requirements.
   15. Demonstrate Company's Core Competencies and values held within
   16. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

 

JOB SCOPE:
The incumbent has Director level decision making authority with supervisory accountabilities for multiple Managers. Significant interaction with leadership of internal and external business groups. This position requires minimal direction, leads and motivates staff and uses independent judgment to identify issues, trends and problems, recommend action plans, evaluate results and present to management in a timely manner. Work is varied and complex requiring the incumbent to use a broad range of knowledge gained through extensive experience. Oversee budget, hiring, termination and performance management of subordinates as well as their staff and work under limited supervision. This is a people management job with authority for all HR actions (hiring, firing, discipline, training, etc.

 

 

COMPENSATION

The salary range for this position is $90-120K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

 

Qualifications

REQUIREMENTS

* Minimum bachelor's degree, or HS Diploma (or GED) and 4 years of related experience
* Minimum 8 years' operations management experience, ideally managing healthcare provider data
* Required licensures, professional certifications, and/or Board certifications as applicable
* Knowledge of managed care business preferred
* Knowledge of Vendor Management is required
* Knowledge of the organization, products and systems preferred
* Knowledge of general business principles, industry dynamics, market trends and specific operational details including Network Management and provider/provider group contracts preferred
* Communication (written, verbal, listening), decision-making, judgment, analytical, team building, leadership, coaching, people management, multi-tasking, organizational, detail orientation, presentation, time management, problem solving and customer service skills
* Ability to create, refine, implement and manage new and innovative processes
* Ability to work effectively at detail and big-picture levels while moving projects forward
* Ability to diffuse challenging situations and follow through with resolution
* Ability to use software, hardware and peripherals related to job responsibilities including MS Office (Visio, Excel, PowerPoint and Word)
* Ability to travel up to 25%
* The individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

 

 

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous Paid Time Off – accrued based on years of service
  • WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

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