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SCAN

Not-for-profit Medicare Advantage plan for seniors

Senior Director - Vendor Management

Procurement & SourcingPosted on Nov 13
Full-timeLong Beach, CA, USA

About the Job

Requirements

  • A bachelor's degree in Business Administration, Healthcare Administration, Finance, Public Health, or a related field is required.
  • At least 12 years of healthcare industry experience, including significant leadership in vendor management, contracting, procurement, or health plan operations, is required.
  • At least 7 years of leadership experience, including leading leaders and directing complex cross-functional initiatives across the organization, is required.
  • Extensive experience supporting Medicare Advantage, Medicare Supplement, managed care, or health insurance products is required.
  • Demonstrated success developing vendor portfolio strategies and negotiating complex, high-value agreements with strategic partners is required.
  • Deep knowledge of healthcare regulatory requirements, including CMS and HIPAA, and experience supporting audits or regulatory examinations is required.
  • Proven ability to manage a large portfolio of vendors, contracts, budgets, and organization-wide initiatives simultaneously is required.
  • Advanced analytical, financial, negotiation, and problem-solving skills are required.
  • Executive-level communication, influence, and stakeholder management skills are required.
  • A master's degree is preferred.

Responsibilities

  • Define and carry out a multi-year strategy for the Supplemental Benefit vendor portfolio across Medicare Advantage and Medigap products.
  • Serve as the executive sponsor for strategic vendor partners and advise executive leadership on portfolio decisions, market trends, emerging capabilities, and differentiation opportunities.
  • Drive portfolio decisions on consolidation, replacement, insourcing or outsourcing, and new partnerships.
  • Establish and oversee the vendor governance framework, including executive business reviews, performance forums, strategic planning sessions, and escalation processes; set standards for consistent oversight across the vendor portfolio.
  • Provide strategic oversight of sourcing, evaluation, negotiation, and execution of complex, high-value vendor agreements, renewals, terminations, and competitive bids.
  • Partner with Legal, Compliance, Procurement, Member Experience, and Finance to ensure contracts cover regulatory, operational, performance, data privacy, and financial requirements; set standards for service level agreements, performance guarantees, and contractual accountability.
  • Own portfolio-level vendor economics, budgets, forecasts, and business cases; lead cost-management strategies that deliver measurable financial and operational value.
  • Set the performance management framework for supplemental benefit vendors, including key performance indicators, scorecards, service levels, quality metrics, utilization, and member outcomes; hold vendors and internal partners accountable for performance and corrective action plans.
  • Ensure the vendor portfolio complies with CMS requirements, Medicare Advantage and Medigap regulations, HIPAA, and applicable federal and state rules.
  • Lead portfolio-level risk assessment, monitoring, and audit readiness for delegated and non-delegated vendors; identify, escalate, and reduce significant operational, financial, regulatory, and reputational risks.
  • Lead decision-making across functions to align vendor strategy with benefit design, annual enrollment readiness, product launches, Quality and Stars priorities, and member experience goals; resolve complex tradeoffs and remove barriers to execution.
  • Present vendor portfolio performance, risks, and strategic recommendations to executive leadership and governance committees; represent the organization with senior vendor executives and external partners.
  • Use data, member feedback, complaints, appeals, and utilization trends to improve access, satisfaction, and service quality; sponsor initiatives that simplify the member experience and support growth.
  • Build and lead a high-performing vendor management organization, including leaders of leaders; define structure, roles, goals, and succession plans; foster a culture of accountability, collaboration, continuous improvement, and member-focused decisions.
  • Actively support the achievement of SCAN's vision and goals.
  • Perform other duties as assigned.

Desired Qualifications

  • Certification in procurement, contract management, project management, risk management, or vendor management.
  • Experience leading supplemental benefit vendor strategy within a Medicare Advantage organization.
  • Experience with delegated vendor oversight programs, third-party risk management, and CMS audit requirements.
  • Experience leading large-scale transformation, vendor consolidation, major implementations, or portfolio optimization.

About the Company

SCAN

Not-for-profit Medicare Advantage plan for seniors

SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Long Beach, CA
Founded
1977

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