Senior Manager, Partner Relationship Manager

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Act as the main point of contact for designated Business Partners and Centers of Excellence concerning supplier strategy, performance, and governance.

• Serve as the lead relationship manager and advisor for strategic supplier partnerships that support Aetna operations.

• Establish and nurture executive-level relationships with supplier leadership and internal stakeholders.

• Offer insights on vendor capabilities, risks, contractual obligations, and performance expectations.

• Organize forums for Business Partners and Supplier Owners.

• Direct supplier governance initiatives that align with CVS Health and Aetna objectives.

• Conduct Quarterly Business Reviews and Executive Governance Meetings.

• Track supplier performance against SLAs, KPIs, quality standards, and member experience goals.

• Formulate corrective action plans and supervise remediation efforts.

• Examine operational trends and pinpoint opportunities for continuous improvement.

• Assist in supplier onboarding, implementation, and readiness for operations.

• Collaborate with Procurement, Legal, Compliance, and Business Leadership on supplier transitions and expansions.

• Co-manage Requests for Proposal for designated Centers of Excellence and business units.

• Provide consultation on vendor selection, evaluation methodologies, due diligence, and contract obligations.

• Act as the primary escalation contact for supplier service issues, operational disruptions, quality concerns, and risks to member experience.

• Coordinate cross-functional responses and ensure the resolution of critical incidents.

• Communicate operational risks, impacts, and mitigation strategies to senior leadership.

• Ensure suppliers comply with CVS Health, Aetna, CMS, HIPAA, Medicare, and relevant regulatory requirements.

• Assist with Third-Party Risk Governance, Internal Risk Questionnaires, regulatory assessments, compliance reviews, and Medicare requirements.

• Coordinate supplier involvement in Medicare audits, regulatory surveys, attestations, and FDR reviews and audits.

• Partner with Compliance, Audit, and Risk Management on findings and corrective actions.

• Monitor compliance related to business continuity and operational resilience.

• Ensure vendors uphold security, privacy, and data protection standards.

• Manage PCI compliance, AOCs, information security assessments, and risk management documentation.

• Oversee PCI certification and AOC documentation for suppliers that process payment card information.

• Collaborate with Information Security on supplier risk findings and remediation strategies.

• Communicate ESPR survey results and facilitate discussions on performance improvement.

• Develop supplier action plans based on business satisfaction feedback.

• Foster transparency, accountability, and continuous improvement throughout the supplier ecosystem.

⛳️ Requirements

• 7+ years of experience in vendor management, supplier governance, outsourcing operations, healthcare operations, procurement, or strategic sourcing.

• Established relationships within healthcare payer operations.

• Comprehensive understanding of CMS requirements.

• In-depth knowledge of HIPAA regulations.

• Strong grasp of Third-Party Risk Governance (TPRG).

• Solid understanding of First Tier, Downstream, and Related Entity (FDR) oversight.

• Knowledgeable about supplier audit and compliance frameworks.

• Proven experience leading governance programs for large-scale service providers in claims, customer service, provider services, care management, or pharmacy operations.

• Demonstrated success in managing executive-level stakeholder and supplier relationships.

• Some domestic and international travel may be required.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• CVS Health bonus, commission, or short-term incentive program.

• Equity award program.