Manager of Vendor Oversight

Role Overview

The Manager of Vendor Oversight supports sourcing, contract execution, and performance management for vendor partners that directly support Partnership Advantage Dual Eligible Special Needs Plan (D-SNP). This position is responsible for relationship management with assigned vendors, as well as oversight of the contractual performance, maintenance of the vendor to ensure performance and compliance, building governance structures (JOC/AOC), implementing performance monitoring frameworks and ensuring all vendors meet regulatory and operational requirements during D-SNP implementation and after go-live.

What You Will Do

Leads the implementation and onboarding of key DSNP vendors, works with internal business partners on the management of vendor Service Level Agreements (SLAs) and Key Performance Indicators (KPIs), collaborates with internal and external business partners on the collection, analysis, and maintenance of relevant data, and supports the development of plans and operational solutions to address changes to vendor programs on an annual basis.

Why It Might Be a Fit

This position requires excellent project management and organizational skills, strong analytical ability to interpret performance metrics and compliance data, effective communication skills, and knowledge of CMS reporting, submissions, and audit protocols.

Requirements

• Bachelor’s degree in healthcare administration, Business, or related field
• 5+ years of experience in Medicare Advantage or DSNP operations, with at least 3 years in vendor management
• Strong understanding of CMS regulations, Medi-Cal, and SNP Model of Care requirements
• Experience managing claims, enrollment, call center, and care management vendors preferred
• Background in delegation oversight or compliance monitoring programs strongly desired
• Experience standing up a new health plan or DSNP product highly preferred

Benefits

• Health insurance
• Retirement plan
• Paid time off
• Other benefits (not specified)