At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
The Senior Manager Medicare Product, Vendor Management Contract Lead is responsible for 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.Senior Manager - Vendor Management 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. This role is responsible to:
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Work assignments involve 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
Invoices and financial oversight
Lead and assist with vendor audits, state reporting and audits
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
Work with Implementation, Business Operations, and CVS resources to manage daily operations and performance guarantees in accordance with CVS Health expectations
Demonstrate proficiency in Medicare and Medicare programs and contract execution within the business domain. Including Process flow, Contractual and Financial components
Vendor management - Set up/onboard new vendors
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
Demonstrate ability to 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. Managing to contractual spend budget, overtime charges, billing discrepancies, and contractual cost negations
Apply analysis based, interpretive thinking on Contract and Statement of Work reviews. Evaluate and recommend solutions during contract negations that allows 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 for strategic and creative results
Help vendors to refine their skills and behaviors to help close their service gaps
Build and assist in establishing standardization for vendor management processes
Taking on additional projects as assigned within the organizations
Required Qualifications
7+ years of prior healthcare vendor relations, contract management, negotiations, and government programs
7+ years of Medicare and Medicaid
Must be passionate about contributing to an organization focused on continuously improving healthcare experiencesStrong verbal and written communication skills
Strong attention to detail and organizational skills
Highly motivated self-starter and problem solving passion with minimal guidance
Knowledge of Vendor Pricing Models and Fee schedulesPreferred Qualifications
Paralegal certificateEducation
Bachelor's Degree, preferably in Healthcare Administration, Law, or other business-related discipline (required)
*Masters Degree or Juris Doctorate Degree (preferred)Pay Range
The typical pay range for this role is:$82,940.00 - $182,549.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.