Clinical Vendor Consultant
Clinical Vendor Consultant
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Salary Not Disclosed
1 Vacancy
Job Description
Description
Location: This position is located at our Dublin OH campus.
Who weare
Founded in 1999 and headquartered in Central Ohio were a privatelyowned independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone and were on a mission to make healthcare simpler and more effective for our millions of members. Our bighearted techsavvy team fights to ensure that our members get the care they need when they need it at the most affordable cost thats why we call ourselves Healthcare Warriors.
Were committed to building diverse and inclusive teams more than 2000 of us and counting so if youre excited about this position we encourage you to apply even if your experience doesnt match every requirement.
About the role
The Clinical Vendor Consultant manages clinical vendors to ensure strategic alignment between vendor capabilities and organizational objectives focusing on vendor selection contract negotiation performance oversight and risk management. Serves as the primary interface between clinical program/strategy and other internal and external stakeholders to maintain a multi and interdisciplinary vendor project coordination. The ideal candidate brings expertise in healthcare operations vendor partnerships and regulatory compliance to optimize the efficiency and effectiveness of vendor program offerings.
What youll do
- Proactively identify evaluate and onboard clinical vendors that align with population data insights and market demands. Assists leadership in deciding whether to add replace or terminate a service line to ensure current offerings support organizational and clients needs.
- Develop and maintain a comprehensive multiyear roadmap including areas of exploration and implementation targets.
- Ensure alignment with organizational and clinical strategies ensuring quality costeffectiveness and compliance.
- Support contract negotiations by establishing service level agreements (SLAs) and performance guarantees (PGs) to ensure costeffective vendor partnerships while maintaining highquality service delivery.
- Develop and implement key performance indicators (KPIs) and benchmarks to assess vendor performance drive accountability and ensure project goals for data integration engagement and clinical outcomes are achieved.
- Proactively identify and address vendorrelated challenges ensuring seamless operations and alignment with organizational and client objectives. Monitor contract terms to ensure proper oversight.
- Identify opportunities to enhance vendor management processes streamline workflows and improve efficiency in clinical service delivery. Oversight of external and internally sourced data management to include vendor reports to ensure reporting supports clinical strategy and messaging.
- Significantly contribute to and support technical teams on the development of business requirements for project success. This includes defining project objectives expected outcomes resource requirements and evaluation strategies to ensure vendor program effectiveness.
- Maintains regular communication with clinical vendors as the primary interface to review their strategic roadmaps and integration capabilities and develops joint operating committee infrastructure with vendors to regularly evaluate performance and drive vendor expectations.
- Partner with sales technical legal procurement and finance teams to optimize vendor strategies and integration within systems that support and align with clinical strategies.
- Present data and information to internal and external stakeholders by applying clinical knowledge and the use of healthcare data to drive decisions to help organizational leaders understand the clinical impact of these solutions.
- Partner with sales and marketing to conduct joint marketing engagement opportunities with clients and vendors. This may include marketing campaigns and vendor summits.
- Partner with training to drive organizational awareness of clinical vendors to drive engagement and effectiveness of vendor solutions.
- Ensure vendor compliance with regulatory requirements (e.g. CMS HIPAA NCQA URAC as applicable) and internal policies to mitigate potential risks within the payer environment.
- Ensure appropriate contracts in place (e.g. BAA NDA and Service Agreements).
- Ensure vendor compliance with all contract provisions.
- Report to legal and risk any potential compliance or regulatory issues.
- Other duties as assigned
What youll bring
- Education: Bachelors Degree in health administration or a healthrelated field that delivers a strong clinical knowledge base
- Licenses & Certifications: RN licensure preferred. Certification in Case Management (e.g. CCM) Healthcare Management (e.g. CPHQ CHC) or Procurement (e.g. CPSM) is advantageous.
- Proven ability to support negotiation of contracts and manage relationships with clinical solution vendors.
- Strong analytical skills with the ability to interpret complex clinical data and translate it into presentations and actionable insights. Excellent problemsolving and decisionmaking skills.
- Exceptional presentation and communication skills with experience presenting to clients.
- Ability to work collaboratively with crossfunctional teams and external clients and consultants.
- Strong organizational skills and the ability to manage multiple projects simultaneously.
- Experience with budget forecasting and financial oversight of vendor contracts.
- Experience managing clinical technology solutions or care management platforms in a medical management environment.
- Strong understanding of medical management/clinical operations clinical programs and regulatory requirements.
- Proficiency in vendor management software and payerrelated systems is a plus.
- Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook Word Excel PowerPoint) IM/video conferencing (Teams & Zoom) and telephones efficiently.
- A high degree of personal accountability and trustworthiness a commitment to working within Quantum Healths policies values and ethics and to protecting the sensitive data entrusted to us.
#LIHW #LIHybrid
Whats in it for you
- Compensation: Competitive base and incentive compensation
- Coverage: Health vision and dental featuring our bestinclass healthcare navigation services along with life insurance legal and identity protection adoption assistance EAP Teladoc services and more.
- Retirement: 401(k) plan with up to 4% employer match and full vesting on day one.
- Balance: Paid Time Off (PTO) 7 paid holidays parental leave volunteer days paid sabbaticals and more.
- Development: Tuition reimbursement up to $5250 annually certification/continuing education reimbursement discounted higher education partnerships paid trainings and leadership development.
- Culture: Recognition as a Best Place to Work for 15 years dedication to diversity philanthropy and sustainability and peoplefirst values that drive every decision.
- Environment: A modern workplace with a casual dress code open floor plans fullservice dining free snacks and drinks complimentary 24/7 fitness center with group classes outdoor walking paths game room notary and drycleaning services and more!
What you should know
- Internal Associates: Already a Healthcare Warrior Apply internally through Jobvite.
- Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
- Diversity Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers were committed to empowering our ERGs and were proud to be an equal opportunity employer .
- TobaccoFree Campus: To further enable the health and wellbeing of our associates and community Quantum Health maintains a tobaccofree environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
- Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidates unique combination of experience and qualifications related to the position.
- Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
- Agencies: Quantum Health does not accept unsolicited resumes or outreach from thirdparties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition we will not approve payment to any third party.
Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process or in order to complete the essential duties of the position upon acceptance of a job offer click here to submit a recruitment accommodation request.
Recruiting Scams: Unfortunately scams targeting job seekers are common. To protect our candidates we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB) Social Security Number (SSN) banking/direct/tax details etc. via email or any other nonsecure system nor will we instruct you to make any purchases related to your employment. If you believe youve encountered a recruiting scam report it to the Federal Trade Commission and your states Attorney General.
Required Experience:
Contract
Employment Type
Full-Time
