Manager of PB Vendor Management - FPA CBO

Responsibilities

• Oversees day-to-day operations of PB revenue cycle vendors, ensuring compliance with contractual terms, service-level agreements, and performance expectations.
• Develops and monitors KPIs related to vendor productivity, quality, turnaround times, AR performance, denials, and customer service metrics.
• Conducts regular vendor performance reviews, prepares scorecards, and leads governance meetings with internal leadership and vendor partners.
• Identifies operational gaps and collaborates with vendors and internal teams to implement process improvements.
• Serves as the primary liaison between PB operations and external vendors, ensuring timely communication and issue resolution.
• Reviews vendor workflows to ensure alignment with institutional policies, payer requirements, and regulatory guidelines.
• Tracks and reports vendor performance on a daily, weekly, monthly, and annual basis; escalates concerns and recommends corrective actions.
• Collaborates with PB leadership, IT, Compliance, and Finance to support system enhancements, workflow redesign, and strategic initiatives involving vendor services.
• Supports contract renewals, RFP processes, and vendor evaluations by providing data, analysis, and operational insights.
• Ensures vendors maintain appropriate staffing levels, training, and competency to meet organizational needs.
• Maintains professional and technical knowledge by attending educational workshops, reviewing publications, and participating in professional networks.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 5–7 years of healthcare revenue cycle experience, preferably in Professional Billing.
• Experience managing external vendors or outsourced revenue cycle functions strongly preferred.
• Strong understanding of PB billing, coding, AR, and denials workflows.