a. Provide strategic oversight of Wellmark's ancillary vendors including building and maintaining the external third-party relationships. Manage the daily interactions and the relationship between Wellmark and its ancillary vendors. Establish and build excellent trust-based working relationships with procurement, business partners and vendors. Work to effectively grow and maintain business relationships with the vendor and provide ongoing management and oversight of those relationships.
b. Provide oversight and administration for quarterly, semi-annual, and annual business reviews as appropriate involving the correct internal and external stakeholders.
c. Serve as the primary contact for vendors involved in the management of Wellmark ancillary products. Oversee resolution of production issues by knowing the appropriate resources to collaborate with to ensure issues are communicated effectively and resolved with minimal customer disturbance. Work with key subject matter experts to identify root causes of problems and ensure they are corrected appropriately.
d. In conjunction with procurement, ensure that contracts are mutually agreeable and that the terms of the contract are in the best interest of our customers. Work closely with Strategic Sourcing, Contract Administration and other business units to ensure SLAs, deliverables, compliance requirements and internal/external expectations are met.
e. Work with the product team to oversee and prioritize planning and implementation of the new products associated with our ancillary vendors in support of new strategic goals and within existing budget.
f. Monitor vendors’ performance to ensure compliance with SLAs and facilitate corrective action regarding performance issues to resolution with the vendor. In conjunction with procurement, provide business leadership in RFPs and participate in vendor contract negotiations as needed and identify potential improvement opportunities in current vendors’ contracts.
g. Ensure vendors are properly educated on Blue Cross Blue Shield Association and Wellmark expectations and monitor vendor compliance, as appropriate. Ensure vendor products comply with ACA regulations as defined by the product team.
h. Oversee the daily administration of vendors, while establishing and maintaining vendor metrics to evaluate, monitor and manage vendor performance based on defined set of criteria. Responsible for the execution of vendor management program elements such as quarterly business reviews, annual vendor reviews, including reporting as required. Consult with internal resources to identify and resolve service level issues, diagnose poor vendor performance and oversee all remediation activities. Conduct onsite vendor evaluations pre/post implementation as necessary to resolve ongoing service level issues.
i. Review/reconcile invoices for completeness and accuracy. Will oversee and report monthly/quarterly spend to forecast and ensure vendor spend is within budget. Report status to leadership, as requested.
j. Be the primary point of contact for Wellmark with the vendor to support the needs of business area and facilitate conversations as needed. Investigate new opportunities and leverage vendor technology solutions wherever possible to improve the overall efficiency of administering ancillary product benefits to Wellmark members.
k. Other duties as assigned.