Manager, Claims Vendor Management

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance. Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make. The Manager, Claims Vendor Management leads Pie's Claims Vendor Management program for assigned strategic claims vendors, with a strong focus on oversight of managed care program vendors. This role manages Claims vendor relationships including managed care services (medical bill review, pharmacy benefit management, utilization review, provider networks), legal vendors (law firms and litigation support), investigative services, support vendors (transportation, translation), and API-integrated technology vendors. The Manager executes vendor strategy in partnership with Claims leadership, including supporting a sunset program to eliminate redundant contracts, running a formal RFP process for competitive vendor selection, and leading contract negotiations and renegotiations to optimize value and performance within their assigned vendor categories. This role requires strong relationship management skills, solid analytical capabilities to identify cost reduction opportunities, and the ability to collaborate across Claims, Legal, Finance, and Procurement to drive vendor performance improvements and ensure compliance with billing practices. How You'll Do It Vendor Management Program Development Support implementation of Pie's Claims Vendor Management program for assigned strategic claims vendors. Execute vendor management strategy for the Claims Department in partnership with Claims leadership. Support and help develop vendor management team members contributing to strategic initiatives. Create and maintain a centralized repository of all vendor contracts with visibility across departments. Implement vendor performance management frameworks and accountability structures. Support policies, procedures, and work plans that affect the team and contribute to department-wide initiatives. Managed Care Vendor Oversight Provide oversight of managed care program vendors with a focus on medical bill review, pharmacy benefit management, utilization review, and provider networks. Ensure managed care vendors deliver quality services that support medical cost containment objectives. Monitor compliance with contractual obligations and service level agreements for managed care vendor relationships. Collaborate with Senior Director, Managed Care Services on vendor strategy and performance. Assess vendor performance impact on medical loss costs and claim outcomes. Support initiatives to optimize managed care vendor portfolios and drive cost savings. Comprehensive Vendor Portfolio Management Manage day-to-day vendor relationships across legal vendors (law firms and litigation support), investigative services, support vendors (transportation, translation), and API-integrated technology vendors. Apply vendor management strategies tailored to the unique requirements of each vendor category. Balance focus on managed care vendors while maintaining effective oversight of other assigned vendor types. Ensure consistent application of vendor management standards across diverse vendor categories. Coordinate vendor relationships to support seamless Claims operations and optimal outcomes. Strategic Vendor Initiatives Support a sunset program to identify and eliminate redundant or underperforming vendor contracts across assigned vendor categories. Run a formal RFP process to ensure competitive and transparent vendor selection. Lead contract negotiations, renewals, and renegotiations to drive cost savings and improved terms for Pie. Support sourcing strategies in collaboration with Claims leadership to achieve cost reductions. Analyze internal vendor costs against market f…

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