Payment Integrity Vendor Service Delivery Consultant-4
4 weeks ago
**Payment Integrity Vendor Service Delivery Consultant-4**
Location
Durham, North Carolina, United States of America
Category
Other
JOB DESCRIPTION
As a health care company, we believe that vaccines are the best way to move past the COVID-19 pandemic. We also want to provide our employees with as much autonomy and choice as possible.
Employees can choose where they work
remote, in the office, or a hybrid of the two. For the majority of our roles, you must be vaccinated to work in the office. During the interview process, our Talent Advisors will talk through our COVID-19 policy, as well as our hybrid work approach and answer any questions you may have.
****Additional Locations:****
****Job Description****
Implement and execute value-driven vendor partnerships through effective onboarding, business process alignment and operational performance reporting. Responsible for ensuring that value is achieved as anticipated from smaller and/or less complex outsourced relationships. Serve as liaison between applicable business leads, vendors and Corporate Services to identify service needs, provide inputs to vendor contracts and provide issue resolution support. Monitor vendor services and performance against contracted service levels, maintain quality, service availability and efficiency, and take corrective action if needed to address deficiencies.
* Manage day to day relationship between business and vendor(s) to ensure seamless and effective delivery of outsourced services.
* Primary communicator/liaison between vendor and business stakeholders to answer questions, provide performance metrics updates, manage capacity and demand, and remediate escalations as needed.
* Facilitate vendor onboarding process through effective communications, site visits and training to educate the vendor on program/product/operational details and successfully transition business processes and/or operations.
* Partner with business leads to understand evolving service needs and expectations, define business requirements, and work with the vendor to improve capabilities.
* Establish and coordinate ongoing service level metric/performance reporting to monitor vendor performance and ensure contractual obligations and/or other performance agreements are met.
* Analyzes information to determine if there are gaps in performance and how to best address through process improvements, training and/or other interventions.
* Define internal process for handling high severity and stagnant issues/events; escalate and partner with Corporate Services for remediation as needed.
* Ensure adherence to standard procedures for vendor governance, including data access and security.
* Review vendor work for quality issues, design and administer customer surveys and other feedback processes and lead formal vendor service reviews and/or audits as needed.
* Provides inputs to vendor contract negotiations to ensure vendor contracts align to business strategy.
* Collaborate with Corporate Services on vendor strategy discussions, providing data, knowledge and feedback on vendor operations from the business perspective.
**Hiring Requirements**
* Bachelors degree and at least 3 years of experience in vendor performance/service delivery.
* If no degree, 5 years of experience as stated above.
* Must have functional expertise and business system knowledge in applicable business environment where vendor outsourcing exists to clearly understand and manage technical, operational or procedural challenges and issues.
* Direct project management experience required.
****
It's an exciting time to work at Blue Cross and Blue Shield of North Carolina. Health care is changing, and we're leading the way. We offer more than health insurance our customers can count on. Were committed to better health and better health care ? in our communities and beyond. Our employees bring energy and creativity to the workplace, and it shows in our innovative approach to improving the health and well-being of North Carolinians.
Our company is a not-for-profit with headquarters in Durham and major operations in Winston-Salem and Fayetteville. In all we employ more than 4,900 North Carolinians and serve more than 3.9 million customers.
Help us lead the charge for better health care by joining our award-winning team. Discover tremendous opportunities with us to do challenging and rewarding work. Opportunities that can lead you to a fulfilling career, work that can help others lead healthier, happier lives.
Location
Durham, North Carolina, United States of America
Category
Other
Location
Durham, North Carolina, United States of America
Category
Other
Location
Durham, North Carolina, United States of America
Category
Other
Location
Durham, North Carolina, United States of America
Category
Other
Location
Durham, North Carolina, United States of America
Category
Other
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