The Vendor Partner Specialist, Operations Oversight & Enhancements of Dental Benefit Services is responsible for supporting operational oversight and enhancements that the vendor delivers against contract, quality, and regulatory commitments. The role collaborates cross-functionally internally and externally, managing day-to-day operational needs and escalations. This role is responsible for supporting monitoring of vendor performance against SLAs, KPIs, and contractual agreements. This role is critical in helping members more easily receive timely access to dental care. This role ensures dental business outcomes are consistent with Healthfirst’s values, policies, and procedures as well as compliance with relevant federal and state laws/regulations. Duties & Responsibilities:
Daily Operational Functions: Partners with business units and vendor to triage operational issues day-to-day; supports cross-functional workstreams across teams and stakeholders
Corrective Action Plans: Supports corrective action plans when performance falls short of standards
Vendor Implementations: Supports vendor implementations and updates as well as support annual go-to-market readiness
Dental Vendor Performance Guarantees: Monitors and tracks vendor performance guarantees and reports as needed (monthly and quarterly). Participates in Vendor Performance Committee, Joint Operating Committee, and other meetings or activities as directed
Dental Directory: Monitors accuracy of members’ search experience; audit and report on progress quarterly, developing insights on priority areas to improve
Targeted Outreach: Conducts regular outreach to select member cohorts and monitor impact
Audits: Support audits (internal, regulatory, and member-facing) related to the dental program
Dental Materials: Supports targeted member materials and ensure accuracy; ensure all Healthfirst dental materials (for members, providers, and internal staff) are updated timely and accurately on no less than an annual basis.
Member Communications: Inventories and reviews member-facing dental messaging, letters, forms, and materials and identify opportunities to improve members’ understanding of dental benefits
Fraud, Waste, and Abuse: Identifies potential FWA by dentists; outreach dental prescribers with out-of-scope prescriptions on no less than quarterly basis
Additional duties as necessary and as directed
Minimum Qualifications:
HS Diploma or GED from an accredited institution
Work experience in dental, healthcare, managed care, operations, or related field
Effective written and verbal communication skills
Demonstrated ability at planning, organizing, and executing
Ability to maintain a balance of strategic vision and successful implementation
Proficiency in Excel, PowerPoint, Word
Preferred Qualifications:
Bachelor’s Degree or higher from an accredited institution
Analytical and operational experience
Proven track record of effectively supporting a team to improve processes and identify areas of improvement
Drive to continually identify areas of opportunities and develop concise approaches to implement improvements
Demonstrated ability to effectively pay attention to details in a fast-paced environment
Compliance & Regulatory Responsibilities: Noted above.
License/Certification: N/A
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any…