Vendor Governance Specialist (Compliance/Oversight Experience Required)

• Complete documents or portal submissions required for regulatory submissions of vendor contracts
• Monitors contract submissions and state approvals
• Oversee state submission reporting
• Assist with state submitted expiring contracts to ensure compliance
• Works closely with compliance leadership and plan compliance officers to interpret regulatory guidance to provide to strategic sourcing regarding contract submission requirements.
• Work closely with legal and business owners from all areas to ensure that all required documentation of state submissions are provided with contract submissions.
• Collaborate with plan compliance officers on new requirements for contract submissions and help to implement new requirements when applicable
• Responsible for collaborating with state plan compliance officers or compliance leadership to obtain guidance on state contract submission requirements of new markets, through growth or acquisition, as timely as possible.
• Coordinate state inquiries and responses
• Assist in obtaining updated Certificate of Insurance from Vendors that have expired
• Perform financial reviews of Vendor for viability
• Perform assessments of vendor risk, develop mitigation plan and partner with internal stakeholders to assign monitoring responsibility
• Performs any other job related duties as requested.

• Bachelor's degree in business management, science, health administration, health policy or related discipline required
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Three (3) years in vendor or provider compliance or oversight, and/ or contract management required
• Experience in the healthcare industry, preferably within a managed care organization preferred

• Excellent written and research skills
• Strong analytical skills to gather, organize and summarize information
• Exhibit a high degree of professionalism
• Strong project management skills with ability to handle multiple projects within time constraints
• Strong organization skills and attention to detail
• Knowledge of Federal, State, NCQA and standards preferred
• Highly motivated individual with the ability to work independently in a detailed oriented environment

• Certified in Healthcare Compliance (CHC) and Certified Provider Credentialing Specialist (CPCS) preferred

• General office environment; may be required to sit or stand for extended periods of time
• Travel is not typically required

Compensation Range:
$61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type:
Salary

Competencies:
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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