Job Description

Job Summary

Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides daily operational support to the vendors. Monitors inventory levels, aging and backlog. Provides work direction to the vendor as directed by the Enrollment team . Partners with the vendor to analyze business and vendor performance problems and issues using data from internal and external sources to provide solutions to the decision-makers supporting the vendor and the vendor management team. Reviews the service level agreements with the vendors to Identify and interpret trends and patterns relative to vendor service level agreements and adherence to performance targets. Assist with preparation of forecasts, recommendations and strategic/tactical plans based on business data and vendor competencies. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with the business and functional counterparts to modify or tailor existing analysis or reports to meet their specific needs. Assists in the development of meaningful reports to support business activities.

The candidate will be managing Molina's Dental vendor accounts. This role requires extensive communication with all levels of executives (internal and external)

Knowledge/Skills/Abilities

Supports Core Operations with smaller scale less complex vendor relationship management activities

Partners with vendor and vendor management team with data analytics and reporting needs to support data driven decisions

Reviews and analyzes gaps to improve organizational processes, and works to improve quality, productivity, and efficiency in partnership with the team and the vendor

Conducts analysis and uses analytical skills to assist with problem management as it relates to vendors and performance

Reviews, researches, analyzes, and evaluates all data relating to specific area of expertise. Begins process of becoming subject matter expert by working with the less complex and lower dollar vendors.

Prepares high level user documentation and training materials as needed.

Coordinates collection of feedback for vendor scorecards

Facilitates meetings and manages email correspondence between vendors, functional counterparts, and stakeholders (Claims, Enrollments, IT, Health Plan, Core Operations)

Performs reconciliations for vendor invoices and tracks ongoing invoice activity

Facilitates onshore/offshore vendor system access for technology platforms and HR systems

Submits work tickets to addresses IT concerns and performs requisite follow up action

Follows up on action items as necessary to ensure completion of assignments

Assists in resolving day-to-day issues as required in vendors and other internal stakeholders

Performs other duties as assigned

Adheres to and consistently applies organizational and departmental policies, procedures, and protocols

Act as a POC for all vendors

Prior experience with Dental benefits administration is required

Coordinating with Government/ state contract teams on new requirements and existing ones.

Must be able to lead meetings

Job Qualifications

REQUIRED EDUCATION:

Bachelor’s degree in Business or a related field of study. Years of experience in lieu of education is acceptable.

REQUIRED EXPERIENCE:

1-3 years of experience in Healthcare (payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, Procurement, Project Management, or Account Management

Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas.

Proficient with Microsoft Office Suite, databases, advanced spreadsheets, pivot tables, v-lookup and corporate email and collaboration solutions

Demonstrate strong written and verbal communication skills, presentations skills and ability to successfully interact with all levels of management

Exhibit excellent customer service skills and attention to detail.

Ability to problem solve and critically think to resolve business issues

Proficient in time management, organizational skills and managing multiple priorities

Operate independently in a matrixed organization and escalate issues and concerns as appropriate

PHYSICAL DEMANDS:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $128,519 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.