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Jobs at Emergent Holdings (Now Hiring) — 16 open

Emergent Holdings logoEmergent Holdings

Vendor Contract Consultant

Detroit, Michigan, United States · Hybrid

$74k–$123k/yr

Senior

The Vendor Oversight Team serves as a strategic partner in the management of Medicare Advantage vendor contracts. We provide end-to-end oversight across the contract lifecycle—from procurement through performance, compli…

Skills: Vendor Management, Contract Administration, SLA Monitoring, Procure-to-Pay, Medicare Advantage

Emergent Holdings logoEmergent Holdings

Virtual Premium Auditor I - Remote

Lansing, Michigan, United States · Remote OK

$48k–$81k/yr

Entry level

SUMMARY: Responsible for performing virtual audit and some occasional field audits in a multi-functional business unit, within established authority levels. Reviews accounting and financial information necessary to deter…

Skills: Premium Auditing, Financial Analysis, Workers Compensation Knowledge, Payroll Review, Mathematical Computations

Emergent Holdings logoEmergent Holdings

Workers' Compensation Defense Attorney - St. Louis, MO

Lansing, Michigan, United States · Remote OK

$122k–$203k/yr

Mid level

SUMMARY: MO Licensed | IL Preferred We are seeking an experienced Workers’ Compensation Defense Attorney for an in-house litigation role supporting claims in the St. Louis region and across a Missouri/Illinois bi-state t…

Skills: Litigation, Workers' Compensation Defense, Legal Writing, Settlement Negotiation, Risk Assessment

Emergent Holdings logoEmergent Holdings

Identity & Access Mgmt Analyst II

Lansing, Michigan, United States · Hybrid

$65k–$147k/yr

Mid level

The IAM Analyst II will be part of our team of technology professionals responsible for the implementation and delivery of Identity and Access Management (IAM) projects. The role will be responsible for the support and o…

Skills: Identity And Access Management, Role-Based Access Control, Secure Coding Practices, Risk Remediation, Privileged Access Management

Emergent Holdings logoEmergent Holdings

Document Analyst

Lansing, Michigan, United States · On-site

Mid level

SUMMARY: Primarily responsible for supporting the management of the all files by analyzing, indexing, e-indexing, and assigning a sub document type to all documents received by Departments within the Enterprise. Also res…

Skills: Document Analysis, Indexing, Data Entry, Medical Terminology, Legal Terminology

Emergent Holdings logoEmergent Holdings

Claim Representative III

Lansing, Michigan, United States · On-site

$65k–$109k/yr

Senior

SUMMARY: Claim Representative III: This is the advanced level of the claim handler career path. Investigates claims and exercises significant discretion in the determination of compensability of claims. May handle large,…

Skills: Workers' Compensation Claims, Claim Investigation, Negotiation, Case Settlement, Reserve Determination

Emergent Holdings logoEmergent Holdings

Associate Data Analyst

Lansing, Michigan, United States · Remote OK

$57k–$115k/yr

Entry level

SUMMARY This position is responsible for performing basic data analysis, requirements gathering, and documentation to support business and technical initiatives. The ideal candidate will work under supervision, applying …

Skills: Data Analysis, SQL, Requirements Gathering, Data Profiling, Agile Methodology

Emergent Holdings logoEmergent Holdings

Senior Claims Representative - Legal

Lansing, Michigan, United States · On-site

$83k–$139k/yr

Senior

SUMMARY Primary responsibilities of a Litigation Specialist/Senior Claims Representative – Legal handling construction defect claims includes, but is not limited to coverage analysis, collaboration with internal and exte…

Skills: Coverage Analysis, Litigation Management, Legal Research, Claims Adjusting, Negotiation

Emergent Holdings logoEmergent Holdings

Defense Attorney (Worker's Compensation) - Los Angeles, CA

Lansing, Michigan, United States · Remote OK

$134k–$224k/yr

Mid level

SUMMARY: Workers Compensation Defense Attorney needed for fully remote in-house litigation position, working under the direction of the General Counsel. This attorney will work defending litigated Workers’ Compensation c…

Skills: Workers Compensation Defense, Litigation, Legal Research, Case Management, Negotiation

Emergent Holdings logoEmergent Holdings

Medical Only Claims Trainee

Lansing, Michigan, United States · On-site

Entry level

SUMMARY: (Brief 3-5 sentence paragraph outlining the main purpose of the job) This is an entry-level position. This position leads to a Medical Only Claims Specialist I and is expected to last up to 12 months. Upon compl…

Skills: Claims Investigation, Medical Terminology, Workers Compensation, Customer Service, Analytical Skills

Emergent Holdings logoEmergent Holdings

Document Analyst

Lansing, Michigan, United States · On-site

Mid level

SUMMARY: Primarily responsible for supporting the management of the all files by analyzing, indexing, e-indexing, and assigning a sub document type to all documents received by Departments within the Enterprise. Also res…

Skills: Document Analysis, Indexing, Data Entry, Medical Terminology, Legal Terminology

