CASY-MSCCN Jobs

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.

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

Job Qualifications

REQU I RED ED U C A TI O N :

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

REQU I RED E X PE R I E N C E:

• 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: $49,430.25 - $107,098.87 / ANNUAL

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