Job Description:
• identify and present business and operational specifications based on customer and business needs, industry best practices and available technology
• conduct assessment and monitoring of vendors performing outsourced activities, ensuring contract and quality standards are met
• implement processes, systems and methodologies to meet the company's business initiatives
• apply performance metrics and key performance indicators (KPI) that allows the business to analyze, evaluate and report vendor performance to senior management
• monitor the productivity and quality of vendor services by analyzing data, reports and processes (site evaluations) to ensure contract terms, requirements and specification are met
• prepare reports on vendor performance to internal oversight committees and assist in developing corrective action plans
• identify systemic issues and develop and execute strategies to address these issues through Health Net and vendor specific initiatives
• assist 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
• ensure vendor SLA and other KPI reports are provided to management as requested and instructed
• validate the accuracy of data and statistics
• examine reports to isolate trends and potential issues; focusing on clean up and root cause analysis
• work with Management to develop corrective action plans
• assist with projects and activities of multiple VOAs
• perform other duties as assigned
Requirements:
• 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 in a similar role in the healthcare industry
Benefits:
• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules
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