Enterprise Quality Vendor Liaison

Job Summary:

The Enterprise Quality Vendor Liaison is responsible for supporting the oversight of the day-to-day operational activities for the Enterprise Quality Vendor programs.  In addition, act as a liaison between Quality vendors and CareSource departments, including Compliance.

Essential Functions:

Manage day-to-day oversight of vendor programs.

Track vendor deliverables, action items and SLAs, problem management, trouble shoot & root cause analysis.

Monitor and analyze vendor calls & vendor complaints to identify patterns and drive improvements.

Manage large vendor data sets and develop data visualization

Research new vendor opportunities and provide analysis and/or recommendations to management.

Establish and maintain collaborative working relationships with the CareSource Corporate Compliance Department and other CareSource departments as needed.

• Ensure timely and accurate compliance with all state and federal contract requirements, inquiries, review, and submission deadlines, and required reporting
• Support new and existing business development opportunities
• Coordinate department participation in federal and state contract and regulatory audits and site visits
• Ensure department policies and procedures are accurate and translate into actionable business decisions
• Recognize inconsistencies and gaps in complex business processes
• Identify strategies and processes to improve vendor performance
• Create reports and data-driven presentations
• Perform any other job duties as requested

Education and Experience:

Bachelor of Science/Arts (BS/BA) degree in business or related field or equivalent years of relevant work experience is required.

A minimum of five (5) years of experience in a managed care organization is required

Competencies, Knowledge and Skills:

• Proven analytic skills
• Proficient problem-solving skills with attention to detail
• Proficient project management skills with ability to handle multiple projects within time constraints
• Advanced proficiency in Word, Excel and PowerPoint; Power BI knowledge preferred
• Effective verbal and written communication skills
• Critical listening and thinking skills
• Decision making and issue resolution skills
• Understanding of database relationships preferred
• Graphic development/presentation skills preferred
• Ability to work independently and within a team environment
• Knowledge of managed care preferred
• Strong interpersonal skills and high level of professionalism
• Ability to work with a variety of disciplines and levels of staff across departments

Licensure and Certification:

None

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

May be required to travel – estimated at 25%