64 vendor manager i ii jobs found in Rochester, NY

Job Description: Summary: The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity, risk, size, and spend, etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and leads sourcing, selection, negotiations, contracting, and governance activities through proactive collaborative engagement with the business unit, cross functional stakeholders, and leaders. The Vendor Manager focuses on delivering improved vendor performance, competitive costs, balanced risk, enhanced vendor alignment, on-time execution, and optimal business partner alignment and satisfaction. Essential Accountabilities: All Levels: Manages vendor portfolios and vendor relationships for small size business units / vendor portfolios with low complexity and risk. Owns all aspects of the vendor relationship for designated business area to ensure vendor performance meets contractual...

Job Description: Summary: The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity, risk, size, and spend, etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and leads sourcing, selection, negotiations, contracting, and governance activities through proactive collaborative engagement with the business unit, cross functional stakeholders, and leaders. The Vendor Manager focuses on delivering improved vendor performance, competitive costs, balanced risk, enhanced vendor alignment, on-time execution, and optimal business partner alignment and satisfaction. Essential Accountabilities: All Levels: Manages vendor portfolios and vendor relationships for small size business units / vendor portfolios with low complexity and risk. Owns all aspects of the vendor relationship for designated business area to ensure vendor performance meets contractual...

Job Description: Summary: The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity, risk, size, and spend, etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and leads sourcing, selection, negotiations, contracting, and governance activities through proactive collaborative engagement with the business unit, cross functional stakeholders, and leaders. The Vendor Manager focuses on delivering improved vendor performance, competitive costs, balanced risk, enhanced vendor alignment, on-time execution, and optimal business partner alignment and satisfaction. Essential Accountabilities: All Levels: Manages vendor portfolios and vendor relationships for small size business units / vendor portfolios with low complexity and risk. Owns all aspects of the vendor relationship for designated business area to ensure vendor performance meets contractual...

Job Description: Summary: The Vendor Manager (VM) is responsible for strategically managing vendor portfolios and vendor relationships which may vary in complexity, risk, size, and spend, etc. The incumbent acts as a strategic trusted advisor to the business unit and business partners and leads sourcing, selection, negotiations, contracting, and governance activities through proactive collaborative engagement with the business unit, cross functional stakeholders, and leaders. The Vendor Manager focuses on delivering improved vendor performance, competitive costs, balanced risk, enhanced vendor alignment, on-time execution, and optimal business partner alignment and satisfaction. Essential Accountabilities: All Levels: Manages vendor portfolios and vendor relationships for small size business units / vendor portfolios with low complexity and risk. Owns all aspects of the vendor relationship for designated business area to ensure vendor performance meets contractual...

Job Description: Summary: The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing efforts. The specialist will possess comprehensive understanding of supplier contracts terms and conditions and the ability to translate these into applicable purchasing requirements. The position will provide reporting and analytics support for Enterprise Legal & Supplier Solutions and stakeholders. Additionally, this role will support corporate programs including Contingent Labor. Essential Primary Responsibilities/Accountabilities: All Levels: Receives and processes purchase order requests to promptly secure supplier-provided products and services. Proactively reviews and serves as customer point of contact in order tracking, purchase order matching errors and is a liaison to the Accounts...

Job Description: Summary: The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing efforts. The specialist will possess comprehensive understanding of supplier contracts terms and conditions and the ability to translate these into applicable purchasing requirements. The position will provide reporting and analytics support for Enterprise Legal & Supplier Solutions and stakeholders. Additionally, this role will support corporate programs including Contingent Labor. Essential Primary Responsibilities/Accountabilities: All Levels: Receives and processes purchase order requests to promptly secure supplier-provided products and services. Proactively reviews and serves as customer point of contact in order tracking, purchase order matching errors and is a liaison to the Accounts...

Job Description: Summary: The Purchasing Specialist manages the processes and tools for automated and stand-alone procurement systems and communicates throughout the organization as needed. Incumbent works pro-actively with supply base and supports and/or leads strategic sourcing efforts. The specialist will possess comprehensive understanding of supplier contracts terms and conditions and the ability to translate these into applicable purchasing requirements. The position will provide reporting and analytics support for Enterprise Legal & Supplier Solutions and stakeholders. Additionally, this role will support corporate programs including Contingent Labor. Essential Primary Responsibilities/Accountabilities: All Levels: Receives and processes purchase order requests to promptly secure supplier-provided products and services. Proactively reviews and serves as customer point of contact in order tracking, purchase order matching errors and is a liaison to the Accounts...

Job Description: Summary: This position supports the workflow of the Long-Term Support and Services (LTSS) and Duals Special Needs (DSNP) department. Depending on the specific tasks assigned, the LTSS/DUALs SN Project Coordinator provides administrative support for DUALs and/or LTSS staff. This position acts as an administrative support resource for staff regarding members' specific contract benefits; consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral process, as well as functions related to legislative and federal regulatory mandates related to the Health Plan. The position also supports member centric care within LTSS/DUALs programs Essential Accountabilities: Level I: Review / prep clinical case for clinical staff. Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to the division. Serves as the primary...

