Senior Manager, Claims Vendor Management

The role

The Senior Manager, Claims Vendor Management will establish and lead a comprehensive Claims Vendor Management program. This person will oversee strategic claims vendors, including managed care, legal, investigative, support, and technology vendors.

What you will do

• Establish and implement a comprehensive Claims Vendor Management program
• Develop and lead vendor management strategy for the Claims Department
• Build and manage a vendor management team
• Create and maintain a centralized repository of all vendor contracts
• Implement vendor performance management frameworks
• Provide high-level oversight of critical managed care program vendors
• Implement a sunset program to eliminate redundant contracts
• Establish and manage a formal RFP process
• Lead contract negotiations, renewals, and renegotiations
• Perform vendor billing audits and lead vendor spend reviews

Required qualifications

• Bachelor's degree in Business Administration, Finance, Supply Chain Management, or related field
• 10+ years of experience in vendor management, procurement, or strategic sourcing
• 5+ years of experience in insurance industry
• 3+ years of people management experience, including oversight of managers or team leads
• Proven track record of leading vendor contract negotiations and achieving significant cost savings
• Experience developing and implementing vendor management programs from the ground up
• Strong understanding of workers' compensation and managed care vendors landscape, as well as legal, investigative, and support vendor categories
• Deep expertise in managed care services including medical bill review, pharmacy benefit management, utilization review, and provider networks
• Knowledge of legal vendor management including law firm relationships and litigation support services
• Understanding of investigative services, transportation, translation, and other ancillary claims support vendors
• Experience managing API-integrated technology vendors and understanding system integration requirements

Nice to have

• Master's degree
• experience with commercial auto vendors is a plus

Benefits

• Competitive cash compensation
• Comprehensive health plans
• Generous PTO
• Future focused 401k match
• Generous parental and caregiver leave
• Discretionary bonuses to eligible team members

Before you apply

• Remote team members must live and work in the United States ( territories excluded ) and have access to reliable, high-speed internet
• Pie utilizes AI-powered tools to assist in the initial screening of applications
• Pie may use AI assistant video tools during interviews

About the company

Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. They leverage technology to transform how small businesses buy and experience commercial insurance.