E-Referral Vendor Optimization Lead
$104,000–$143,000 year
RemoteUnited States
Job Summary
Oversee electronic referral systems and manage relationships with 90+ referral vendors to ensure timely, accurate, and compliant patient intake. Lead associates in developing analytical approaches for vendor management, negotiate Service Level Agreements, and implement a standardized vendor engagement framework. Monitor referral queues, resolve bottlenecks, and proactively recommend process improvements to drive operational excellence. Ensure adherence to CMS, Medicare, and state regulations while maintaining audit-ready documentation for all activities. This role supports CenterWell Home Health's mission to deliver personalized, comprehensive home care by optimizing referral workflows and influencing functional strategies.
Required Qualifications
- Bachelor's degree or equivalent experience
- 4 or more years of experience managing multiple vendor relationships and contracts for a large organization
- 4 or more years of experience optimizing complex workflows for a large organization
- Experience with referral platforms (ex: Aidin, CarePort, Ensocare, Epic, WellSky) and vendor management tools
- Experience with Medicare guidelines and payer authorization processes
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps
- Wireless, wired cable or DSL connection
- A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
- Occasional travel to Humana's offices for training or meetings
Desired Qualifications
- Excellent negotiation, communication, and relationship-building abilities
- Can work independently and lead initiatives with minimal instruction
- Strong analytical and problem-solving skills; ability to influence functional strategies
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.