Sr Vendor Management Professional

Become a part of our caring community and help us put health first
 

Humana Healthy Horizons (HHH) in Indiana is seeking a Senior Vendor Management Professional to serve as the liaison between our members and our Non-Emergent Medical Transportation (NEMT) subcontractor. This position is responsible for HHH's relationship with the NEMT throughout every stage, as well as resolving urgent member issues.

This position is dedicated to the Pathways program and solely responsible for guaranteeing Humana has an effective transportation strategy, overseeing the NEMT subcontractor, and resolving member transportation issues. It is also a hybrid position which must work from the Indianapolis office at least three days per week, with two days being available for the position to work remotely.

The Senior Vendor Management Professional's work will involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Work is performed without direction, so there is considerable latitude in determining objectives and approaches to responsibilities

Position Responsibilities:

• Work as a member liaison when members have escalated urgent transportation issues requiring immediate resolution.
• Interact with health care providers such as nursing facilities, assisted living facilities, dialysis centers, hospitals, and emergency medical services and works to resolve issues ensuring member access to care and services.
• Proactively work to resolve potential transportation disruptions and implement creative solutions to ensure member transport.
• Builds and maintains positive relationships with the vendor and healthcare providers and monitor vendor performance.
• Promotes communication between the State of Indiana and the subcontractor on NEMT issues.
• Research invoice and contractual issues and resolves discrepancies.
• Respond to and tracks complaints and concerns from medical providers, facilities, drivers, and members.
• Ensure that an adequate transportation network is built and maintained to serve member needs.
• Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
• Identify and implement process improvement opportunities to enhance operational efficiency and effectiveness.
• Keep the SharePoint site updated
• Back up vendor manager

Use your skills to make an impact
 

Required Qualifications:

• Bachelor's degree OR equivalent experience
• 5+ years vendor management experience OR 5+ years provider relations or contracting experience OR 5+ years in a member service role, serving the member and external entities OR equivalent experience
• 2+ years Project Management, formal or informal OR 2+ years experience in facilitating meetings OR equivalent experience
• Knowledge of Non-Emergent Medical Transportation (NEMT)
• Must reside in the Indianapolis locale, and work in the office building at least 3 days per week.

Preferred Qualifications:

• Master's degree OR equivalent experience
• Experience with Non-Emergent Medical Transportation (NEMT)
• Knowledge of one or more of the following :
  • HCBS (Home and Community Based Services)
  • L TSS (Long Term Services and Supports)
• Prior experience in a healthcare or insurance setting
• Knowledge of one or more of the following
  • Medicaid
  • Medicare
• Certification with Six Sigma and/or the Project Management Institute
• Grievance and Appeals experience and/or knowledge
• Data-driven performance/KPI management
• Data analysis experience (Excel, PowerBI, etc)

Work from Home Statement

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
Satellite, cellular and microwave connection can be used only if approved by leadership
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

 

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

 

Driver's License, Transportation, Insurance This role is a part of Humana's Driver Safety program and therefore requires and individual to have:

• Valid state driver's license
• Proof of personal vehicle liability insurance with at least $100,000/$300,000/$100,000 limits
• Access to a reliable vehicle

 

Tuberculosis (TB) screening program

• This role is considered patient facing and is part of Humana at Home's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

 

Interview Format

As part of our hiring process for this opportunity, we will be using an exciting screening and interviewing technology called Modern Hire to enhance our hiring and decision-making ability. We use this technology to gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

You will be able to respond to the recruiters preferred response method via text, video, or voice technologies. If you are selected for a screen, you may receive an email correspondence (please be sure to check your spam or junk folders often to ensure communication is not missed) inviting you to participate. You should anticipate this screen to take about 15 to 30 minutes. Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$78,400 - $107,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

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Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.