Vendor Manager

Overview

• Manage relationships with external vendors performing credentialing-related business services.
• Coordinate credentialing processes and ensure compliance with organizational standards.
• Prepare and oversee credentialing committee agendas and provider summaries.
• Monitor provider networks and address actions or sanctions as necessary.
• Collaborate with internal stakeholders to resolve credentialing data issues.
• Conduct audits of delegated vendors to ensure compliance and quality standards.
• Utilize advanced MS Office tools, DocuSign, and SharePoint for credentialing processes.
• Support special projects and adapt to changing business needs.

Key Responsibilities & Duties

• Review incoming credentialing cases and update case notes accordingly.
• Coordinate Medical Director approvals and update statuses in the credentialing platform.
• Log and track support tickets for vendor management issues.
• Communicate data issues to stakeholders for resolution and improvement.
• Monitor provider network changes and ensure accurate credentialing status updates.
• Prepare quarterly presentations and reports for compliance committees.
• Conduct annual audits of delegated vendors and oversee corrective actions.
• Collaborate with internal teams to address credentialing challenges effectively.

Job Requirements

• High School Diploma or GED required; Bachelor's degree preferred.
• Minimum of 5 years of experience in healthcare vendor management.
• Proficiency in MS Office suite, DocuSign, and SharePoint.
• Experience in managed care organizations or healthcare credentialing preferred.
• Strong collaborative and problem-solving skills in complex environments.
• Ability to manage multiple priorities and adapt to changing timelines.
• Detail-oriented team player with a strong work ethic.