Manager, Clinical Performance – Vendor Management at Bright Health

| Remote
Sorry, this job was removed at 6:24 a.m. (CST) on Wednesday, July 7, 2021
Find out who's hiring in Austin.
See all Operations jobs in Austin
Making Healthcare Right. Together.” is the cornerstone of all we do. Our vision is through powerful relationships with Care Partners, we help all people live healthy and brighter lives. To successfully achieve our mission and vision as we operate in a dynamic health care environment, we expect Bright employees to embody and uphold our core values in work and interactions, both internal and external: be brave, be brilliant, be accountable, be inclusive, and be collaborative.

ABOUT THE ROLE

The Manager, Clinical Programs Operations, will be responsible for the oversight of vendors and coordination of internal teams that perform operational support function necessary for operational execution of the Clinical Programs. The position will work across the organization and interface with internal business function for the delivery of clinical operations. This position will have accountability for program operations and performance, including program functions that are delegated and will directly contribute to the growth and regulatory compliance of Bright Health.

YOUR RESPONSIBILITIES

  • Responsible for the overall management and relationship with external vendors that provide services and activities either delegated and/or support the Clinical Operations department
  • Coordinate, facilitate, and manage all vendor management tasks inclusive of working with external vendors and internal employees performance of vendors and their operational systems including configuration and customization necessary to support business functions
  • Troubleshoot all vendor problems and present to management as required
  • Ensure to track, measure, report and evaluate vendor performance
  • Monitor contractual agreements for all clinical operations vendors and assure that vendor partners effectively manage plus contracts are completely leveraged
  • Develop, coordinate, and manage vendor processes and methods to identify, select, and approve, and/or transition vendors
  • Take the lead and project managed the implementation of any new vendors
  • Participate, provide oversight, manage the development of workflow processes, policies, procedures, workflows, and correspondence materials for vendors for external and internal activities
  • Understand and collaborate to ensure vendor operations adhere to State and Federal rules and requirements and URAC accreditation standards
  • Identify improvement areas internally as well as perform closely with all internal stakeholders to prepare solutions
  • Ensure enterprise-wide needs and identify risks with each vendor relationship and work contracted/completed
  • Identify and implement continuously enhance efficiencies associated with vendor management plus produce fulfillment
  • Identify key cohorts and opportunities for achieving short- and long-term operational goals that support line of business, clinical market performance, and quality via vendors and vendor management

SUPERVISORY RESPONSIBILITIES

  • This position has supervisory responsibilities for the Clinical Operations team

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

  • Bachelor’s degree or equivalent combination of education and experience
  • Three (3) or more years of progressive healthcare experience required, preferred in utilization management and/or care management.
  • Proficient in Microsoft Office suite (Work, PowerPoint, Excel, Outlook, Visio, etc.)

PROFESSIONAL COMPETENCIES

  • Ability to scope, develop, and execute a strategic plan and roadmap to achieve operational and organizational goals
  • Skilled in cross-function collaboration and leading in a matrix environment
  • Excel at creating structure and leading operational rigor to teams; passion for creating an effective team environment and resolving conflicts
  • Self-directed and able to prioritize work appropriately and take ownership to drive results
  • Ability to develop a cohesive team culture and develop team members
  • Excellent presentation and communication skills, both written and verbal, demonstrated with peers and leadership

ABOUT US
 
At Bright Health, we brought together the brightest minds from the health care industry and consumer technology, and together we created Bright Health: a new, brighter approach to healthcare, built for individuals. Our plans are easy to manage, personalized, and more affordable, giving people the quality care they deserve. Through our exclusive care partnerships with leading health systems in local communities, we are reshaping how people and physicians achieve better health together.
 
We’re Making Healthcare Right. Together. 

We've won some fun awards like Modern Healthcare and Forbes, etc. But more than anything, we're a group of people who are really dedicated to our mission in healthcare. Come join our team!
 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

BRIGHT ON!

Read Full Job Description
Apply now
By clicking continue you agree to Built In’s Privacy Policy and Terms of Use.

Technology we use

  • Engineering
  • Product
  • Sales & Marketing
    • .NETLanguages
    • C#Languages
    • JavaLanguages
    • JavascriptLanguages
    • PythonLanguages
    • ScalaLanguages
    • SqlLanguages
    • PowerShellLanguages
    • D3JSLibraries
    • ReactLibraries
    • ReduxLibraries
    • FlutterLibraries
    • ExpressFrameworks
    • Node.jsFrameworks
    • MongoDBDatabases
    • MySQLDatabases
    • PostgreSQLDatabases
    • InVisionDesign
    • SketchDesign
    • Lucid ChartDesign
    • Aha!Management
    • ConfluenceManagement
    • JIRAManagement
    • Microsoft ProjectManagement
    • Microsoft DynamicsCRM

Location

We are downtown at 515 Congress Avenue, right in the heart of downtown! Tons of restaurants and close to public transportation.
Making Healthcare Better For All At Bright Health
Watch

An Insider's view of Bright Health

What’s the vibe like in the office?

