Vendor Manager

Overview

• Manage relationships with external vendors for credentialing services, ensuring compliance and quality standards.
• Coordinate credentialing processes, including provider verification and network monitoring.
• Prepare agendas, summaries, and reports for Credentialing Committee meetings.
• Collaborate with internal stakeholders to resolve data issues and improve processes.
• Monitor vendor performance and oversee audits to ensure compliance.
• Support special projects and adapt to changing business needs.
• Utilize advanced tools like MS Office, DocuSign, and SharePoint for efficient task management.
• Contribute to a collaborative and detail-oriented team environment.

Key Responsibilities & Duties

• Review incoming credentialing cases and update case notes for delegated providers.
• Coordinate Medical Director approvals for providers and vendors.
• Track and resolve support tickets with credentialing verification organizations.
• Monitor provider network changes and credentialing statuses.
• Prepare quarterly presentations and updates for compliance committees.
• Conduct annual audits of delegated vendors to ensure compliance.
• Assist with telehealth application processing and directory updates.
• Attend regular meetings with vendors and stakeholders to address issues and solutions.

Job Requirements

• Minimum of 5 years of healthcare vendor management experience.
• High School Diploma or GED required; Bachelor’s degree preferred.
• Proficiency in MS Office suite, DocuSign, and SharePoint.
• Experience in credentialing within managed care or healthcare organizations preferred.
• Strong collaborative and problem-solving skills in complex environments.
• Detail-oriented with ability to manage multiple priorities effectively.
• Ability to work remotely and communicate effectively across teams.