Vendor Partner Specialist, Oversight Dental Benefits Services
HealthFirst
Summary
The Vendor Partner Specialist, Operations Oversight & Enhancements of Dental Benefit Services is responsible for supporting operational oversight and enhancements that the vendor delivers against contract, quality, and regulatory commitments. The role collaborates cross-functionally internally and externally, managing day-to-day operational needs and escalations, and supports monitoring of vendor performance against SLAs, KPIs, and contractual agreements.
Job description
Duties & Responsibilities
- Partners with business units and vendor to triage operational issues day-to-day; supports cross-functional workstreams across teams and stakeholders
- Supports corrective action plans when performance falls short of standards
- Supports vendor implementations and updates as well as annual go-to-market readiness
- Monitors and tracks vendor performance guarantees and reports monthly and quarterly; participates in Vendor Performance Committee, Joint Operating Committee, and other meetings
- Monitors accuracy of members' search experience; audits and reports on progress quarterly, developing insights on priority areas to improve
- Conducts regular outreach to select member cohorts and monitors impact
- Supports internal, regulatory, and member-facing audits related to the dental program
- Supports targeted member materials and ensures accuracy; ensures all Healthfirst dental materials are updated timely and accurately at least annually
- Inventories and reviews member-facing dental messaging, letters, forms, and materials and identifies opportunities to improve members' understanding of dental benefits
- Identifies potential fraud, waste, and abuse by dentists; outreaches dental prescribers with out-of-scope prescriptions at least quarterly
- Additional duties as necessary and as directed
Minimum Qualifications
- HS Diploma or GED from an accredited institution
- Work experience in dental, healthcare, managed care, operations, or related field
- Effective written and verbal communication skills
- Demonstrated ability at planning, organizing, and executing
- Ability to maintain a balance of strategic vision and successful implementation
- Proficiency in Excel, PowerPoint, Word
Preferred Qualifications
- Bachelor's Degree or higher from an accredited institution
- Analytical and operational experience
- Proven track record of effectively supporting a team to improve processes and identify areas of improvement
- Drive to continually identify areas of opportunities and develop concise approaches to implement improvements
- Demonstrated ability to effectively pay attention to details in a fast-paced environment
Requirements
- HS Diploma or GED from an accredited institution
- Work experience in dental, healthcare, managed care, operations, or related field
- Effective written and verbal communication skills
- Demonstrated ability at planning, organizing, and executing
- Ability to maintain a balance of strategic vision and successful implementation
- Proficiency in Excel, PowerPoint, Word
- Bachelor's Degree or higher from an accredited institution (preferred)
- Analytical and operational experience (preferred)
- Proven track record of supporting a team to improve processes (preferred)
- Attention to detail in a fast-paced environment (preferred)
Benefits
- Medical, Dental & Vision
- Incentive Programs
- Recognition Programs
- Life Insurance
- 401(k) Contributions
Company overview
HealthFirst is a medical equipment manufacturing company specializing in the development and production of healthcare devices and diagnostic equipment. As a medical device manufacturer, the company focuses on creating innovative solutions that enhance patient care and improve clinical outcomes. HealthFirst operates in the competitive medical technology sector, where it likely develops products ranging from diagnostic instruments to therapeutic devices used in various healthcare settings. The company's commitment to quality and regulatory compliance positions it as a reliable provider of medical equipment to hospitals, clinics, and healthcare facilities. With expertise in medical device engineering and manufacturing, HealthFirst contributes to advancing healthcare technology while maintaining rigorous standards for safety and efficacy. The company's products are designed to meet the evolving needs of healthcare professionals and patients, supporting improved diagnosis, treatment, and monitoring of medical conditions across different therapeutic areas.