Vendor Operations Analyst
Posted on: 19 Jan 2021
Tampa, FL
Job Description
Job Profile Summary
* Applies performance metrics and key performance indicators (KPI) that allow the business to analyze, evaluate and report vendor performance to senior management. Monitors the productivity and quality of vendor services by analyzing data, reports and processes (site evaluations) to ensure contract terms, requirements and specification are met. Prepares reports on vendor performance to internal oversight committees and assists in developing corrective action plans. Identifies systemic issues and develops and executes strategies to address these issues through Health Net and vendor specific initiatives. Seeks recommendations by management to improve vendors performance. Assists in the requirements, planning and implementation of vendor processes and reports to support new products, joint ventures and other business activities in which Health Net Inc is engaged. Participates in cross-departmental implementation teams. Ensures vendor SLA and other KPI reports are provided to management as requested and instructed. Validates the accuracy of data and statistics. Examines reports to isolate trends and potential issues; focusing on clean up and root cause analysis. Works with Management to develop corrective action plans.
Position Purpose: The Vendor Operations Analyst identifies and presents business and operational specifications based on customer and business needs, industry best practices and available technology. Implements processes, systems and methodologies to meet the companys business initiatives.
Education/Experience:
Bachelors Degree in Information Systems, Finance/Accounting, Business or other technical/analytical field or equivalent experience. Degree with an emphasis in statistics, math or related field preferred. Some training in Six Sigma, ISO, SAS 70 and TQM preferred. Three to five years experience in an operations/processing position. Minimum three years analytical and data processing experience.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
WellCare
Tampa, FL
WellCare Health Plans, Inc. provides government-sponsored managed care services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental security income, and aged blind and disabled residents; and other state-based programs, such as children's health insurance programs and long-term services and supports programs for qualifying families who are not eligible for Medicaid.
The Medicare Health Plans segment provides Medicare, a federal program that provides eligible persons aged 65 and over, as well as some disabled persons with a range of hospital, medical, and prescription drug benefits; Medicare Advantage, a Medicare’s managed care alternative to the original Medicare program, which offers individuals standard Medicare benefits directly through Centers for Medicare & Medicaid Services; and coordinated care plans that are administered through health maintenance organizations and require members to seek health care services and select a primary care physician from a network of health care providers.
The Medicare PDPs segment provides Medicare part D PDP plans to Medicare-eligible beneficiaries. Its PDP plans offer national in-network prescription drug coverage, including a preferred pharmacy network. As of December 31, 2018, the company served approximately 5.5 million members in the United States. WellCare Health Plans, Inc. was founded in 1985 and is headquartered in Tampa, Florida.
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IndustryHealthcare
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No. of Employees12, 000
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Website
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Jobs Posted917
