Healthcare Vendor Relations Specialist (Remote)
Position Summary The Healthcare Vendor Relations Specialist (Allied Advocate Vendor Liaison, Medical Management) is a key role responsible for supporting Allied’s Cost Containment and Member Advocacy arms through effective vendor communications. This individual acts as the primary point of contact between Allied Advocate and its external vendors, managing inquiries and reports, to ensure timely claim resolution and ongoing collaboration. They are a detail-oriented team member focused on ensuring metrics are met and ongoing efficiencies are achieved. Essential Functions
- Maintain regular communication with vendors, addressing concerns, and building strong working relationships.
- Monitor and report on performance metrics to ensure targets are met, such as turnaround times, quality, and cost, identifying areas for improvement, and ensuring vendors are being held accountable.
- Acting as the first point of contact for resolving vendor-related issues, including quality control obstacles, information requests, and claim delays.
- Oversee monthly aging reports, providing feedback to bring closure.
- Initiate and manage continuous impact reporting.
- Collaborating with Medical Management Project Analytics team to submit monthly reports to Executive leadership.
- Develop and maintain written operational procedures for all tasks performed and cross train to provide effective support to all team members.
- Identify and execute process improvement opportunities that enhance member experience and produce favorable business results.
- Manage and resolve escalated member/client communications, concerns, and/or issues.
- Proactively identifies and manages risk while eliminating barriers to help achieve business results.
- Other duties as assigned.
EDUCATION
- High school diploma or equivalent work experience required.
Experience And Skills
- 1-3 years of experience, preferably from a third-party administrator, carrier, or within the healthcare industry
- Highly skilled in written and verbal communication, also including revenue focused reports.
- ACCA certification, a plus.
- Experience reading, analyzing, and reviewing data, a plus.
POSITION COMPETENCIES
- Accountability
- Communication
- Customer Service Orientation
- Functional/Technical Skills
- Quality Focus
- Time and Task Management
PHYSICAL DEMANDS
- This is a standard desk role requiring extended periods of sitting and working on a computer
WORK ENVIRONMENT
- Remote
Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.