Maintains a successful working relationship between IMAS and 3rd party vendors through a full range of supplemental benefit and administrative vendor service interactions. Identify and remediate operational short-falls, respond to customer complaints and customer satisfaction surveys, research and resolve issues. Confirm service capability and educate vendors on contract expectations, processes, and paperwork. Must be able to routinely evaluate and analyze the most beneficial solution for members, operational leadersand our 3rd party vendors in a variety of circumstances.
ESSENTIAL JOB FUNCTIONS:
1. Research and identify potential supplemental benefit and administrative vendors.
2. Evaluate vendor capabilities, quality, and pricing.
3. Negotiate contracts and terms with vendors.
4. Build and maintain strong vendor relationships.
5. Monitor vendor performance and address issues.
6. Obtain & audit monthly roster from the vendor.
7. Establish a monthly timeline for reoccurring roster submissions with supplemental benefit vendors.
8. Oversee and/or conduct periodic supplemental benefit vendor monitoring calls to verify member acceptance at participating locations.
9. Liaison with operational leaders of appropriate benefit or administrative area.
10. Identify areas of concern/pushback and share with vendor.
11. Maintain on-going log to record intended vendor solutions so that the information can be readily shared with leadership.
12. Provide clear and concise reporting on procurement activities
13. Provide reports to leadership, as directed.
14. Provide monthly deficiency report to Compliance Department including audit/monitoring work plans.
15. Promptly communicate to Compliance Officer and appropriate leadership any compliance-related matters.
16. Work directly with Finance/Accounting Department on vendor invoice reconciliation (monthly or as needed)
17. Oversee New Vendor Implementation Process, ensuring all departments complete deliverables and all processes are in place and operational prior to vendor start date.
18. Coordinate and moderate New Vendor Kick-Off Meetings.
19. Serve as direct plan contact for vendors as it relates to data requests, invoice reconciliation.
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