Become a part of our caring community and help us put health first
Humana Healthy Horizons (HHH) in Indiana is seeking a Senior Vendor Management Professional to work as the liaison between our NEMT subcontractor and the organization. This position is responsible for HHH’s relationship with the NEMP throughout every stage.
This position is dedicated to the Pathways program and solely responsible for guaranteeing Humana has an effective transportation strategy and oversees the NEMT subcontractor.
The Senior Vendor Management Professional’s work will involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Work is performed without direction, so there is considerable latitude in determining objectives and approaches to responsibilities.
Position Responsibilities:
- Interact with health care providers such as nursing facilities, assisted living facilities, dialysis centers, hospitals, and emergency medical services and works to resolve issues ensuring member access to care and services.
- Proactively work to resolve potential transportation disruptions and implement creative solutions to ensure member transport.
- Builds and maintains positive relationships with the vendor and healthcare providers and monitor vendor performance.
- Promotes communication between the State of Indiana and the subcontractor on NEMT issues.
- Research invoice and contractual issues and resolves discrepancies.
- Conduct audits and reviews of the NEMT subcontractor.
- Respond to and tracks complaints and concerns from medical providers, facilities, drivers, and members.
- Ensure that an adequate transportation network is built and maintained to serve member needs
- Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
Use your skills to make an impact
Required Qualifications:
- Bachelor's degree, or equivalent experience
- 5+ years vendor management experience
- 2+ years Project Management, formal or informal
- Vendor performance measurement experience
- Must reside in the Indianapolis locale, and work in the office building at least 3 days per week.
Preferred Qualifications:
- Master’s degree, or equivalent experience
- Experience with Non-Emergent Medical Transportation (NEMT)
- Prior experience in a healthcare or insurance setting
- Knowledge of one or more of the following
- HCBS (Home and Community Based Services)
- LTSS (Long Term Services and Supports) services
- Medicaid
- Medicare
- Certification with Six Sigma and/or the Project Management Institute
- Grievance and Appeals experience or knowledge
- Data-driven performance/KPI management
Additional information:
This is a hybrid position with work requirements in the office 60% of the time; an option to work from home 40% of the time.
Scheduled Weekly Hours
40
About us
Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.