Job Description: Summary: The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by timely monitoring, responding, and troubleshooting of incidents, installing, upgrading, and maintaining application currency. This position will work to identify functionality to empower users through self-service and automation of relevant tasks. In addition to operating as application support, the IT Platform Administrator will perform periodic audits and maintain application compliance. The Administrator also frequently interacts with multiple departments to advocate for stakeholders' and platform best interests. Essential Accountabilities: Level I • Installs, configures, troubleshoots, patches, and maintains enterprise software platforms for applications to achieve reliable, highly available,...

Job Description: Summary: This position supports the workflow of the Long-Term Support and Services (LTSS) and Duals Special Needs (DSNP) department. Depending on the specific tasks assigned, the LTSS/DUALs SN Project Coordinator provides administrative support for DUALs and/or LTSS staff. This position acts as an administrative support resource for staff regarding members' specific contract benefits; consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral process, as well as functions related to legislative and federal regulatory mandates related to the Health Plan. The position also supports member centric care within LTSS/DUALs programs Essential Accountabilities: Level I: Review / prep clinical case for clinical staff. Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to the division. Serves as the primary...

Job Description: Summary: The IT Platform Administrator acts as a liaison between the business and technical resources by ensuring the availability and successful operation of applications for users. This individual will demonstrate a high-level of responsibility and consistency by timely monitoring, responding, and troubleshooting of incidents, installing, upgrading, and maintaining application currency. This position will work to identify functionality to empower users through self-service and automation of relevant tasks. In addition to operating as application support, the IT Platform Administrator will perform periodic audits and maintain application compliance. The Administrator also frequently interacts with multiple departments to advocate for stakeholders' and platform best interests. Essential Accountabilities: Level I • Installs, configures, troubleshoots, patches, and maintains enterprise software platforms for applications to achieve reliable, highly available,...

Job Description: Summary: This position supports the workflow of the Long-Term Support and Services (LTSS) and Duals Special Needs (DSNP) department. Depending on the specific tasks assigned, the LTSS/DUALs SN Project Coordinator provides administrative support for DUALs and/or LTSS staff. This position acts as an administrative support resource for staff regarding members' specific contract benefits; consistent with products, policies and procedures and related health plan functions such as member services, claims, and the referral process, as well as functions related to legislative and federal regulatory mandates related to the Health Plan. The position also supports member centric care within LTSS/DUALs programs Essential Accountabilities: Level I: Review / prep clinical case for clinical staff. Navigates and utilizes corporate applications; core claims and membership system, intranet and related links to provide support to the division. Serves as the primary...

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Potential for...

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Potential for...

Job Description: Summary: The Document Solutions team focuses on the design and creation of correspondence and transactional statements using various software programs. The Publishing Systems Engineer operates in a business analyst/document-generation specialist role as part of the Document Solutions team. This role focuses on programming within the various systems utilized by our Solutions Team. Essential Primary Responsibilities/Accountabilities: Level I: Develops code; analyzes, researches, and resolves system issues for electronic publishing-related problems. Creates, maintains, and follows all documented processes and standards. Builds new and updates existing workflows and documents using xml and text data in variable data composition systems based on the requirements and functional specifications. Documents functional specifications and solutions for work to be performed. Develops or assists in the development of systems testing and implementation plans. Reviews...

Job Description: Summary: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Potential for...

Job Description: Summary: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. This role supports the HARP line of business. Essential Accountabilities: Level I Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective implementation of performance improvement initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate,...

Job Description: Summary: This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include but is not limited to, contracting strategies; calculation and testing of provider rates; implementation oversight for all regions and monitoring of provider reimbursement. In monitoring provider reimbursement, the position analyzes financial deals to assess the implications of rate structures and payment methodologies across markets, addresses variations in processes and fees among region and systems with the aim of developing common approaches, and monitors provider billing trends to ensure cost and quality management goals are met. Essential Accountabilities: Level I • Supports reimbursement strategy and analysis through various duties included running data queries for analysis and evaluation of current to proposed reimbursement rates. • Works with Provider Contracting on reimbursement implementations to...

Job Description: Summary: This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include but is not limited to, contracting strategies; calculation and testing of provider rates; implementation oversight for all regions and monitoring of provider reimbursement. In monitoring provider reimbursement, the position analyzes financial deals to assess the implications of rate structures and payment methodologies across markets, addresses variations in processes and fees among region and systems with the aim of developing common approaches, and monitors provider billing trends to ensure cost and quality management goals are met. Essential Accountabilities: Level I • Supports reimbursement strategy and analysis through various duties included running data queries for analysis and evaluation of current to proposed reimbursement rates. • Works with Provider Contracting on reimbursement implementations to...

Job Description: Summary: This position is the primary representative for Physician, Ancillary and Facility reimbursement analysis. The incumbent's analyses include but is not limited to, contracting strategies; calculation and testing of provider rates; implementation oversight for all regions and monitoring of provider reimbursement. In monitoring provider reimbursement, the position analyzes financial deals to assess the implications of rate structures and payment methodologies across markets, addresses variations in processes and fees among region and systems with the aim of developing common approaches, and monitors provider billing trends to ensure cost and quality management goals are met. Essential Accountabilities: Level I • Supports reimbursement strategy and analysis through various duties included running data queries for analysis and evaluation of current to proposed reimbursement rates. • Works with Provider Contracting on reimbursement implementations to...