Emergent Holdings logoEmergent Holdings

Provider Relations Specialist

Lansing, Michigan, United States · On-site

Mid level

SUMMARY: Provider Relations Specialist I Responsible for servicing internal and external customers who contact AF Group via the ACD phone line. Responsible for providing quality, consistent and accurate medical payment i…

Skills: Customer Service, Medical Billing, Medical Coding, Telephone Etiquette, Data Entry

Emergent Holdings logoEmergent Holdings

Paralegal

Lansing, Michigan, United States · Remote OK

Mid level

SUMMARY This position will provide legal assistance to the attorneys representing the Enterprise in all aspects of legal case preparation and file management including legal research; analyzing law sources such as statut…

Skills: Legal Research, Case Preparation, File Management, Drafting Legal Documents, Witness Interviewing

Emergent Holdings logoEmergent Holdings

Analyst

Lansing, Michigan, United States · Hybrid

Entry level

The Analyst is responsible for assisting and offering assistance in organizing and facilitating strategic program creation and execution. This role assists in researching and compiling appropriate and relevant data and f…

Skills: Analytical Skills, Planning, Problem Solving, Verbal Communication, Written Communication

Emergent Holdings logoEmergent Holdings

Claim Representative II - NV/CA

Las Vegas, Nevada, United States · Remote OK

$57k–$5k/yr

Mid level

SUMMARY: Claim Representative II: This is the intermediate level of the claim handler career path. Handles moderate difficult claims. Exercises progressively more discretion in the determination of compensability of clai…

Skills: Workers' Compensation Claims, Claim Investigation, Reserve Determination, Negotiation, Settlement Management

Emergent Holdings logoEmergent Holdings

Cash Disbursement Analyst

Lansing, Michigan, United States · On-site

Mid level

SUMMARY: Responsible for initiating, printing, and distributing general disbursements for the entire enterprise. Completes routine general ledger entries. Research and updates payee information. Supports daily cash manag…

Skills: Accounts Payable, General Ledger, Financial Reporting, Cash Management, ACH and Wire Transfers

Emergent Holdings logo

Vendor Contract Consultant

Emergent Holdings

Detroit, Michigan, United States • Hybrid

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Senior

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  • $74k–$123k/yr
  • Full-time
  • bachelor degree, postgraduate degree
  • Posted 3d ago
  • ~40 hrs/week

Responsibilities

Manage the end-to-end lifecycle of Medicare Advantage vendor contracts, focusing on strategic development, execution, and performance oversight. Drive business value through SLA monitoring, compliance risk mitigation, and the implementation of corrective action plans for underperforming vendors.

Requirements

Requires a Bachelor's degree in Business Administration or a related field and seven years of experience in vendor management or contract administration. Mandatory experience with government programs, specifically Medicare Advantage, is required.

Full job description

The Vendor Oversight Team serves as a strategic partner in the management of Medicare Advantage vendor contracts. We provide end-to-end oversight across the contract lifecycle—from procurement through performance, compliance, and renewal—ensuring vendor partnerships deliver measurable business value.

This role supports the end-to-end contract lifecycle, ensuring contracts are strategically developed, effectively executed, and actively managed to drive performance, accountability, and compliance.

Impact:

Drives measurable business outcomes including cost savings, improved vendor performance against SLAs, reduced compliance and security risk exposure, timely contract execution across the portfolio, and informed business decision-making related to vendor performance, risk, and sourcing strategies


1. Strategic Contract Enablement

  • Partner with business units to define requirements and shape contracting strategy aligned to business goals
  • Advise on development of Statements of Work (SOWs), Service Level Agreements (SLAs), and key contractual terms to drive quality, value, and clarity
  • Collaborate with Corporate Procurement, Office of General Counsel (OGC), and Compliance (OGACC) to ensure alignment with enterprise standards
  • Guide stakeholders through contracting requirements, including intake, documentation, and approvals
  • Identify opportunities for strategic sourcing, category management, and cost optimization

2. Performance & Accountability

  • Conduct ongoing SLA monitoring and vendor performance oversight to ensure contractual obligations are met and issues are proactively addressed
  • Partner with the business to address performance issues, supporting identification of root causes and resolution of risks related to cost, quality, or timelines
  • Develop and support Corrective Action Plans (CAPs) for underperforming vendors; lead execution in partnership with the business when needed
  • Develop and deliver Monthly Vendor Scorecard reporting, providing visibility into SLA performance and key performance trends to drive informed decision-making
  • Facilitate or support vendor oversight meetings, including performance reviews, SLA discussions, and issue escalation discussions
  • Support contract termination and vendor offboarding activities, ensuring appropriate documentation and risk mitigation.
  • Lead cost savings initiatives, including tracking, validation, and reporting of financial impact

