Lead governance and strategic oversight of a Medicaid vendor portfolio representing $10M+ in annual spend across transportation (NEMT), quality programs, outreach initiatives, analytics, and clinical services supporting 320,000 Medicaid members statewide.
Vendor Portfolio & Lifecycle Leadership
- Manage 15+ active vendor engagements end-to-end, from business intake and scope development through contracting, onboarding, performance governance, renewals, and funding extensions.
- Lead development and execution of Statements of Work (SOW) and Change Orders (CO) totaling $5M+ annually, ensuring alignment to operational priorities and regulatory requirements.
- Reduced contract cycle time by 10% by standardizing ARIBA workflows — implementing structured intake documentation, consistent SOW templates, defined approval sequencing, and proactive alignment with Procurement, Sourcing, Legal and Medicaid Vendor Management (MVM) to eliminate rework and bottlenecks.
- Serve as escalation lead for high-risk vendor issues, achieving 100% escalation resolution through structured remediation planning and executive visibility.
- Assist business owners in RFP development and submission, supporting scope definition, vendor evaluation, and commercial alignment in partnership with Strategic Sourcing.
Transportation (Non-Emergent) Oversight & Performance Recovery
- Provide executive oversight of statewide transportation services supporting 320,000 ABHIL Medicaid members.
- Implemented multi-layered operational interventions, including enhanced governance cadence, targeted performance reviews, enforcement of corrective action plans (CAPs), and structured Performance Improvement Plans (PIPs).
- Improved transportation on-time performance from 92% to 98% over three years, stabilizing service reliability and reducing member disruption.
- Enforced performance credits when vendors failed to meet contractual metrics and ensured compliance through ongoing monitoring of CAPs and PIPs.
- Achieved 100% Health Services Advisory Group (HSAG) PIP score for ABHIL through disciplined oversight and structured improvement planning.
- Partner directly with Illinois Healthcare and Family Services (HFS) and Illinois Association of Medicaid Health Plans (IAMHP) on transportation initiatives, regulatory expectations, and state-driven performance alignment.
Financial Stewardship & Cost Optimization
- Oversee $10M+ annual vendor portfolio, partnering with finance and business unit on forecasting, accrual management, and budget variance monitoring.
- Identified and realized 10–15% cost avoidance, representing $500K+ in savings or strategic investment opportunities (SAI) for the health plan.
- Enforced and captured performance credits tied to SLA deficiencies, strengthening financial accountability.
- Improved invoice validation accuracy and reduced payment discrepancies through disciplined ARIBA and Accounts Payable coordination.
- Monitor Business Enterprise Program (BEP) participation to ensure compliance with Illinois diversity spend requirements.
Enterprise Governance & Risk Management
- Coordinate 5–10 annual third-party risk assessments (DDQs and SOC reviews) across vendor portfolio.
- Partner with Legal, Compliance, Security, Procurement, and IT to mitigate contractual, data privacy, and operational risks.
- Maintained 100% on-time remediation for risk findings tied to vendor assessments.
- Ensure adherence to HIPAA, breach notification timelines, audit provisions, and data protection standards.
Operational Improvement & Issue Resolution
- Strengthened governance cadence across vendors, reducing issue resolution turnaround time by approximately 30–40% through structured escalation tracking, defined ownership pathways, and consistent executive review.
- Standardized vendor performance reporting across Quality, Operations, and Finance to increase transparency and proactive risk mitigation.
- Collaborate with the Medicaid Vendor Management (MVM) team to deliver structured oversight through Joint Operating Committee (JOC) meetings, Quarterly Business Reviews (QBRs), and executive-level discussions. Present vendor performance and remediation outcomes during External Quality Review Organization (EQRO) audits, reinforcing audit readiness and regulatory alignment.