Manager of Healthcare Vendor Contracts and Analytics

UNITE HERE HEALTH serves over 200,000 workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity!

The Manager of Healthcare Vendors & Analytics will be responsible for overseeing the Las Vegas Managed Care Specialist team and managing key healthcare vendor relationships that support the Hospitality Health Plan and analytics. This role leads contract bidding processes, cost containment initiatives, and the development of reports and executive-level presentations. The Manager ensures effective performance and alignment across multiple vendors, including customer service, claims administration, HRA management, and coalition partnerships, while driving data-informed decision-making and operational excellence.

ESSENTIAL JOB FUNCTIONS AND DUTIES

Vendor & Contract Management

• Manage healthcare vendor contracts and oversee the bidding and renewal processes to ensure cost-effectiveness and service quality.
• Oversee vendor performance related to customer service, claims processing, and administrative functions, including MagnaCare Customer Service and Claims.
• Manage HRA administration and vendor relationships.
• Oversee Pacific Health Coalition partnership with Aetna CVS to ensure contractual compliance and operational effectiveness.

Analytics, Reporting & Presentations

• Direct the development and analysis of reports related to utilization, cost containment, vendor performance, and plan outcomes.
• Ensure timely and accurate reporting and prepare presentations for leadership, committees, and stakeholders.
• Use data insights to support strategic planning, vendor decisions, and plan design enhancements.

Cost Containment & Strategy

• Lead cost containment initiatives and identify opportunities to reduce healthcare costs while maintaining access and quality.
• Collaborate with internal leadership to recommend operational improvements, vendor changes, and plan design strategies.

Compliance & Performance Oversight

• Ensure vendors meet contractual obligations, regulatory requirements, and service level agreements (SLAs).
• Monitor trends and resolve escalated vendor, claims, or service issues as needed.

Leadership & Team Management

• Oversee and provide leadership to the Analytics and Vendor Specialist team, ensuring performance, accountability, and professional development.

• Plans, analyzes, and evaluates programs and services, operational needs, and fiscal constraints
• Supervises, leads, and delegates work and coaches, mentors, develops employees
• Analyzes problems, identifies, and develops alternative solutions, projects consequences of proposed actions, and implements recommendation/solutions

• Recommends hires and promotions, directs, and evaluates employment decisions for all assigned positions

• Assists with developing and coordinating policies and procedures
• Responsible for the oversight of continued employee training requirements, safety, and quality initiatives
• Exemplifies the Fund's BETTER Values and professional effectiveness dimensions in leading and fostering a respectful, trusting, and engaged culture of diversity and inclusion
• Performs other duties as assigned within the scope of responsibilities and requirements of the job
• Performs Essential Job Functions and Duties with or without reasonable accommodation

ESSENTIAL QUALIFICATIONS

Years of Experience and Knowledge

• 5 ~ 7 years of direct experience minimum in a managed healthcare environment
• 3 ~ 5 years of department management experience required
• Working experience in healthcare vendor management, analytics, or managed care operations
• Experienced in relationship building and contract negotiations
• Experienced in project management processes
• Experienced in data analysis and report writing
• Working knowledge of Unions and Taft Hartley Funds preferred

Education, Licenses, and Certifications

• Bachelor's degree in healthcare administration, business, analytics, or related field or equivalent work experience required
• Preferred: Master's degree in Business Administration, Public Health, Healthcare Administration, or related field

Skills and Abilities

• Intermediate level Microsoft Office skills (PowerPoint, Word, Outlook)
• Intermediate level Microsoft Excel skills
• 10% ~ 15% travel
• Comfortable with the use of technology in the accomplishment of responsibilities such as videoconferencing, creating PowerPoint presentations, use of Excel to create statistical analysis and use of other Microsoft Office tools
• Strong written and verbal skills.
• Project management skills strongly desired
• Able to manage competing deadlines and multiple projects in a fast-paced environment