[Remote] Healthcare Vendor Relations Specialist (Remote)

Note: The job is a remote job and is open to candidates in USA. Allied Benefit Systems is seeking a Healthcare Vendor Relations Specialist who will support the company's Cost Containment and Member Advocacy efforts through effective vendor communications. This role involves managing vendor relationships, monitoring performance metrics, and ensuring timely resolution of claims.

Responsibilities

• 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

Skills

• High school diploma or equivalent work experience required
• 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

Benefits

• Medical, Dental, Vision, Life and Disability Insurance
• Generous Paid Time Off
• Tuition Reimbursement
• EAP
• Technology Stipend

Company Overview