Senior Manager, Vendor Management Contract Lead

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them.

As a Senior Manager Medicare Product, Vendor Management Contract Lead you will play a critical role contracting, negotiations, oversight of vendors and assisting in achieving CVS goals, work strategically together, and remain as adaptable as possible in an ever-changing environment.

This role's scope of responsibility includes overseeing the following in relation to Medicare Product vendor management: Finance, Contracts, Invoicing, Negotiations, Provisioning, Aetna Medicare Supplemental & Duals benefits, Vendor relationship management, Compliance oversight, Auditing, and projects as assigned.

The Senior Manager, Vendor Management Contract Lead is a high impact role. You will lead advance contract and negotiation skills, work with other partner to identify root cause, address, and resolve vendor issues, manage vendors to the contract SLAs, performance guarantees and provide insight into complex vendor problems.

• →Work assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors 
• →Contract lifecycle management
• →Contract negotiations and drafting
• →Invoice and financial oversight
• →Lead and assist with vendor audits, state reporting
• →
  Perform audits of vendor services to identify compliance gaps, mitigate risk, and ensure adherence to contractual and regulatory requirements
• →Lead and improve the outsourced benefits administration which focuses on vendor teams support of Operations, Customer Care, Grievance & Appeals, Member Experience, and additional specialized resource teams.
• → Stakeholder accountability within projects supporting the operational business areas, such as vendor Compliance, System Enhancements, Product Conversions, and Operational Initiative implementation, as needed.
• →Collaborate with Implementation, Business Operations, and CVS resources to manage daily operations and performance guarantees in accordance with CVS Health expectations
• →Build and maintain positive relationships with vendors 
• →Monitor open commitments and follow up with vendors for reporting, invoicing, contracting, price negotiations, reconciliation and expedited payments
• →Lead and communicate effectively at all levels, providing data-based information that influences decisions.
• →Mitigate financial risk by managing invoice validation processes, monthly accruals, weekly estimates, and final invoice uploads.
• →Apply analysis based, interpretive thinking on Contract and Statement of Work reviews. Evaluate and recommend solutions during contract negotiations that allow for consistent and equitable outcomes.
• →Lead program team to deliver strategic value and collaborate with internal and external partners to deliver on shared goals.
• →Use communications effectively to inform and influence intended audiences and proactively network with relevant stakeholders across CVS Health and Vendor Partners to advocate for the needs and success of members and clients.
• →Identify core problems or opportunities within business processes, understand the root cause and impacts, and apply proven business acumen.
• →Support vendors in refining their skills and behaviors to help close their service gaps.
• →Build and assist in establishing standardization for vendor management processes.
• →Take on additional projects as assigned within the organizations

• 7+ years of prior healthcare vendor relations, contract management, negotiations, and government programs
• 5 years of Medicare and Medicaid experience
• Strong verbal and written communication skills 
• Strong attention to detail and organizational skills 
• Knowledge of Vendor Pricing Models and Fee schedules

• Proficiency in Medicare and Medicare programs and contract execution within the business domain. Including Process flow, Contractual and Financial components

• Bachelor’s degree or equivalent work experience

The typical pay range for this role is: