Job Summary:
The Finance Vendor Governance Program Manager is responsible for managing the enterprise vendor governance program, ensuring financial terms of vendor contracts are consistently implemented, operationalized, and sustained in compliance with contractual, regulatory, and internal control requirements. This role is accountable for the end-to-end governance lifecycle, including vendor onboarding, financial compliance, performance management, payment accuracy, audit readiness, and continuous improvement. Partnering cross functionally with Finance, Operations, Compliance, Markets, and other stakeholders, the Program Manager establishes governance frameworks, defines standards and controls, monitors program performance, and drives remediation and optimization efforts. The role ensures vendor activities align with business expectations, mitigate financial and compliance risk, and enable accurate, timely vendor payments at scale.
Essential Functions:
- Own and manage the enterprise vendor financial governance program, including standards, controls, workflows, documentation, and performance monitoring.
- Establish andmaintaingovernance frameworks to ensure vendor financial terms are implemented andmaintainedin alignment with contractual, regulatory, and operational requirements.
- Serve as a primary point of accountability for vendor financial governance issues, risks, and escalations.
- Act as a strategic liaison across Finance, Operations, Compliance, and Markets to ensure vendor payments areaccurate,timely, and aligned with contract terms, performance standards, and business expectations.
- Influence and coordinate stakeholders to drive alignment, resolve issues, and ensure consistent execution of vendor governance practices across the enterprise.
- Represent Finance Vendor Governance inenterprise-wideworkgroups and initiatives, advancing standardization and program maturity.
- Serve as a subject matter expert for vendor and provider contracts by interpreting financial, business, and regulatory terms and translating them into operational requirements and controls.
- Provide guidance to internal stakeholders on contract interpretation, financial implications, and governance requirements.
- Oversee vendor performance monitoring, including SLAs, deliverables, turnaround times, and reporting requirements.
- Develop, track, and manage performance improvement plans, including financial penalties, credits, andutilizationmetrics to ensure adherence to contractual obligations.
- Identifyand address performance, compliance, and financial risks throughdata drivenanalysis and corrective action planning.
- Lead preparation for and support internal and external audits, regulatory reviews, and risk decision memorandums (RDMs) related to vendor sourcing, oversight, and financial controls.
- Ensure documentation, controls, and processessupportaudit readiness and regulatory compliance.
- Drive continuous improvement initiatives related to vendor onboarding, implementation, payment processes, and compliance readiness.
- Analyze data and reporting toidentifygaps, risks, and opportunities to improve vendor performance, payment accuracy, and operational efficiency.
- Develop andmaintainprogram documentation, including contracts, templates, playbooks, and standard operating procedures, ensuring consistency and scalability.
- Prepare and delivermarket leveland enterprise reporting on vendor performance, financial compliance, risks, and program outcomes.
- Serve as a liaison between market stakeholders and corporate teams to ensure transparency, alignment, andissueresolution.
- Perform any other job related duties as requested.
Education and Experience:
- Bachelor's degree in Business Administration, Finance, Healthcare Administration, Accounting or related field required
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Seven (7) years of vendor governance, financial operations, healthcare administration or related operational oversight roles. required
- Three (3) years of experience interpreting and applying contractual terms, service level agreements (SLAs), and regulatory requirements required
- Demonstrated experience supporting vendor onboarding, implementation, and ongoing operational oversight, including financial accuracy, payment validation, and performance monitoring required
- Experience supporting internal and external audits, regulatory reviews and vendor compliance activities required
- Experience working in regulated healthcare environments such as health plans or managed care organizations, with exposure to Medicaid, Medicare, and/or valuebased care programs required
Competencies, Knowledge and Skills:
- Advanced proficiency with reporting and reconciliation tools (e.g., Excel)
- Proficient with Microsoft Office to include Word, Excel and PowerPoint
- Excellent written and verbal communications skills
- High level of analytical/problem solving skills
- Ability to develop, prioritize and accomplish goals
- Demonstrates excellent analysis and reporting skills
- Strong interpersonal skills and high level of professionalism
- Effective listening and critical thinking skills
- Understanding of healthcare payer industry
- Effective problem-solving skills with attention to detail
- Ability to work independently and within a team
- Excellent collaboration skills
- Ability to create and maintain excellent working relationships
- Knowledge of third-party agreements (TPA), business process outsourcing (BPO), FDR/delegated entities, provider contracting and/or or provider contracts preferred
- Strong project management skills, including coordinating cross-functional initiatives and managing multiple priorities
- Ability to partner with Finance, Compliance, Legal, and Operations to ensure vendor performance and payment alignment
Licensure and Certification:
- Project Management Professional (PMP) certification preferred
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- Travel is not typically required
Compensation Range: $94,100.00 - $164,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-EM1
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