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Pie Insurance

Tech-driven workers' comp for small businesses

Senior Manager - Claims Vendor Management

Procurement & SourcingConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A Bachelor's degree in Business Administration, Finance, Supply Chain Management, or a related field is required.
  • At least 10 years of experience in vendor management, procurement, or strategic sourcing is required.
  • At least 5 years of experience in the insurance industry, preferably in claims operations or vendor management, is required.
  • At least 3 years of people management experience, including oversight of managers or team leads, is required.
  • A proven track record of leading vendor contract negotiations and achieving significant cost savings is required.
  • Experience developing and implementing vendor management programs from the ground up is required.
  • A strong understanding of the workers' compensation and managed care vendor landscape, as well as legal, investigative, and support vendor categories, is required; commercial auto vendor experience is a plus.
  • Deep expertise in managed care services, including medical bill review, pharmacy benefit management, utilization review, and provider networks, is required.
  • Knowledge of legal vendor management, including law firm relationships and litigation support services, is required.
  • An understanding of investigative services, transportation, translation, and other ancillary claims support vendors is required.
  • Experience managing API-integrated technology vendors and understanding system integration requirements is required.
  • Advanced analytical skills to evaluate vendor performance data, identify cost-reduction opportunities, and apply conceptual thinking to complex organizational objectives are required.
  • Experience conducting vendor billing audits and comprehensive spend analysis across multiple vendor categories is required.
  • A strong understanding of RFP processes, contract negotiation strategies, and vendor selection criteria for operational and managed care vendors is required.
  • The ability to benchmark vendor costs against market rates and industry standards is required.
  • Experience developing and implementing sunset programs for vendor portfolio optimization is required.
  • Proficiency with contract management systems and vendor performance tracking tools is required.
  • The ability to evaluate complex variables and apply analytical and critical-thinking skills to cross-functional vendor projects is required.
  • Exceptional relationship management skills and the ability to influence senior executives and vendor partners are required.
  • Advanced communication skills to present complex vendor analysis and recommendations to leadership are required.
  • The ability to build consensus among stakeholders in Claims, Legal, Finance, and Procurement is required.
  • Experience managing vendor relationships at the executive level is required.
  • Strong negotiation skills and a demonstrated ability to achieve favorable contract terms are required.
  • Experience building and leading teams to execute strategic vendor management programs, including oversight of experienced professionals and subordinate managers, is required.
  • The ability to develop and implement enterprise-wide processes and standards is required.
  • A track record of driving organizational change and process improvement initiatives is required.
  • Demonstrated leadership in cross-functional environments and the ability to establish objectives, policies, and work plans are required.
  • The ability to establish psychological safety for team members to test, learn, and grow is required.
  • The ability to coach team members toward self-sufficiency through effective questions, guidance, empowerment, and accountability is required.
  • Experience advising team members on moderately complex vendor management matters is required.
  • Disciplinary and functional expertise in vendor management across multiple vendor categories is expected to be recognized across the organization.
  • The role typically directly manages two or more vendor disciplines or a department.
  • The role oversees experienced professionals and may be responsible for subordinate managers or team leads.
  • The role develops, modifies, and executes processes and procedures affecting the department and potentially the company.
  • Advanced curiosity, tenacity, flexibility, adaptability, receptiveness to challenge and feedback, and the ability to anticipate and solve complex problems are required.
  • Advanced ability to achieve cross-functional goals and build buy-in for complex vendor proposals and projects is required.

Responsibilities

  • Establish and implement a comprehensive Claims Vendor Management program for strategic claims vendors.
  • Develop and lead the vendor management strategy for the Claims Department in partnership with Claims leadership.
  • Build and manage a vendor management team to support strategic initiatives, including oversight of direct reports.
  • Create and maintain a centralized repository of vendor contracts with visibility across departments.
  • Implement vendor performance management frameworks and accountability structures.
  • Develop policies, procedures, and work plans that affect the department and may have company-wide impact.
  • Provide high-level oversight of critical managed care program vendors, focusing on medical bill review, pharmacy benefit management, utilization review, and provider networks.
  • Ensure managed care vendors deliver quality services supporting medical cost-containment objectives.
  • Monitor compliance with contractual obligations and service-level agreements for high-risk managed care vendor relationships.
  • Collaborate with the Senior Director of Managed Care Services on vendor strategy and performance.
  • Assess the impact of vendor performance on medical loss costs and claim outcomes.
  • Lead initiatives to optimize managed care vendor portfolios and drive cost savings.
  • Oversee Claims vendor categories, including legal vendors, investigative services, support vendors, and API-integrated technology vendors.
  • Develop vendor management strategies tailored to the requirements of each vendor category.
  • Balance strategic focus on high-impact managed care vendors with effective oversight of other vendor types.
  • Ensure consistent application of vendor management standards across vendor categories.
  • Coordinate vendor relationships to support seamless Claims operations and optimal outcomes.
  • Implement a sunset program to identify and eliminate redundant or underperforming vendor contracts.
  • Establish and manage a formal RFP process for competitive and transparent vendor selection.
  • Lead contract negotiations, renewals, and renegotiations to drive cost savings and improve terms.
  • Develop sourcing strategies with internal Claims leadership to achieve cost reductions.
  • Analyze internal vendor costs against market forces to reduce claims costs and gain competitive advantages.
  • Drive larger vendor initiatives that contribute to multiple areas of the organization.
  • Set up and facilitate quarterly or annual meetings with Claims and vendor executives to discuss performance and action items.
  • Collect and collate vendor performance feedback and review vendor spend and billing practices across managed care, legal, investigative, support, and technology vendors.
  • Establish KPIs to monitor vendor performance, accountability, and continuous improvement.
  • Perform vendor billing audits and lead vendor spend reviews to identify incorrect billing practices.
  • Serve as the central point of contact for strategic claims vendors.
  • Lead the transition of vendors to improved billing and bulk-billing practices.
  • Implement plans agreed with Claims leadership to optimize billing processes.
  • Ensure compliance with billing practices and enterprise standards.
  • Partner with Claims leadership, Legal, Finance, and Procurement to ensure alignment and compliance.
  • Drive vendor management initiatives using project management skills and provide regular updates.
  • Collaborate with cross-functional teams to support product launches, operational needs, and strategic goals.
  • Partner with Claims Operations, Regulatory Compliance, and Claims Adjudication teams on vendor-related matters.
  • Work with Finance on budget management and cost-containment initiatives.
  • Coordinate with Legal on contract reviews, negotiations, and compliance matters.

Desired Qualifications

  • A Master's degree is preferred.
  • Experience with commercial auto vendors is a plus.

About the Company

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Pie Insurance

Tech-driven workers' comp for small businesses

Pie Insurance provides workers’ compensation insurance for small businesses. Its product uses data-driven technology to underwrite and price policies, delivering fast, online access with quotes in about three minutes. The platform processes, underwrites, and issues workers’ comp coverage, with nationwide availability across 38 states and Washington, D.C., offering potential savings of up to 30% and straightforward terms for small business owners.

Company size
201-500
Company stage
Series D
Total funding
$620.3M
Headquarters
Denver, CO
Founded
2017

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