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REMOTE opportunity with required travel to the Lansing, MI office, as needed.
The Medical Vendor Oversight Specialist will provide day to day monitoring of relationships and partnerships to ensure the effectiveness of the programs or services offered by the medical vendors. This position will have a wide variety of specialized functions in support of MMP&S with primary focus on cost containment vendors. This position will conduct due diligence on vendors, including sitting on the selection committee along with brand representatives. Responsible for generating, maintaining, analyzing and reporting the results of audits and review of vendor, monitoring performance and compliance with the contract. Responsible for performing administrative tasks which may be highly confidential and sensitive in nature utilizing considerable independent judgment.
RESPONSIBILITIES/TASKS: (Brief bullet points detailing the tasks for this position)
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
EMPLOYMENT QUALIFICATIONS:
EDUCATION:
Bachelor’s degree in insurance, business or a related field required. Relevant combination of education and experience may be considered in lieu of degree. College level medical courses required. Continuous learning, as defined by AFHI’s learning philosophy, is required. Certification or progress toward certification is highly preferred and encouraged. CAWC highly preferred.
EXPERIENCE:
A minimum of one year of experience in an insurance organization or completion of trainee program with demonstrated skills in the areas of medical cost containment vendors, oversight of vendors, auditing and contract review. Workers compensation experience preferred.
SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: (Brief bullet points detailing the skills necessary for this position)
WORKING CONDITIONS:
Work is performed in an office/remote setting with no unusual hazards. Minimal travel required with occasional overnight stays. Work is required at various times of the day and sometimes weekend work may be required.
The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.
Pay Range
“Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $46,100 and $77,200.”
We are an Equal Opportunity Employer. Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.
#LI-MG1
Full Time
$79k-94k (estimate)
03/03/2024
05/29/2024