Pie's mission is to empower small businesses to thrive by making commercial insurance affordable and as easy as pie. We leverage technology to transform how small businesses buy and experience commercial insurance.

Like our small business customers, we are a diverse team of builders, dreamers, and entrepreneurs who are driven by core values and operating principles that guide every decision we make.

The Senior Manager, Claims Vendor Management will establish and lead Pie's comprehensive Claims Vendor Management program for all strategic claims vendors, with significant responsibility for oversight of high-risk managed care program vendors. This role oversees the full spectrum of Claims vendor relationships including managed care services (medical bill review, pharmacy benefit management, utilization review, provider networks), legal vendors (law firms and litigation support), investigative services, support vendors (transportation, translation), and API-integrated technology vendors. The Senior Manager is responsible for developing and executing a comprehensive vendor strategy, including implementing a sunset program to eliminate redundant contracts, establishing a formal RFP process for competitive vendor selection, and leading contract negotiations and renegotiations to optimize value and performance across all vendor categories. This role requires exceptional relationship management skills, advanced analytical capabilities to identify cost reduction opportunities, and the ability to collaborate across Claims, Legal, Finance, and Procurement to drive vendor performance improvements and ensure compliance with billing practices.

How You'll Do It

Vendor Management Program Development

Establish and implement a comprehensive Claims Vendor Management program for Pie's strategic claims vendors
Develop and lead vendor management strategy for the Claims Department in partnership with Claims leadership
Build and manage a vendor management team to support strategic initiatives, including leadership oversight of direct reports
Create and maintain a centralized repository of all vendor contracts with visibility across departments
Implement vendor performance management frameworks and accountability structures
Develop policies, procedures, and work plans that affect the department and may have company-wide impact

Managed Care Vendor Oversight

Provide high-level oversight of critical managed care program vendors with significant focus on medical bill review, pharmacy benefit management, utilization review, and provider networks
Ensure managed care vendors deliver quality services that support medical cost containment objectives
Monitor compliance with contractual obligations and service level agreements for high-risk managed care vendor relationships
Collaborate with Senior Director, Managed Care Services on vendor strategy and performance
Assess vendor performance impact on medical loss costs and claim outcomes
Lead initiatives to optimize managed care vendor portfolios and drive cost savings

Comprehensive Vendor Portfolio Management

Oversee all Claims vendor categories including legal vendors (law firms and litigation support), investigative services, support vendors (transportation, translation), and API-integrated technology vendors
Develop vendor management strategies tailored to the unique requirements of each vendor category
Balance strategic focus on high-impact managed care vendors while maintaining effective oversight of all other vendor types
Ensure consistent application of vendor management standards across diverse vendor categories
Coordinate vendor relationships to support seamless Claims operations and optimal outcomes

Strategic Vendor Initiatives

Implement a sunset program to identify and eliminate redundant or underperforming vendor contracts across all vendor categories
Establish and manage a formal RFP process to ensure competitive and transparent vendor selection
Lead contract negotiations, renewals, and renegotiations to drive cost savings and improved terms for Pie