Healthcare Vendor Relations Specialist

Job Description

REQUIREMENTS

• High school diploma or equivalent work experience required.
• 1-3 years of experience, preferably from a third-party administrator, carrier, or within the healthcare industry
• Highly skilled in written and verbal communication, also including revenue focused reports.
• ACCA certification, a plus.
• Experience reading, analyzing, and reviewing data, a plus.

RESPONSIBILITIES

• Maintain regular communication with vendors, addressing concerns, and building strong working relationships.
• Monitor and report on performance metrics to ensure targets are met, such as turnaround times, quality, and cost, identifying areas for improvement, and ensuring vendors are being held accountable.
• Acting as the first point of contact for resolving vendor-related issues, including quality control obstacles, information requests, and claim delays.
• Oversee monthly aging reports, providing feedback to bring closure.
• Initiate and manage continuous impact reporting.
• Collaborating with Medical Management Project Analytics team to submit monthly reports to Executive leadership.
• Develop and maintain written operational procedures for all tasks performed and cross train to provide effective support to all team members.
• Identify and execute process improvement opportunities that enhance member experience and produce favorable business results.
• Manage and resolve escalated member/client communications, concerns, and/or issues.
• Proactively identifies and manages risk while eliminating barriers to help achieve business results.
• Other duties as assigned.

Are you interested in this position?

Apply by clicking on the “Apply Now” button below!

#CrossChannelJobs #JobSearch
#CareerOpportunities #HiringNow
#Employment #JobOpenings
#JobSeekers
#FacebookLinkedIn