The office has a relaxed and laid back vibe but people are very serious about their work - perfect!

Anthony

Data Engineer

What does your typical day look like?

My day is so varied, given how quickly we're growing, which is fulfilling for me. I have a good balance of strategic and tactical work in my day as well as time to focus and time to collaborate.

Jen

VP, Digital

What makes someone successful on your team?

A hard-working team player who thinks first and codes next is likely to learn a lot and quickly become a valuable member of the team. Lots of experience with some of our tooling is always nice, but if someone can't knowledge-share well or responds poorly to code reviews and other requests for collaboration, it'll be a tough fit.

Brian

Software Engineer 3

How do your team's ideas influence the company's direction?

We hire smart individuals who thrive on accomplishment and purpose. Our teams are exposed to the bigger picture through constant communication and dialogues – that encourages them to come up with innovative solutions to problems. We've made significant adjustments on our direction in technology and process that were initiated by the team.

Abdullah

VP, Engineering

What are Bright Health Perks + Benefits

Bright Health Benefits Overview

We have 3 different health insurance plans, all through Cigna (HDP, Premium HDP and PPO). We cover the majority of the cost for the employee and some cost for family. We have two dental plans and a vision plan as well. We have a Lifestyle Spending Account and options for HSA/FSA. We put 3% of your total earnings into your 401K plan and you are immediately vested. We have all the latest technology (Mac or Surface laptops – your choice) to use including standing desks. Fully stocked fridge with snacks and drinks.

Culture
Friends outside of work
Eat lunch together
Daily sync
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Dedicated Diversity/Inclusion Staff
Unconscious bias training
Someone's primary function is managing the company’s diversity and inclusion initiatives
Mean gender pay gap below 10%
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Bright Health employees can contribute up to $3500 annually to their FSA.
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Bright Health is proud to offer a wellness stipend of $200/month to all employees!
Onsite Gym
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
We will put 3% of your total earnings into your 401K plan, even if you don't put anything in. It's a safe harbor contribution.
401(K) Matching
Bright Health provides employees with a 401(k) plan managed by Vanguard. We provide a ‘safe harbor’ non-elective contribution equal to 3% of your compensation, regardless of participation in the p
Performance Bonus
Child Care & Parental Leave Benefits
Generous Parental Leave
We provide up to 6 weeks of parental leave for the primary caretaker. We also provide 2 weeks of leave for the secondary caretaker.
Flexible Work Schedule
Bright Health provides employees with a flexible work schedule that includes Core hours, Flexible start and end times.
Remote Work Program
Family Medical Leave
Company sponsored family events
Bright Health sponsors family oriented events Annually.
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Happy Hours
Happy hours are hosted on occasion.
Relocation Assistance
Fitness Subsidies
Bright Health employees are eligible for discounts on several gym memberships.
Home Office Stipend for Remote Employees
Professional Development Benefits
Diversity Program
Lunch and learns
Cross functional training encouraged
Promote from within
Online course subscriptions available
Customized development tracks

Additional Perks + Benefits

Bright's primary goal is to offer employee benefits and perks that are as flexible as possible to meet each employee's unique needs!

More Jobs at Bright Health75 open jobs
All Jobs
Finance
Data + Analytics
Design + UX
Dev + Engineer
Legal
Operations
Product
Project Mgmt
Sales
Operations
new
Remote
Product
new
Austin
Operations
new
Remote
Developer
new
Austin
Data + Analytics
new
Remote
Project Mgmt
new
Austin
Operations
new
Remote
Data + Analytics
new
Remote
Developer
new
Remote
Data + Analytics
new
Remote
Developer
new
Remote
Developer
new
Remote
Data + Analytics
new
Remote
Product
new
Austin
Data + Analytics
new
Remote
Data + Analytics
new
Remote
Data + Analytics
new
Austin
Finance
new
Remote
Data + Analytics
new
Remote
Data + Analytics
new
Remote
Operations
new
Austin
Operations
new
Remote
Data + Analytics
new
Remote
Data + Analytics
new
Remote
Data + Analytics
new
Remote
Data + Analytics
new
Remote
Project Mgmt
new
Remote
Project Mgmt
new
Remote
Data + Analytics
new
Remote
Operations
new
Remote
Data + Analytics
new
Austin
Design + UX
new
Austin
Design + UX
new
Austin
Operations
new
Remote
Developer
new
Remote
Developer
new
Austin