Director, Vendor Management

Come Grow With Us At Gold Coast Health Plan, we are driven to create the health plan of the future - today. We are disrupting the conventions of the health care industry by creating and applying leading-edge solutions to its many challenges. Working at Gold Coast Health Plan means working alongside a team of committed individuals who are reshaping the organization and redefining how the needs of the whole person – health, health care, and social services and supports – are met. We are seeking collaborators, innovators, and those who are driven to be their very best. If you are looking for a career of purpose and are passionate about having an impact on society’s health care challenges, then Gold Coast Health Plan is where you should be. Here, you will be challenged and rewarded in equal measure. About this role: Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. **This position is open to California residents only.** ESSENTIAL FUNCTIONS Job Function & Responsibilities Enterprise Vendor Management Strategy Develop and execute the enterprise strategy, operating model, and governance framework for third-party vendor management. Establish standards, policies, procedures, and controls governing the full vendor lifecycle. Align vendor strategy with organizational business objectives, healthcare operations priorities, financial goals, member experience, and quality outcomes. Develop and maintain a comprehensive vendor portfolio strategy, including segmentation based on strategic importance, financial impact, operational criticality, and risk. Provide executive leadership with recommendations regarding outsourcing, insourcing, vendor consolidation, strategic partnerships, and sourcing opportunities. Establish appropriate governance structures for strategic, critical, and high-risk vendors. Executive Vendor Governance & Performance Provide executive oversight of strategic and critical vendor relationships. Establish enterprise standards for vendor KPIs, SLAs, quality measures, performance guarantees, scorecards, and reporting. Lead executive business reviews with key vendors and internal stakeholders. Evaluate vendor performance trends and translate data into actionable business recommendations. Ensure vendor performance is consistently aligned with contractual obligations and organizational expectations. Direct the development and execution of corrective action and performance improvement plans for underperforming vendors. Serve as the executive escalation point for significant or persistent vendor performance issues. Managed Healthcare Operations Provide strategic oversight of vendors supporting critical healthcare functions, services, and operational processes. Ensure vendor operations align with applicable healthcare laws, regulations, contractual requirements, accreditation standards, and organizational policies. Ensure third-party services support quality, efficiency, regulatory compliance, member satisfaction, provider experience, and organizational performance. Partner with operational and clinical leaders to assess vendor capabilities, service models, capacity, scalability, and operational effectiveness. Monitor vendor compliance with applicable privacy, security, quality, and business-continuity requirements. Evaluate the impact of vendor performance on members, providers, clients, and other key stakeholders. Participate in audits, regulatory inquiries, risk assessments, and remediation activities involving third-party vendors. Ensure vendor oversight practices are appropriate for the organization's managed care and healthcare operating environment. Risk, Compliance & Regulatory Oversight Establish an effective framework for identifying, ass…

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