Own and manage the enterprise vendor financial governance program, including standards, controls, workflows, documentation, and performance monitoring.
Establish and maintain governance frameworks to ensure vendor financial terms are implemented and maintained in alignment with contractual, regulatory, and operational requirements.
Serve as a primary point of accountability for vendor financial governance issues, risks, and escalations.
Act as a strategic liaison across Finance, Operations, Compliance, and Markets to ensure vendor payments are accurate, timely, and aligned with contract terms, performance standards, and business expectations.
Influence and coordinate stakeholders to drive alignment, resolve issues, and ensure consistent execution of vendor governance practices across the enterprise.
Represent Finance Vendor Governance in enterprise-wide workgroups and initiatives, advancing standardization and program maturity.
Serve as a subject matter expert for vendor and provider contracts by interpreting financial, business, and regulatory terms and translating them into operational requirements and controls.
Provide guidance to internal stakeholders on contract interpretation, financial implications, and governance requirements.
Oversee vendor performance monitoring, including SLAs, deliverables, turnaround times, and reporting requirements.
Develop, track, and manage performance improvement plans, including financial penalties, credits, and utilization metrics to ensure adherence to contractual obligations.
Identify and address performance, compliance, and financial risks through data driven analysis and corrective action planning.
Lead preparation for and support internal and external audits, regulatory reviews, and risk decision memorandums (RDMs) related to vendor sourcing, oversight, and financial controls.
Ensure documentation, controls, and processes support audit readiness and regulatory compliance.
Drive continuous improvement initiatives related to vendor onboarding, implementation, payment processes, and compliance readiness.
Analyze data and reporting to identify gaps, risks, and opportunities to improve vendor performance, payment accuracy, and operational efficiency.
Develop and maintain program documentation, including contracts, templates, playbooks, and standard operating procedures, ensuring consistency and scalability.
Prepare and deliver market level and enterprise reporting on vendor performance, financial compliance, risks, and program outcomes.
Serve as a liaison between market stakeholders and corporate teams to ensure transparency, alignment, and issue resolution.
Requirements
Bachelor's degree in Business Administration, Finance, Healthcare Administration, Accounting or related field required
Seven (7) years of vendor governance, financial operations, healthcare administration or related operational oversight roles required
Three (3) years of experience interpreting and applying contractual terms, service level agreements (SLAs), and regulatory requirements required
Demonstrated experience supporting vendor onboarding, implementation, and ongoing operational oversight, including financial accuracy, payment validation, and performance monitoring required
Experience supporting internal and external audits, regulatory reviews and vendor compliance activities required
Experience working in regulated healthcare environments such as health plans or managed care organizations, with exposure to Medicaid, Medicare, and/or value‑based care programs required