Description and RequirementsThe Vendor Partner Specialist, Operations Oversight & Enhancements of Dental Benefit Services is responsible for supporting operational oversight and enhancements that the vendor delivers against contract, quality, and regulatory commitments. The role collaborates cross-functionally internally and externally, managing day-to-day operational needs and escalations. This role is responsible for supporting monitoring of vendor performance against SLAs, KPIs, and contractual agreements. This role is critical in helping members more easily receive timely access to dental care. This role ensures dental business outcomes are consistent with Healthfirst's values, policies, and procedures as well as compliance with relevant federal and state laws/regulations.
Duties & Responsibilities:- Daily Operational Functions: Partners with business units and vendor to triage operational issues day-to-day; supports cross-functional workstreams across teams and stakeholders
- Corrective Action Plans: Supports corrective action plans when performance falls short of standards
- Vendor Implementations: Supports vendor implementations and updates as well as support annual go-to-market readiness
- Dental Vendor Performance Guarantees: Monitors and tracks vendor performance guarantees and reports as needed (monthly and quarterly). Participates in Vendor Performance Committee, Joint Operating Committee, and other meetings or activities as directed
- Dental Directory: Monitors accuracy of members' search experience; audit and report on progress quarterly, developing insights on priority areas to improve
- Targeted Outreach: Conducts regular outreach to select member cohorts and monitor impact
- Audits: Support audits (internal, regulatory, and member-facing) related to the dental program
- Dental Materials: Supports targeted member materials and ensure accuracy; ensure all Healthfirst dental materials (for members, providers, and internal staff) are updated timely and accurately on no less than an annual basis.
- Member Communications: Inventories and reviews member-facing dental messaging, letters, forms, and materials and identify opportunities to improve members' understanding of dental benefits
- Fraud, Waste, and Abuse: Identifies potential FWA by dentists; outreach dental prescribers with out-of-scope prescriptions on no less than quarterly basis
- Additional duties as necessary and as directed
Minimum Qualifications:- HS Diploma or GED from an accredited institution
- Work experience in dental, healthcare, managed care, operations, or related field
- Effective written and verbal communication skills
- Demonstrated ability at planning, organizing, and executing
- Ability to maintain a balance of strategic vision and successful implementation
- Proficiency in Excel, PowerPoint, Word
Preferred Qualifications:- Bachelor's Degree or higher from an accredited institution
- Analytical and operational experience
- Proven track record of effectively supporting a team to improve processes and identify areas of improvement
- Drive to continually identify areas of opportunities and develop concise approaches to implement improvements
- Demonstrated ability to effectively pay attention to details in a fast-paced environment
Compliance & Regulatory Responsibilities: Noted above.
License/Certification: N/A
Hiring Range*:
- Greater New York City Area (NY, NJ, CT residents): $68,900 - $99,620
- All Other Locations (within approved locations): $61,300 - $91,120
As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.
In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.
*The hiring range is defined as the lowest and highest salaries that Healthfirst in "good faith" would pay to a new hire, or for a job promotion, or transfer into this role.
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within HF Management Services, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with HF Management Services, LLC.
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