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Check with seller Vendor Management Analyst Des Moines

Published date: April 3, 2022
  • Location: Des Moines, Iowa, United States

Position Purpose:
Assist with all vendor activity, including but not limited to dental, ancillary, pharmacy and vision vendors for the Health Plan

Assit with vendor utilization including work flows for coordinating services with the Health Plan
Analyze vendor data and complete required reports for the health plan, Corporate and state
Perform as a key account manager for the Health Plan to coordinate with high priority vendors
Coordinate with Medical Management, Member Services, Quality Improvement, Pharmacy, SIU and Provider Services to educate and communicate expectations, performance and procedures to vendors
Respond to provider related database information requests and concerns
Ensure operation integrity, including compliance with all policies and procedures for the Health Plan including adherence to state contract and guidelines
Request and/or assist in the development of correction action plans for standards that are not met by the vendor
Serve as a point of contact and resource for the business unit and vendors for all credentialing inquiries and issues
Ensure compliance with NCQA, URAC, federal, state and payor standards

Bachelors’ degree in Public Health, Business, related field or equivalent experience.

3+ years of healthcare management experience, preferably in vendor managed care or the health insurance field.

Experience with reporting and analyzing data preferred. Strong Excel skills and working with a variety of software data programs preferred.

Project management experience is a plus.

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.

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