Delegated Vendor Program Manager

Job Details

Job Description

Summary

The Delegated Vendor Program Manager is responsible for the strategic oversight and operational performance of HHAeXchange as a primary delegated partner for Jefferson Health this role you serve as the central point of contact for the HHAX platform ensuring it effectively supports the distribution of authorizations and the collection of visit data for our provider network. You are tasked with delegation oversight which involves monitoring the vendors adherence to contract terms managing Service Level Agreements (SLAs) and ensuring that the platform remains fully compliant with the Pennsylvania Department of Human Services (DHS) and Office of Long-Term Living (OLTL) regulatory frameworks.

As the program lead you bridge the gap between Jeffersons internal departmentssuch as Finance Compliance and Clinical Operationsand the external vendor. You will lead regular performance reviews oversee the technical integrity of data integrations and manage the annual delegation audit process to mitigate operational and financial risk. By ensuring that HHAeXchange functions seamlessly as a system of record you enable Jefferson Health Plans to maintain high provider satisfaction ensure accurate claims adjudication for Community HealthChoices (CHC) members and remain 100% audit-ready for state and federal reporting

Job Duties

• Manage end-to-end lifecycle of delegated vendor partnerships from onboarding through
• Serve as the primary point of contact for delegated vendors and internal stakeholders.
• Foster collaborative transparent relationships to ensure alignment with organizational goals.
• Define track and report on key performance indicators (KPIs) and service level agreements (SLAs).
• Analyze vendor performance data and implement continuous improvement strategies.
• Escalate and resolve vendor-related performance issues effectively.
• Maintain accurate documentation for all delegated vendor activities reviews and decisions.
• Work closely with Compliance Legal Operations and IT teams to align vendor performance with organizational priorities.
• Participate in internal and external audits related to delegated functions.
• Review validate and approve vendor invoices in accordance with contract terms and organizational policies.
• Ensure timely and accurate processing of payments and resolve discrepancies or disputes related to invoicing.
• Monitor vendor budgets spending trends and maintain financial compliance.

Minimum Qualifications

• Bachelors degree in business administration Healthcare Administration Public Health
• Masters preferred.
• 3 years in Vendor management and Procurement
• Strong knowledge of contract management and vendor relationship management.
• Exceptional communication negotiation and interpersonal skills.
• Strong organizational and project management abilities.

Preferred Qualifications

• Masters Degree in Business Administration or
• Masters Degree in Healthcare Administration or
• Experience in a healthcare industry
• Familiarity with delegated credentialing utilization management or claims processing.
• Knowledge of NCQA CMS and other industry standards.
• Microsoft Excel Proficiency

Physical Demands
Lift and carry 7 lbs. continuous sitting >67% frequent keyboard use/repetitive motion frequent fine motor activity/wrist position deviation.

Job Description Disclaimer: This position description provides the major duties/responsibilities requirements and working conditions for the position. It is intended to be an accurate reflection of the current position however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Worker Sub Type

Employee Entity

Primary Location Address

Nationally ranked Jefferson which is principally located in the greater Philadelphia region Lehigh Valley and Northeastern Pennsylvania and southern New Jersey is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65000 people strong dedicated to providing the highest-quality compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrows professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic clinical and applied research. Thomas Jefferson University home of Sidney Kimmel Medical College Jefferson College of Nursing and the Kanbar College of Design Engineering and Commerce dates back to 1824 and today comprises 10 colleges and three schools offering 200 undergraduate and graduate programs to more than 8300 students. Jefferson Health nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age race color religion creed sexual orientation gender gender identity marital status pregnancy national origin ancestry citizenship military status veteran status handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues including medical (including prescription) supplemental insurance dental vision life and AD&D insurance short- and long-term disability flexible spending accounts retirement plans tuition assistance as well as voluntary benefits which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues including those who work less than part-time(including per diemcolleagues adjunct faculty and Jeff Temps) have access to medical (including prescription) insurance.

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