Senior Manager, Partner Relationship Manager

This is a fully remote position, open to applicants in Arizona, +24 more locations.

📋 Description

• Act as the main point of contact between Aetna's business units, Centers of Excellence, and strategic outsourcing partners.

• Oversee supplier governance, performance, compliance, and operational risk management across Aetna operations.

• Serve as a trusted advisor to business leaders and supplier executives.

• Manage relationships with strategic suppliers and executive stakeholders.

• Facilitate Quarterly Business Reviews, Executive Governance Meetings, and various supplier forums.

• Track supplier performance against Service Level Agreements (SLAs), Key Performance Indicators (KPIs), quality standards, and member experience objectives.

• Develop corrective action plans and supervise remediation initiatives.

• Analyze operational trends to identify opportunities for continuous improvement.

• Assist with supplier onboarding, implementation, operational readiness, transitions, and expansions.

• Collaborate with Procurement, Legal, Compliance, and Business Leadership teams.

• Co-lead Requests for Proposals (RFPs) and provide guidance on vendor selection, evaluation, due diligence, and contract obligations.

• Address significant supplier service challenges, operational disruptions, quality issues, and escalations.

• Coordinate cross-functional responses and communicate operational risks and mitigation strategies to senior leadership.

• Ensure supplier compliance with CVS Health, Aetna, CMS, HIPAA, Medicare, and other applicable regulatory standards.

• Organize Medicare audits, regulatory surveys, attestations, and FDR reviews and audits.

• Support internal audits and oversee business continuity and operational resiliency requirements.

• Ensure compliance with vendor security, privacy, data protection, PCI, and AOC standards.

• Share ESPR survey results and create action plans for supplier performance improvement.

⛳️ Requirements

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

• Established relationships within healthcare payer operations.

• Robust understanding of CMS requirements.

• Strong knowledge of HIPAA regulations.

• Comprehensive understanding of Third-Party Risk Governance (TPRG).

• In-depth knowledge of First Tier, Downstream, and Related Entity (FDR) oversight.

• Solid understanding of supplier audit and compliance frameworks.

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

• Proven track record of managing executive-level stakeholder and supplier relationships.

• Willingness to engage in some domestic and international travel as needed.

🏝️ Benefits

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

• Equity award program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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