Job Summary

The position will oversee and manage the Vendor Management team responsible of managing and coordinating the vendor activities between contracted entities and Molina Healthcare to support enrollment, claims, contact center, appeals and grievances, risk adjustment, medical records, quality, Provider and/or other functions under operations across multiple states and lines of business. Responsibilities include onboarding, managing performance, monitoring, and mitigating risks to ensure service delivery by vendors and in accordance with the contract terms between them and Molina Healthcare. The Dir, Vendor Management will also oversee and monitor vendors’ compliance with state and federal regulatory requirements.

KNOWLEDGE/SKILLS/ABILITIES

• Setting the strategic direction, mission and vision for Molina’s vendor management and partnership.

• Collaborate with internal business partners to develop criteria and best practices for vendor selection.

• Participates in the negotiation process of service level agreements, ensure the contractual obligations are achieved, and initiate contract changes when required.

• Provide assistance to procurement teams to optimize the cost-effectiveness of negotiations and ensure compliance of negotiated agreements relating to regulatory requirements, services and products are met.

• Expert in reviewing and communicating requirements for clarity and ensuring minimization of change requests.

• Deep understanding of business requirements, deliverables, processes, and technologies.

• Manage all maintenance, enhancement or updates to processes, tools, or vendor management relationship, including vendor tracking, analytics and vendor performance management.

• Manage vendor contracts, oversee licensing and regulatory requirements.

• Assist in resolving day-to-day issues when necessary.

• Analyzes budget data and monitors Return on Investment (ROI) for vendor performance. Audits vendor work when necessary. Serve as a liaison between stakeholder, vendors, and internal leadership; represents vendor performance through consistent and timely reporting and analytics of Key Performance Indicators to senior leadership and key stakeholders throughout Molina Healthcare.

• Manage vendor relationships as the key point of contact between specified vendors and the business.

• Serve as a point of escalation for vendor issues and disputes and drive those issues to resolution.

• Develop, implement, and manage reporting of metrics and Service Level Agreements that effectively measure team and vendor performance in line with the needs of the business.

• Responsible for optimizing vendor relationships through contract management, financial and quantitative analyses, and relationship management, effectively creating mutually beneficial opportunities.

• Manage the collection, consolidation and communication of reporting and data on vendor contracts, performance, risk, and relationships to key stakeholders and vendors.

JOB QUALIFICATIONS

Required Education

Graduate Degree or equivalent combination of education and experience.

Required Experience

• 7+ years of experience in Healthcare, Requirements Analysis, Estimation, Vendor Management, Contract Terms and Conditions

• Prior contract management experience

• Must be detail oriented and have strong negotiating skills, must be able to multitask effectively, possess strong analytical, problem solving, decision making and people management skills.

Preferred Experience

Managed Care industry experience.

10+ years of IT Contract negotiation and review.

Enterprise level experience with vendor performance, compliance, and regulatory reviews.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $96,325.57 - $179,705.4 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.