Vendor Performance Analyst

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: This position identifies and presents business and operational specifications based on customer and business needs, industry best practices and available technology. Conducts assessment and monitoring of benefit vendors performing outsourced activities, ensuring contract and quality standards are met. Implements processes, systems and methodologies to meet the company's business initiatives.

• Applies performance metrics and key performance indicators (KPI) that allows the business to analyze, evaluate and report vendor performance to senior management.
• Monitors the productivity and quality of vendor services by analyzing data, reports and processes (site evaluations) to ensure contract terms, requirements and specification are met.
• Prepares reports on vendor performance to internal oversight committees and assists in developing corrective action plans.
• Identifies systemic issues and develops and executes strategies to address these issues through Health Net and vendor specific initiatives. Seeks recommendations by management to improve vendor’s performance.
• Assists in the requirements, planning and implementation of vendor processes and reports to support new products, joint ventures and other business activities in which Health Net Inc is engaged. Participates in cross-departmental implementation teams.
• Ensures vendor SLA and other KPI reports are provided to management as requested and instructed.
• Validates the accuracy of data and statistics.
• Examines reports to isolate trends and potential issues; focusing on clean up and root cause analysis.
• Works with Management to develop corrective action plans.
• Assists with projects and activities of multiple VOAs.
• Performs other duties as assigned
• Complies with all policies and standards
• Vendors may include, but not limited to, dental, vision, non-emergent medical transport, flex cards, hearing and more

Education/Experience: Bachelor's Degree Business, Information Systems, Finance/Accounting, or relevant field or equivalent experience required. 3+ years In operations/processing position required. 3+ years Analytical and data processing required. Demonstrated ability to cultivate strong relationships with internal stakeholders and external vendors to enhance business outcomes and drive engagement. Experience working with benefit vendors highly preferred (dental, vision, non-emergent medical transport, flex cards, hearing). Experience working in managed healthcare preferred.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and …