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Vendor Manager, Client Operations

Work from home Full-time role Hiring

Job Description:

  • Request historical files from advisor or client, and review layout as needed.
  • Host the TPA implementation meetings.
  • Review data transmission process, file layouts, timing, etc..
  • Determine system hierarchy requirements and build in CRM.
  • Coordinate eligibility test files, updates, and production.
  • Coordinate claims extracts with all vendors (TPA, stop loss, advisor).
  • Coordinate ID card from TPA for approval.
  • Validate eligibility files and extracts post go live.
  • Conduit to the Navitus eligibility and claims extract teams.
  • Manage data sharing policies and Non-Disclosure Agreements with vendors.
  • Submit data and service requests, and ongoing monitoring to ensure accurate, timely completion.
  • Troubleshoot any vendor issues to ensure quick resolution, including support of the account teams in helping to facilitate resolution of escalated file issues.
  • Suggest and implement new vendor management processes, policies, and methods as needed.
  • Identify and research expansion opportunities, in addition to the growing the client base with existing consultant/broker/TPA relationships.
  • Other duties as assigned

Requirements:

  • Bachelor's degree in Business, Marketing, or related area preferred.
  • 3 years of vendor management experience (TPA’s, Consultants, Brokers, etc.), and working with external clients preferred.
  • Knowledge of PBM or health care industry preferred.
  • PC skills such as Microsoft Office, Email, etc.
  • Participate in, adhere to, and support compliance program objectives
  • The ability to consistently interact cooperatively and respectfully with other employees.

Benefits:

  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance
  • Referral Bonus Program – up to $750!

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