Privia+ Vendor Performance Manager

Company Description

Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.

Job Description

• The Vendor Performance Manager will be responsible for overseeing the vendor management staff in the implementation and management of a formalized process of selecting, monitoring, and auditing the third-party service provider.
• Monitor and report on SLA compliance and other contractual covenants and obligations to ensure compliance
• Proactively review and analyze current business processes and identify opportunities to increase compliance and operational efficiencies
• Prepare risk assessments of new and existing vendors and develop strategies and procedures to minimize risk
• Manage, monitor, and track compliance of all third-party vendors to regulatory and internal policy by ensuring activities adhere to established service level
• Oversee vendor scorecard meetings to ensure active follow up on automation and business unit requirements
• Report to company Senior Management on third-party vendor performance, compliance status, quality of services provided, etc
• Monitor, evaluate, and approve department forms, job aides and/or documents to ensure compliance and timeliness as it relates to vendor management
• Conduct periodic risk reviews of critical/high risk vendors
• Oversee all aspects related to the Vendor Management department and third-party vendor relationships
• Oversee vendor onboarding due diligence requirements according to Company policy
• Oversee and monitor vendor complaints according to Company Policy
• Assess and assign risk tolerance based on regulatory requirements
• Manage action plans as needed to ensure compliance
• Serve as first point of contact if vendors are non-responsive to team requests
• Escalate items immediately if vendor remains non-compliant
• Oversee monthly vendor scorecard review process
• Including but not limited to timely completion, performance analysis, action plan documentation and follow up
• Ensure proper tracking, measurement, and reporting to evaluate vendor performance using the vendor scorecard performance and monthly trending analysis

Qualifications

• High School diploma, Medical Office training certificate or relevant experience preferred
• 5+ years of experience in vendor management, with a strong focus on healthcare services necessary for success in this role
• Certified Professional Coder (CPC) or equivalent certification required
• In-depth knowledge of medical coding and billing procedures (ICD-10-CM, CPT, HCPCS)
• Strong understanding of HIPAA regulations, data security, and compliance requirements
• Excellent analytical and problem-solving skills
• Strong communication, negotiation, and interpersonal skills
• Project management and organizational skills
• Experience with contract negotiation and management

The salary range for this role is $66,000.00 - $82,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 15% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location.

Additional Information

Technical Requirements (for remote workers):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Technical Requirements (for remote workers only, not applicable for onsite/in office work):

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like https://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.