Senior Manager, Claims Vendor Management
Pie Insurance · Remote · United States · $130k–$160k
Posted by Pie Insurance on their careers site · View the original posting
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The posting, as Pie Insurance wrote it
Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.
Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make.
The Senior Manager, Claims Vendor Management will establish and lead Pie's comprehensive Claims Vendor Management program for all strategic claims vendors, with significant responsibility for oversight of high-risk managed care program vendors. This role oversees the full spectrum of Claims vendor relationships including managed care services (medical bill review, pharmacy benefit management, utilization review, provider networks), legal vendors (law firms and litigation support), investigative services, support vendors (transportation, translation), and API-integrated technology vendors. The Senior Manager is responsible for developing and executing a comprehensive vendor strategy, including implementing a sunset program to eliminate redundant contracts, establishing a formal RFP process for competitive vendor selection, and leading contract negotiations and renegotiations to optimize value and performance across all vendor categories. This role requires exceptional relationship management skills, advanced analytical capabilities to identify cost reduction opportunities, and the ability to collaborate across Claims, Legal, Finance, and Procurement to drive vendor performance improvements and ensure compliance with billing practices.
How You'll Do It
Vendor Management Program Development
- Establish and implement a comprehensive Claims Vendor Management program for Pie's strategic claims vendors
- Develop and lead vendor management strategy for the Claims Department in partnership with Claims leadership
- Build and manage a vendor management team to support strategic initiatives, including leadership oversight of direct reports
- Create and maintain a centralized repository of all 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
Managed Care Vendor Oversight
- Provide high-level oversight of critical managed care program vendors with significant focus on medical bill review, pharmacy benefit management, utilization review, and provider networks
- Ensure managed care vendors deliver quality services that support medical cost containment objectives
- Monitor compliance with contractual obligations and service level agreements for high-risk managed care vendor relationships
- Collaborate with Senior Director, Managed Care Services on vendor strategy and performance
- Assess vendor performance impact on medical loss costs and claim outcomes
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are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.
Base Compensation Range
$130,000 — $160,000 USD
Compensation & Benefits
- Competitive cash compensation
- Comprehensive health plans
- Generous PTO
- Future focused 401k match
- Generous parental and caregiver leave
- Our core values are more than just a poster on the wall; they’re tangibly reflected in our work
Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.
Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.
Location Information
Unless otherwise specified, this role is remote. Remote team members must live and work in the United States ( territories excluded ) and have access to reliable, high-speed internet.
Additional Information
Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.
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Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.