Assist with all vendor activity, including but not limited to dental, ancillary, pharmacy and vision vendors for the Health Plan
Monitor vendor performance against contract requirements, KPIs, SLAs, and delegated service standards, including quality, timeliness, and member/provider impact
Develop and maintain vendor scorecards, performance dashboards, and trend analyses to support oversight, governance, and reporting
Coordinate escalation and resolution of vendor performance issues, including corrective action plans (CAPs) and remediation tracking
Serve as a primary liaison between vendors and internal business owners, coordinating activities and ensuring alignment with Health Plan needs
Support operational integrity and regulatory compliance, including adherence to organizational policies, NCQA, URAC, federal, state, and payer requirements
Support internal, external, and regulatory audits involving vendors, including CMS, state Medicaid agency, and internal compliance reviews
Support vendor governance meetings, prepare agendas and materials, and document action items and follow‑ups
Assist with vendor lifecycle activities, including onboarding, contract execution, amendments, renewals, and offboarding
Support department and organization tasks and projects as they arise
Performs other duties as assigned
Requirements
Bachelors’ degree in Public Health, Business, related field or equivalent experience
3+ years of healthcare management experience, preferably in vendor managed care or the health insurance field
Experience with reporting and analyzing data preferred
Project management, vendor management, or account management experience is a huge plus
Applicants must be in the state of Florida to be considered for this position
Benefits
competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules