Sr Vendor Mgmt Prof (NEMT Manager)

Become a part of our caring community and help us put health firstHumana Healthy Horizons (HHH) in Indiana is seeking a Senior Vendor Management Professional to serve as the liaison between our members and our Non-Emergent Medical Transportation (NEMT) subcontractor. This position is responsible for HHH's relationship with the NEMT throughout every stage, as well as resolving urgent member issues.This position is dedicated to the Pathways program and solely responsible for guaranteeing Humana has an effective transportation strategy, overseeing the NEMT subcontractor, and resolving member transportation issues. It is also a hybrid position which must work from the Indianapolis office at least three days per week, with two days being available for the position to work remotely.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:

Work as a member liaison when members have escalated urgent transportation issues requiring immediate resolution.

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 impactRequired Qualifications:

Bachelor's degree OR equivalent experience

5+ years vendor management experience OR 5+ years provider relations or contracting experience OR 5+ years in a member service role, serving the member and external entities OR equivalent experience

2+ years Project Management, formal or informal OR 2+ years experience in facilitating meetings OR equivalent experience

Knowledge of one or more of the following:

HCBS (Home and Community Based Services)

LTSS (Long Term Services and Supports)

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

Medicaid

Medicare

Certification with Six Sigma and/or the Project Management Institute

Grievance and Appeals experience or knowledge

Data-driven performance/KPI management

Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$69,800 - $96,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About UsHumana 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 EmployerIt 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.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.