Manager, Claims Vendor Management

1 hour, 29 minutes ago
Full-time
Senior
Project and Program Management
Pie Insurance

Pie Insurance

Pie Insurance is a company that specializes in providing affordable and easy-to-access small business insurance, including workers' compensation and commercial auto coverage. Their data-driven technology ensures excellent coverage at competitive prices...

Insurance
251-1K
Founded 2017
$630M raised

Description

  • Implement and execute the Claims Vendor Management program and maintain a centralized contract repository.
  • Oversee managed care vendors, including medical bill review, pharmacy benefit management, utilization review, and provider networks.
  • Manage relationships with legal, investigative, transportation, translation, and API-integrated technology vendors.
  • Lead vendor sunset initiatives, RFPs, contract negotiations, renewals, and renegotiations.
  • Establish vendor performance frameworks, KPIs, stakeholder meetings, and accountability processes.
  • Review vendor spend, billing practices, and audits to identify errors and cost-reduction opportunities.
  • Improve billing and bulk-billing processes while ensuring compliance with contractual and enterprise standards.
  • Collaborate with Claims, Legal, Finance, Procurement, Compliance, and Operations teams on vendor strategy and initiatives.
  • Support and mentor vendor management team members and provide project updates to Claims leadership.

Requirements

  • Bachelor’s degree in Business Administration, Finance, Supply Chain Management, or a related field.
  • 6+ years of experience in vendor management, procurement, or strategic sourcing.
  • 3+ years of insurance industry experience, preferably in claims operations or vendor management.
  • At least 1 year of experience leading or mentoring team members; direct people management experience is preferred.
  • Demonstrated success negotiating vendor contracts and achieving cost savings.
  • Experience supporting or implementing vendor management programs.
  • Knowledge of workers’ compensation, managed care, legal, investigative, and ancillary claims vendors; commercial auto experience is a plus.
  • Working knowledge of medical bill review, pharmacy benefit management, utilization review, and provider networks.
  • Knowledge of law firm and litigation support vendor management.
  • Exposure to API-integrated technology vendors and system integration requirements.

Benefits

  • Base compensation range of $110,000–$140,000 USD.
  • Comprehensive health plans.
  • Generous paid time off.
  • 401(k) match.
  • Parental and caregiver leave.
  • Potential discretionary annual bonuses for eligible employees.
  • Remote work within the United States, excluding territories.

Interested in this position?

Apply directly on the company website

Apply Now

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