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Job Location drjobs

Somerville, NJ - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Site: Mass General Brigham Health Plan Holding Company Inc.


Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.



Job Summary

Works as a liaison between vendors and the Dual Eligible line of business within the organization. Will manage all aspects of vendor activity including but not limited to vendor compliance engagement oversight and performance.

Essential Functions
- Reviews and negotiates terms of vendor contracts and communicates with vendors regarding day-to-day matters.
- Responsible for onboarding new vendors from requirements gathering to go live and post go-live.
-Works with internal stakeholders during the onboarding phase to ensure a successful launch.
-Builds and maintains positive relationships with vendors and monitors vendor performance.
-Evaluate ongoing relationships and contract changes needed prior to the term date. Ensures key stakeholders are kept abreast of vendor relationship changes and or potential impacts to vendor relationships.
-Responsible for working with vendors on key deliverables including member materials generation.
-Research invoice and contractual issues and resolve discrepancies.
-Develop correction action and quality improvement plans for standards that are not met by vendors.
-Conduct monthly meetings document discuss and resolve issues as well as monitor completion of action items.
-Leads the onboarding and transition of new vendors.
-Monitor compliance with all contractual requirements vendor performance and reporting.
-Hold self and others accountable to meet commitments.
-Persist in accomplishing objectives to consistently achieve results despite any obstacles and setbacks that arise.
-Build strong relationships and infrastructures that designate Mass General Brigham Health Plan as a people-first organization.



Qualifications

Education

  • Bachelors Degree Business preferred


Experience

  • At least 3-5 years of vendor experience preferably in Medicare Advantage and D-SNP


Knowledge Skills and Abilities

  • Demonstrate Mass General Brigham Health Plans core brand principles of always listening challenging conventions and providing value.
  • Bring fresh ideas forward by listening to and working with employees and the people we serve.
  • Respect the talent and unique contributions of every individual and treat all people in a fair manner.
  • Strong demonstrated track record of the ability to execute on time on budget and on scope.
  • Strong aptitude for technology-based solutions.
  • Ability to inject energy when and where its needed.
  • Current in healthcare trends.
  • Demonstrated forward visionary thinking; ability to see what is and envision what could be.
  • Ability to develop introduce defend and gain support for new ideas and approaches.
  • Excellent leadership skills and leadership track record.
  • Ability to translate and communicate complex topics in a variety of forums tailoring communications to effectively fit and influence the targeted audience strong executive presence presentation and communication skills. Strong verbal active listening and written communication skills required.
  • Ability to view the long-range trends and cycles of the business and industry and see the big picture.
  • Ability to apply a variety of strategic frameworks to analyze problems and to guide and develop solutions.
  • Ability to challenge the status quo and drive innovative thinking and the capability to successfully implement strategy.
  • Excellent interpersonal skills including the ability to influence others at all levels of an organization.
  • Strong EQ; exercises self-awareness; monitors impact on others; is receptive to and seeks out feedback; uses self-discipline to adjust to feedback.



Additional Job Details (if applicable)

Working Conditions

  • This is a remote position with monthly onsite meetings at Assembly Row Somerville (attendance is highly encouraged)



Remote Type

Remote



Work Location

399 Revolution Drive



Scheduled Weekly Hours

40



Employee Type

Regular



Work Shift

Day (United States of America)



EEO Statement:

Mass General Brigham Health Plan Holding Company Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .



Mass General Brigham Competency Framework

At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.


Required Experience:

Manager

Employment Type

Full-Time

Company Industry

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