DELEGATION AND VENDOR OVERSIGHT MANAGER - HEALTH PLAN SERVICES

DELEGATION AND VENDOR OVERSIGHT MANAGER - HEALTH PLAN SERVICES Job Number: 00139707 Job Posting : Oct 20, 2026, 10:45:34 AM Closing Date : Nov 3, 2026, 11:59:00 PM Full-time Shift Start Time: 8:30 A.M. Shift End Time: 4:30 P.M. Collective Bargaining Unit: None Posting Salary: $112,095 - $139,952 Organization : Health and Hospital Systems LOCATION: 605 S. Wolcott Ave. Chicago, IL 60612 SHIFT: 8:30 AM - 4:30 PM This position is exempt from Career Service under the CCH Personnel Rules. JOB SUMMARY The Delegation and Vendor Oversight (DVO) Manager, Health Plan Services is responsible for providing assistance with oversight of delegates and vendors contracted with CountyCare. This position will be onboard and monitor delegates and vendor contracts and relationships. Manages an expanding managed care population for Medicaid and Medicare and implements enhanced capabilities for accountability and integrity of daily operations. Adheres to fraud and abuse prevention and/or detection policies and programs according to regulatory requirements. GENERAL ADMINISTRATIVE RESPONSIBILITIES Collective Bargaining Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals Participate in collective bargaining negotiations, caucus discussions and working meetings Discipline Document, recommend and effectuate discipline at all levels Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements Initiate, authorize and complete disciplinary action pursuant to CCH system rules, policies, procedures, and provision of applicable collective bargaining agreements Supervision Direct and effectuate CCH management policies and practices Access and proficiently navigate CCH records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements Management Contribute to the management of CCH staff and CCH’ systemic development and success Discuss and develop CCH system policy and procedure Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire, transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements Work with Labor Relations to discern past practice when necessary TYPICAL DUTIES Performs pre-delegation and annual audits per regulatory, State, and accreditation standards for all delegates. Assists on onboarding new delegates and vendors and measuring each delegate and vendors Key Performance Indicators and contracted metrics. Remains current with each delegate and vendor contracts and scope of work and updating scope of works as needed. Establishes a strong relationship with each vendor and contractor to meet set key performance indicators. Participates and may facilitate Joint Operation Meetings including Delegation and Vendor Oversight Committee. Assists drafting Request for Proposals and collaborating with Supply Chain Management Procurement process. Takes corrective action as necessary to address disciplinary concerns; makes recommendations to diminish the impact on productivity. Implements enhanced capabilities for accountability and integrity of daily operations. Plans and directs all aspects of the operations for assigned products and programs. Oversees all aspects of assigned products and programs, establishing objectives, policies and procedures. Ensures operational processes and policies are compliant with corporate standards and applicable local, state and federal regulations Provides resolutions to managed care contractual issues pertaining to contract interpretation. Adheres to confidentiality standards and HIPAA compliance programs. Performs other duties as assigned. MINIMUM QUALIFICATIONS Bachelor's degree from an accredited college or university is required (Must provide official transcrip…

View the full posting and apply