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Analyze, manage and delegate daily workflow to and from external vendors to ensure proper execution of tasks and meeting of SLAs are accurate
Analyze and ensure vendor accuracy by reviewing and consolidating work product to identify trends and gaps
Communicate regularly with department leaders, subject matter experts, and quality teams regarding processes, system issues, quality scores, and opportunities to increase performance and/or quality metrics impacting workflow and membership
Ensure adherence of regulatory and compliance mandates
Work with Information Technology to define and ensure business requirements are clearly understood and solutions achieved
Administer daily oversight and resolution of issues affecting vendor user system access
Work with information technology to assist in the onboarding of newly hired vendors
Trend and respond to all daily inquiries
Function as liaison between department leaders and vendors in relaying information around business processes, workflow, projects, process improvement, etc.
Maintain accurate documentation of assigned and completed vendor work, with daily summary reporting to Management
Coordinate training with all the appropriate parties
Maintain ongoing communication to ensure Operations Training, Quality Assurance and vendors are updated and aligned on all departmental changes
Identify new opportunities for vendor engagement
Recommend changes, updates and workflow process enhancements for continuous improvement and streamlining
Assist with special projects and other duties based on business need
Requirements
Work experience in analysis and vendor relationship management
Experience analyzing business requirements
Experience with MS Office Suite
Experience in metric creation and reporting
Experience meeting strict deadlines
GED or High School diploma from an accredited institution
Nice to have
Healthcare industry experience (i.e. managed care organization, commercial health insurance plans, hospital, etc.)
Insurance enrollment and billing experience
An understanding of performance management, interpreting measurements, and dissemination of information to department leadership or vendor
A proactive approach to management of inventory and system accesses to ensure data and work flow continues to be maintained
Bachelor's degree or higher from an accredited institution