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
Develop sourcing strategies in collaboration with internal Claims leadership to achieve cost reductions
Analyze internal vendor costs against market forces to reduce Pie's claim costs and gain competitive advantages
Drive strategy and success of larger vendor initiatives that contribute to multiple areas of the organization Vendor Performance Management
Set up and facilitate quarterly or annual meetings with Claims and vendor executives across all vendor categories to discuss performance and action items
Collect and collate vendor performance feedback and review vendor spend and billing practices for managed care, legal, investigative, support, and technology vendors
Establish KPIs to monitor vendor performance and ensure accountability and continuous improvement across all vendor types
Perform vendor billing audits and lead vendor spend reviews to identify incorrect billing practices
Serve as the central point of contact for strategic claims vendors across all categories Process Improvement & Compliance
Lead the transition of vendors to improved billing and bulk billing practices
Implement agreed plans with Claims leadership to optimize billing processes
Ensure compliance with billing practices and enterprise standards
Partner with Claims leadership, Legal, Finance, and Procurement to ensure alignment and compliance
Demonstrate project management skills to drive vendor management initiatives and provide regular updates Cross-Functional Collaboration
Collaborate with cross-functional teams to support product launches, operational needs, and strategic goals
Partner with Claims Operations, Regulatory Compliance, and Claims Adjudication teams on vendor-related matters
Work closely with Finance on budget management and cost containment initiatives
Coordinate with Legal on contract reviews, negotiations, and compliance matters The Right Stuff
Required Experience & Education
Bachelor's degree in Business Administration, Finance, Supply Chain Management, or related field; Master's degree preferred
10+ years of experience in vendor management, procurement, or strategic sourcing
5+ years of experience in insurance industry, preferably in claims operations or vendor management
3+ years of people management experience, including oversight of managers or team leads
Proven track record of leading vendor contract negotiations and achieving significant cost savings
Experience developing and implementing vendor management programs from the ground up
Strong understanding of workers' compensation and managed care vendors landscape, as well as legal, investigative, and support vendor categories; experience with commercial auto vendors is a plus
Deep expertise in managed care services including medical bill review, pharmacy benefit management, utilization review, and provider networks
Knowledge of legal vendor management including law firm relationships and litigation support services
Understanding of investigative services, transportation, translation, and other ancillary claims support vendors
Experience managing API-integrated technology vendors and understanding system integration requirements Strategic & Analytical Expertise
Advanced analytical skills with ability to evaluate vendor performance data, identify cost reduction opportunities, and apply conceptual thinking to complex organizational objectives
Experience conducting vendor billing audits and comprehensive spend analysis across multiple vendor categories
Strong understanding of RFP processes, contract negotiation strategies, and vendor selection criteria for both operational and managed care vendors
Ability to benchmark vendor costs against market rates and industry standards
Experience developing and implementing sunset programs for vendor portfolio optimization
Proficiency with contract management systems and vendor performance tracking tools
Ability to evaluate complex variables and apply analytical and critical thinking skills to cross-functional vendor projects Relationship Management & Communication
Exceptional relationship management skills with ability to influence senior executives and vendor partners
Advanced communication skills to present complex vendor analysis and recommendations to leadership
Proven ability to build consensus among diverse stakeholders including Claims, Legal, Finance, and Procurement
Experience managing vendor relationships at the executive level
Strong negotiation skills with demonstrated ability to achieve favorable contract terms Leadership & Team Development
Experience building and leading teams to execute strategic vendor management programs, including oversight of experienced professionals and subordinate managers
Ability to develop and implement enterprise-wide processes and standards
Track record of driving organizational change and process improvement initiatives
Demonstrated leadership in cross-functional environments with ability to establish objectives, policies, and work plans
Highly advanced ability to establish psychological safety for team members to test, learn, and grow
Skilled in coaching team members toward self-sufficiency through effective questions, guidance, empowerment, and accountability
Experience advising team members on moderately complex vendor management matters M4 Senior Manager Level Competencies
Disciplinary and functional expertise in vendor management across multiple vendor categories is sought out by others across the organization
Typically directly manages two or more disciplines (managed care vendors, legal vendors, investigative services, support vendors, and technology vendors) or a department
Drives strategy and success of larger vendor projects that contribute to multiple areas of the organization
Works on issues where analysis requires conceptual thinking and in-depth knowledge of organizational objectives
Oversees experienced professionals and may be responsible for subordinate managers or team leads
Develops, modifies, and executes processes and procedures that affect the department and may have company-wide impact
Advanced ability in demonstrating curiosity, tenacity, flexibility, and adaptability
Highly advanced ability to challenge self consistently, seek to understand by questioning assumptions, and adapt to changes with increasing speed
Advanced ability in presenting cross-functional perspectives in a direct and open manner and proactively engaging in difficult feedback
Highly advanced ability to anticipate, analyze, and solve highly complex problems and offer strategic insight within the vendor management function
Advanced ability to achieve cross-functional goals and build buy-in for complex vendor proposals and projects The use of AI in Application Review: To support a fair, efficient, and consistent hiring process, we use AI-powered tools to assist in the initial screening of applications. These tools help us identify qualifications and prior work experiences that align with the requirements of the role. We may also use AI assistant video tools during interviews to support note-taking and candidate evaluation. All AI-powered outputs are still subject to human oversight and decision-making at multiple stages of the process. By submitting your application, you acknowledge and consent to Pie utilizing these AI technologies to assist in our evaluation process.
Base Compensation Range$130,000—$160,000 USD
Compensation & Benefits
Competitive cash compensation
Comprehensive health plans
Generous PTO
Future focused 401k match
Generous parental and caregiver leave
Our core values are more than just a poster on the wall; they’re tangibly reflected in our work Making every part of working with us "Easy as Pie" - including our offer process. When we find someone we'd like as a Pie-oneer (a member of our team), we move quickly to put together a fair offer based on your skills, experience, location, and compensation expectations.
Each year Pie reviews company performance and may grant discretionary bonuses to eligible team members.
Location Information
Unless otherwise specified, this role is remote. Remote team members must live and work in the United States (territories excluded) and have access to reliable, high-speed internet.
Additional Information
Pie Insurance is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristic.
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Safety First: Pie Insurance is committed to your security during the recruitment process. We will never ask you for credit card information or ask you to purchase any equipment during our interview or onboarding process.
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