You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.Position Purpose: Oversee and manage daily activities related to delegated vendors monitoring and oversight. Ensure compliance with government and contractual guidelines, the mission, philosophy and objectives of the business unit
Act as a resource to delegated vendors regarding contract and regulatory requirements
Work closely with the compliance department for dissemination of new or revised requirements applicable to the delegated vendors
Implement reporting for delegated activities by vendor. Monitor for vendors adherence to performance metrics and contractual requirements
Recommend and implement corrective actions plans to satisfy regulatory requirements
Develop and ensure completion of corrective action plans by vendor
Act as primary liaison between the business unit and delegated vendor to identify and ensure business and regulatory requirements are being met
Ensure timely receipt of accurate and complete reporting for all regulatory and contractually required reports for the delegated vendors
Oversee the integration of vendor performance
Ensure vendor performance improvement plans and corrective action plans are initiated and completed as expected
Manage the evaluation, review, negotiations and ongoing drafting of product specific contracts and amendments between clients, vendors and other contracts
This position is open to someone working remotely anywhere in the Unites States, but it will require a small amount of travel for internal team meetings, potentially once/quarter.Education/Experience: Bachelor’s degree in business administration, health administration, related field or equivalent experience. 5+ years of vendor management, contract drafting and legal research experience. Health care government programs or related experience. Knowledge of Medicare and Medicaid regulations preferred.Pay Range: $84,300.00 - $151,700.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act