Senior Director, Vendor Partnerships

This is a fully remote position, open to applicants in Florida, +5 more states.

📋 Description

• Strategically establish contractual partnerships with major vendors in dental, vision, pharmacy, and transportation sectors.

• Oversee operational, contractual, financial, network adequacy, utilization, and quality management of vendor relationships with annual costs exceeding $1.2 billion.

• Cultivate strategic contractual and business partnerships to meet quality, service, and cost objectives aligned with plan goals.

• Identify potential opportunities for expanding vendor relationships.

• Design and implement audits and evaluations of financial and operational performance.

• Ensure internal operations, including Claims, Appeals & Grievances, and Membership, comply with contract terms, standards, and expectations.

• Guarantee vendor adherence to legal, regulatory, and accreditation requirements.

• Manage relationship governance and track the fulfillment of contract obligations.

• Oversee service levels, reporting, and performance/KPI monitoring.

• Clearly communicate oversight activities and collaborate with internal PLA staff.

• Actively participate as a member of the plan's Senior Management team.

• Execute additional duties as assigned.

⛳️ Requirements

• BA/BS - A Bachelor's Degree is required.

• A minimum of 10 years of relevant business management experience in a managed care environment is required.

• At least 10 years of previous business management experience in a related healthcare management role.

• Proven experience in managing large business segments and projects while meeting deadlines in a fast-paced environment.

• Preference for candidates with experience in managing substantial vendor relationships within a managed care setting.

• Ability to effectively lead a team from project inception through to implementation.

• Must adhere to applicable policies, standards, legal, regulatory, and accreditation requirements.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off in addition to holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.

• Additional incentives may be part of the overall compensation package.

• Equal opportunity employer dedicated to fostering diversity.