Director of Vendor Management, Operations

Director of Vendor Management Operations

Why This Role Matters

The incumbent has primary responsibility for all Commercially supported Vendor Team(s) -- (Including the areas of Registrar, Credentialing, Provider Data Management, Surprise Bill Services, NSA related Operations, and other claim supporting or regulatory functions as assigned). This role ensures the accuracy, quality, and reliability of operational processes, systems, and data across supported functions. The incumbent serves as an operational subject matter expert, supporting enterprise workflows, policy adherence, process optimization, and the integration of automation and efficiency initiatives. The role partners closely with Vendor(s) to manage performance, meet budget expectations, achieve operational metrics, and support continuous improvement. Additionally, the position evaluates and supports the onboarding of new vendor partners and may assume responsibility for additional operational areas as organizational needs evolve.

The incumbent has Director level decision making authority with supervisory accountabilities for multiple Managers. Significant interaction with leadership of internal and external business groups. This position requires minimal direction, leads and motivates staff and uses independent judgment to identify issues, trends and problems, recommend action plans, evaluate results and present to management in a timely manner. Work is varied and complex requiring the incumbent to use a broad range of knowledge gained through extensive experience. Oversee budget, hiring, termination and performance management of subordinates as well as their staff and work under limited supervision. This is a people management job with authority for all HR actions (hiring, firing, discipline, training, etc.

What You'll Do

1. Serve as subject matter expert on corporate and area projects and initiatives.
2. Oversee daily Vendor operations, including registrar activities, provider data maintenance, credentialing tasks, project work, ad hoc requests, and support for Surprise Bill/NSA related workflows and other operational functions as assigned.
3. Act as primary owner for all related KPI's, work with team to ensure compliance and constant improvement (both in terms of quality and turnaround time.)
5. Serve as contact and subject matter expert for assigned areas with Legal on regulation issues affecting provider data and client deliverables.
6. Complies and assures compliance with all relevant governmental regulations and company policies.
7. Lead interdepartmental projects and serve as a member of multiple concurrent teams aimed at improving operations.
8. Design and implement business processes across assigned areas and maintain responsibility for ongoing business process engineering.
9. Develop short- and long-term strategies to support and align succession planning and business strategy.
10. Manage and monitor departmental budget and expenses.
11. Ad hoc support to Sr. Director and AVP, Operations as necessary
12. Select, develop, and evaluate staff to ensure the efficient operation of department.
13. Collaborate, coordinate, and communicate across disciplines and departments.
14. Ensure compliance with HIPAA regulations and requirements.
15. Demonstrate Company's Core Competencies and values held within
16. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

What You Will Bring

Required Qualifications

* Minimum bachelor's degree, or HS Diploma (or GED) and 4 years of related experience
* Minimum 8 years' operations management experience, ideally managing healthcare provider data
* Required licensures, professional certifications, and/or Board certifications as applicable
* Knowledge of Vendor Management is required
* Communication (written, verbal, listening), decision-making, judgment, analytical, team building, leadership, coaching, people management, multi-tasking, organizational, detail orientation, presentation, time management, problem solving and customer service skills
* Ability to create, refine, implement and manage new and innovative processes
* Ability to work effectively at detail and big-picture levels while moving projects forward
* Ability to diffuse challenging situations and follow through with resolution
* Ability to use software, hardware and peripherals related to job responsibilities including MS Office (Visio, Excel, PowerPoint and Word)
* Ability to travel up to 25%
* The individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

Preferred Qualifications

* Knowledge of managed care business

* Knowledge of the organization, products and systems

* Knowledge of general business principles, industry dynamics, market trends and specific operational details including Network Management and provider/provider group contracts

Compensation

The salary range for this position is $90-120K. Actual compensation is based on experience, skills, education, work location, and internal equity. This position may also be eligible for incentive compensation and the comprehensive benefits outlined in the My Total Value section.

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Why Claritev?

Healthcare is complex. We help make it clearer.

At Claritev, you'll do work that matters. Together, we're helping make healthcare more transparent and affordable for all through the power of data, technology, and expertise. We offer meaningful opportunities to grow your career, collaborate with talented colleagues, and make an impact on the clients and communities we serve. If you're looking for purpose, growth, and a team that succeeds together, you'll find it here.

What Guides Us

At Claritev, innovation, agility, and a focus on results drive our success. We embrace bold thinking, work as one team, take ownership, and strive for excellence in everything we do - creating meaningful impact for our clients, communities, and each other.