Manager, Healthcare Vendor Contracts and Analytics
UNITE HERE HEALTH · Las Vegas, NV · 3 wk ago
Hybrid$114k–$142k/yrFull-time
UNITE HERE HEALTH serves over 200,000 workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Manager of Healthcare Vendors & Analytics will be responsible for overseeing the Las Vegas Managed Care Specialist team and managing key healthcare vendor relationships that support the Hospitality Health Plan and analytics. This role leads contract bidding processes, cost containment initiatives, and the development of reports and executive-level presentations. The Manager ensures effective performance and alignment across multiple vendors, including customer service, claims administration, HRA management, and coalition partnerships, while driving data-informed decision-making and operational excellence. Essential Job Functions And Duties Vendor & Contract Management Manage healthcare vendor contracts and oversee the bidding and renewal processes to ensure cost-effectiveness and service quality.Oversee vendor performance related to customer service, claims processing, and administrative functions, including MagnaCare Customer Service and Claims.Manage HRA administration and vendor relationships.Oversee Pacific Health Coalition partnership with Aetna CVS to ensure contractual compliance and operational effectiveness. Cost Containment & Strategy Lead cost containment initiatives and identify opportunities to reduce healthcare costs while maintaining access and quality.Collaborate with internal leadership to recommend operational improvements, vendor changes, and plan design strategies. Compliance & Performance Oversight Ensure vendors meet contractual obligations, regulatory requirements, and service level agreements (SLAs).Monitor trends and resolve escalated vendor, claims, or service issues as needed. Leadership & Team Management Oversee and provide leadership to the Analytics and Vendor Specialist team, ensuring performance, accountability, and professional development. Plans, analyzes, and evaluates programs and services, operational needs, and fiscal constraints Supervises, leads, and delegates work and coaches, mentors, develops employees Analyzes problems, identifies, and develops alternative solutions, projects consequences of proposed actions, and implements recommendation/solutions. Recommends hires and promotions, directs, and evaluates employment decisions for all assigned positions Assists with developing and coordinating policies and proceduresResponsible for the oversight of continued employee training requirements, safety, and quality initiativesExemplifies the Fund’s BETTER Values and professional effectiveness dimensions in leading and fostering a respectful, trusting, and engaged culture of diversity and inclusionPerforms other duties as assigned within the scope of responsibilities and requirements of the jobPerforms Essential Job Functions and Duties with or without reasonable accommodation Analytics, Reporting & Presentations Direct the development and analysis of reports related to utilization, cost containment, vendor performance and plan outcomes.Ensure timely and accurate reporting and prepare presentations for leadership, committees, and stakeholders.Use data insights to support strategic planning, vendor decisions and plan design enhancements. Essential Qualifications Years of Experience and Knowledge 5-7 years minimum of direct experience working directly in the RFP process and participating in the negotiations of contracts with entities such as BCBS, Aetna and Third Party Administrators (TPA). 3-5 years of department management experience required Working experience in healthcare vendor management, analytics and managed care operationsExperienced in relationship building and contract negotiationsExperienced in project management processesExperienced in data analysis and report writingWorking knowledge of Unions and Taft Hartley Funds preferred Education, Licenses, and Certifications Bachelor's degree in healthcare administration, business, analytics, or related field or equivalent work experience requiredPreferred: Master’s degree in Business Administration, Public Health, Healthcare Administration, or related field Skills And Abilities Intermediate level Microsoft Office skills (PowerPoint, Word, Outlook)Intermediate level Microsoft Excel skills10% ~ 15% travelComfortable with the use of technology in the accomplishment of responsibilities such as videoconferencing, creating PowerPoint presentations, use of Excel to create statistical analysis and use of other Microsoft Office toolsStrong written and verbal skills.Project management skills strongly desiredAble to manage competing deadlines and multiple projects in a fast-paced environment Salary range for this position: Salary $113,600 - $142,000. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Pension, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP).