Job Attributes

Work Schedule/Shift

Day

Job ID

5000429913606

Req. No

70032497

Job Title

Delegated Vendor Account Representative

Region

CHRISTUS System Office

Category

Healthcare

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

Corp USFHP-55100

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Delegated Vendor Account Representative Job in Irving

Primary coordinator of all vendor relationships whether clinical or nonclinical. This role includes interaction with vendors relative to vendor management, monitoring, auditing, reporting, credentials, data analysis, project management, and regulatory compliance with CMS, NM OSI, TDI, NCQA, and URAC.

MAJOR RESPONSIBILITIES

  • Coordinates conduct, and documents delegation assessments as necessary to comply with state, federal, NCQA and any other applicable requirements.
  • Develop and prepare status reports from Delegated Entities. Assist with developing corrective action plans when deficiencies are identified, and documents follow-up to completion. Ensures compliance with reporting requirements by tracking the receipt and completeness of reports.
  • Assists with meetings of the Delegation Oversight Committee, including the preparation of documents for committee oversight of delegated functions.
  • Works with the various departments as applicable to develop and maintain delegation agreements and assessment tools.
  • Prepares delegation oversight document evidence for state and federal monitoring visits and NCQA accreditation surveys.
  • Assist in preparation of audits, which includes departmental education, training/meetings, and quality communication.
  • Vendor Relationships- Management, PBM's, Non-Clinical
  A. Education/Skills
  • BA/BS
  • Working knowledge of Microsoft Excel
  • Working knowledge of Database Management

 B. Experience

  • 3 years Health Plan and/or Managed Care Experience
  • Minimum 1-year experience completing delegation oversight assessment/audits
  • Data analysis experience
  • Quality management/regulatory experience with increasing responsibility preferred

  

C. Licenses, Registrations, or Certifications
  • N/A
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