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Insurance & Claims

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As a member of our Claims Connect team, you'll help process and deliver the claims information Kaiser Permanente's members, providers, regulators, and customers need, and expect, from a world-class health care organization.

Contract Portfolio Manager

Location: Rancho Cucamonga, CA Additional Locations:
Job Number: 776663 Date posted: 03/21/2019
Description:

The Contract Portfolio (Vendor Management) manager is responsible for assisting the Contract Portfolio Leader (Director) in the management of the large vendor relationships and will be accountable for a sub-portfolio of a portion of the portfolio of vendor relationships.  Areas of responsibility will include participation in vendor and stakeholder engagement, vendor governance, contract negotiations and management, contract renewals maintenance for large vendors and lead same activities for their assigned vendor relationships. The role will provide expertise and leadership in the area of vendor management and related activities interacting regularly with senior or executive levels on matters concerning the business's operations through regular contact with specified business unit designees. In addition, the resource will be responsible for establishing, tracking and managing an ongoing methodology for the management and governance of contractual Service Levels. Staff and business process augmentation outsourcing experience is preferred. Experience in Claims operations is a plus.



Essential Responsibilities:

  • Vendor and Stakeholder Engagement: In conjunction with the Contract Portfolio Leader, establishes operational objectives and work plans outlining  the business strategy and priorities, business criticality of end to end services and demand/cost drivers; establishes strategy and tactics within sub portfolio area of responsibility ; may participate in National Claims Administration (NCA) strategy formulation; participates in the development and implementation of supplier management improvement strategies and innovation across NCA and MSSA.

  • Vendor Governance:  Assist in change management and process improvements both internally within the respective department and in collaboration with other managers and senior leaders as it pertains to vendor management.

  • SLA Management: Ability and experience with identification of contractual Service Levels and enforcement of vendor performance of those Service Levels.

  • Contract Lifecycle:  Support negotiations, renewals, transition and retirement for in-scope vendors.  Accountable for preparation of associated collateral and ensuring alignment to business case within one or more areas in NCA/MSSA.

  • Full/Partial Vendor Portfolio Management: Supports the spectrum of vendor portfolio services for in-scope vendors and clients.

  • Financial Planning & Tools:  Assists with and when appropriate will lead planning, budgeting, forecasting and managing activities within one or more sub-portfolio(s):  Identify and coordinate with clients, vendors and other teams to ensure that budgeting, financial and contractual deadlines are successfully met.

  • Identify cost reduction initiatives through strategic partnership with internal customers, vendors and other groups.

  • Understand the application of financial concepts and terms to support contract management operations (e.g. Total Cost of Ownership).

  • Understand the financial systems that support the contract processes (Utilize and leverage an asset management tool for asset tracking and data analysis).

  • Basic Qualifications:

    Experience

  • Minimum eight (8) years of experience in a vendor management capacity.

  • Education

  • High School Diploma or General Education Development (GED) required.

  • License, Certification, Registration

  • N/A



  • Additional Requirements:

  • Proven experience managing/overseeing an annual operating budget of more than $75M.

  • Experience with risk management methodologies and actual implementation of risk management strategies based on disciplined risk assessment. Experience with asset audits and establishing evergreen controls/capability, contract compliance and vendor management.

  • Must possess strong communications skills and actively manages expectations and influences decisions in potentially difficult and mission-critical situations.

  • Understand operational business requirements that necessitate staff augmentation or operational performance management.

  • Strong organizational leadership skills, with proven ability to provide measurable, demonstrable improvement in asset operations. The ability to manage, influence peers, and senior management across the organization regarding the management of Contracts.



  • Preferred Qualifications:

  • Minimum eight (8) years of experience preferably in a HealthPlan / HealthCare Vendor environment.


  • Bachelor's degree in business administration, OR four (4) years of experience in a directly related field.
  • Primary Location: California,Rancho Cucamonga,Empire Corporate Plaza 10740 4th St. Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 8:00 AM Working Hours End: 5:00 PM Job Schedule: Full-time Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: Salaried, Non-Union, Exempt Job Level: Director/Senior Director Job Category: Insurance / Claims Department: Vendor Portfolio Manaagement Travel: Yes, 10 % of the Time Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

    External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.

    About Insurance & Claims Careers

    Careers in Insurance & Claims

    Our insurance and claims teams are committed to meeting customer and member expectations when it comes to the timely and accurate processing of claims, while remaining in compliance with federal, state, and local laws, as well as regulations and rules. Make an impact as you contribute to the implementation of contemporary technology in areas such as claims quality, claims operations, business analysis, processing, configuration, reporting, and more.

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