Centene CorporationCC

Staff Vice President, Quality Oversight & Vendor Management

Centene Corporation is a leading healthcare enterprise committed to transforming the health of communities through high-quality and affordable healthcare solutions.

Centene Corporation

Employee count: 1001-5000

Salary: 182k-346k USD

United States only

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.

Position Purpose:
Provides leadership and direction over the strategic sourcing process for all externally purchased goods and services and oversees the procurement standards and activities within Centene. This role will manage high-level relationships with internal stakeholders and strategic suppliers, ensuring mutually beneficial opportunities are created. It is accountable for developing and implementing programs to manage vendor risk and performance, confirming process validation and compliance with internal and external audit and regulatory requirements. Responsible for the quality assurance process and its integration with the business and Compliance, as well as for maintaining and enhancing the organization's vendor oversight program. Further, this position drives the research and analysis of strategic options/recommendations, partners with business and Compliance teams to identify trends and support improvement activities, provides deep industry expertise, thought leadership and consultative insights around best in class practices.

  • Directs the upgrading of operational processes and creates a continuous improvement environment; continually evaluates new products, technology and processes that will enhance overall service
  • Works with senior management to develop and manage strategic sourcing plans across the company to drive quality service and leverage buying power to achieve cost efficiencies and compliant outcomes
  • Maintains and improves quality, performance and risk mitigation; develops and implements comprehensive risk assessment processes to monitor new and existing vendors which include an objective scoring criteria against financial, operational, regulatory, reputational, and technology risks, as appropriate
  • Manages the quality assurance monitoring and reporting of operational results and compliance metrics
  • Produces meaningful and actionable data and analytics from quality assurance audits; partners with Business and Compliance to leverage data for improvement activities
  • Leads the development and implementation of new quality processes and procedures with a strong focus on trend identification, early issue detection and alignment with compliance requirements
  • Ensures that the processes and methodologies for purchasing decisions are compliant with company goals and State and Federal Laws
  • Ensures purchasing policies are aligned with business objectives
  • Oversees the development and quality of all RFIs/RFPs to ensure customer satisfaction and compliance with all required policies and procedures
  • Responsible for monitoring the operational aspects of the vendor relationship through spearheading the design, and execution of audits and evaluations of financial and operational performance that will confirm that contract terms, standards and expectations are met, which includes Internal operations (Claims, Appeals & Grievances, and Membership)
  • Partners with Compliance to develop new or modify current audit processes that will enhance quality controls in areas of compliance risk
  • Promotes effective monitoring of key vendors in order to reduce disruptions to the business; identifies and establishes audit tools and performs audits of at-risk vendors; tracks and improves noncompliance with suppliers
  • Ensures that vendors adhere to all applicable legal, regulatory and accreditation mandates
  • Manages the relationship governance process to ensure compliant operations and monitors fulfillment of contract obligations
  • Responsible for service level management and reporting; publishes and manages performance and/or KPI monitoring
  • Provides effective leadership to staff (direct and indirect) with particular attention to the effective recruitment, mentoring and ongoing leadership of the team
  • Responsible for associates’ work climate and provides leadership for initiatives to improve/maintain a positive climate
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience:
Bachelor's Degree or equivalent experience required
Master's Degree in Business Administration or related field preferred
10+ years experience in vendor management, strategic sourcing and supply chain management required
Previous experience with internal demand/process analysis, external supply chain analysis, total system cost modeling, supply strategy selection, supplier selection and integration and relationship structuring/maintenance
Previous experience in developing benchmark performance and service levels

Pay Range: $182,100.00 - $345,600.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

About the job

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Posted on

Job type

Full Time

Experience level

Executive

Salary

Salary: 182k-346k USD

Location requirements

Hiring timezones

United States +/- 0 hours

About Centene Corporation

Learn more about Centene Corporation and their company culture.

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Centene Corporation is a leading healthcare enterprise dedicated to transforming the health of the communities it serves, one person at a time. Founded in 1984, Centene operates as a Managed Care Organization that provides access to high-quality healthcare solutions. The company serves a diverse population of over 28 million members across the United States by offering affordable and comprehensive healthcare services tailored to the unique needs of each individual. With a strong focus on Medicaid, Medicare, and the Health Insurance Marketplace, Centene remains committed to improving healthcare outcomes while ensuring that its programs are culturally sensitive and responsive to the communities served.

Centene's evolution began as a nonprofit Medicaid plan in Milwaukee, Wisconsin, founded by Elizabeth "Betty" Brinn, a former hospital bookkeeper who recognized the challenges faced by low-income individuals in accessing adequate healthcare. Under the leadership of CEO Sarah M. London, the company has expanded its reach through organic growth and strategic acquisitions, reaffirming its position as the largest Medicaid managed care organization in the U.S. Furthermore, Centene emphasizes local healthcare delivery by employing professionals who reflect the diversity of the populations they serve, ensuring individuals receive personalized care that meets their needs. Centene is also dedicated to corporate sustainability, focusing on removing health-related barriers and enhancing health equity through its community-driven initiatives.

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Centene Corporation

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Centene Corporation hiring Staff Vice President, Quality Oversight & Vendor Management • Remote (Work from Home) | Himalayas