Overview

Conducts periodic and routine on-site and desk-top audits of functions managed by delegated vendors. Provides detailed report of findings to the leadership. Ensures audits are completed and that recommended actions have been adopted; reassess performance if necessary. Works under general direction.

Responsibilities
Assists the manager with the development, implementation and maintenance of the Delegation Oversight Program and Annual Workplan.Conducts, manages and oversees periodic and routine on-site and desk-top audits of delegated vendors.  Provides detailed report of findings.  Ensures audits are completed and that recommended actions have been adopted; reassess performance if necessary.Reviews required performance reports from delegated business partners.  Monitors key performance indicators and informs manager and other CHOICE leadership of any identified performance issues.Prepares reports of oversight activities for the Delegation Oversight Subcommittee.Keeps abreast of current industry trends, governing regulations, and industry best practices pertaining to business outsourcing, vendor management and delegation oversight.  Informs leadership of trends/changes and makes recommendations based on this information.Participates in special projects and performs other related duties as assigned.
Qualifications
Education:  Bachelor’s Degree in Business, Health Administration, Health Policy or related discipline required.  Master’s Degree in related field preferred.

Experience:  Minimum three years of experience in delegated operations, vendor management and/or with network service in a health care organization, preferably managed care, required.  Auditing experience required.  Experience working with providers required.  Effective oral / written communication and interpersonal skills required.