3. Compliance & Risk Protection

  • Facilitate inclusion of Medicare Advantage-focused contract language in collaboration with Procurement, Legal, and Compliance
  • Partner with business, Compliance, and vendors to support pre-delegation evidence collection and readiness activities
  • Coordinate with Information Security and business stakeholders to support Vendor Security Risk Assessments
  • Support FDR / non-FDR evidence collection and documentation to meet compliance requirements
  • Partner with compliance and audit teams to mitigate risk and address findings

4. Process Improvement & Enablement

  • Train and support business unit staff on contracting and procure-to-pay processes
  • Develop and maintain policies, procedures, and job aids to improve consistency and efficiency
  • Identify and implement process improvements to streamline workflows 

5. Collaboration & Leadership

  • Partner with internal stakeholders and vendors to deliver business outcomes
  • Lead special projects and cross-functional initiatives
  • Coach and mentor team members as needed

EDUCATION

  • Relevant combination of education and experience may be considered in lieu of degree.
  • Bachelor's Degree in Business Administration or a related field required. Master’s degree preferred. 

EXPERIENCE  

  • Seven years of experience in vendor management, contract administration, supply chain management or related field. Experience with government programs, such as Medicare Advantage, is required. Prior experience in Health Plan business preferred.  Previous insurance or healthcare industry experience with government programs, especially Medicare Advantage is also preferred.

QUALIFICATIONS

  • In depth, detailed knowledge and experience in current contracting policies and practices for the procure to pay / source to settle process.
  • Ability to provide strategic advice to the business in developing contractual documents.
  • Proficient in reviewing and interpreting contractual agreements (e.g. BAA, NDA, MSA, SOW).
    Excellent analytical skills.
  • Excellent decision making, organizational, and problem-solving skills. Ability to work closely with business team in understanding and resolving issues.
  • Demonstrated ability to successfully manage internal and external stakeholders’ relationships. Proven ability to identify and cultivate relationships with key stakeholders representing a broad range of functions and levels. 
  • Excellent verbal and written communication skills. Ability to write routine reports and correspondence. 
  • Ability to speak effectively before groups of internal and external stakeholders, including customers.
  • Demonstrated leadership ability and team building skills to effectively supervise professional and non-professional staff and interact with all levels of management.
  • Demonstrated ability to effectively and professionally exchange information by sharing ideas and advice, reporting facts and other information, responding to questions and employing active listening techniques. 
  • Ability to work independently, within a team environment and with multiple priorities.
  • Proficient in current industry standard PC applications and systems (e.g., Word, Excel, Teams, PowerPoint).
  • Ability to read and interpret documents such as policies, procedures, and guidelines.
  • Ability to expertly lead discussions with various business areas and interact with all levels of business.
  • Demonstrated excellence working closely with business team in quickly understanding, analyzing and providing advice on resolving issues.
  • Ability to work with and empower others on a collaborative basis to ensure success of the team and/or project.
  • Able to maintain a flexible, positive attitude in an ever-changing environment while adding measurable, material value to business partners.
  • Some travel to business locations may be required.
  • Other related skills and/or abilities may be required to perform this job.

Department Summary / Preferences:

  • Experience supporting end-to-end contract lifecycle activities, including SOW development, SLA design, and contract execution 
  • Demonstrated experience managing vendor performance, including SLA monitoring and corrective action planning
  • Experience supporting or coordinating cross-functional processes 
  • Experience working in regulated environments, including exposure to risk management activities preferred
  • Experience within healthcare and exposure to Medicare Advantage highly preferred

    Key Qualifications

  • Strong knowledge of contracting practices and procure-to-pay processes, including development and interpretation of agreements 
  • Ability to provide strategic and consultative guidance to business partners in developing contractual requirements and solutions
  • Proven ability to manage vendor performance and accountability, including identifying issues, driving resolution, and leading corrective actions
  • Understanding of compliance and risk management requirements 
  • Strong ability to analyze complex issues, assess risk and develop practical solutions

    Core Skills

  • Excellent communication and stakeholder management skills, with ability to influence across all levels of the organization
  • Demonstrated ability to lead cross-functional discussions and drive alignment with business, procurement, legal, compliance, and IT/security teams
  • Strong organizational and problem-solving skills with ability to manage multiple priorities in a fast-paced environment
  • High attention to detail with a focus on accuracy, compliance, and quality
  • Familiarity with AI-enabled tools and automation capabilities
  • Proficiency in Microsoft Office tools (Excel, PowerPoint) and experience with contract/procurement systems preferred

 

PAY RANGE: Actual compensation decision relies on the consideration of internal equity, candidate's skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $73,600 and $123,200.

EEO Statement: All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, sex, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability.

Candidates are hired on an "at will" basis. Nothing herein is intended to create a contract.

Related keywords

Medicare AdvantageVendor OversightSOWSLABAANDAMSAProcure-to-PaySource-to-SettleFDRVendor Security Risk AssessmentCorrective Action PlansVendor ScorecardsCategory ManagementCost OptimizationCompliance

About Emergent Holdings

LinkedInVisit site

Making lives healthier, safer and better — together

Industry
Insurance
Company size
1,001-5,000 employees
Headquarters
Lansing, Michigan
LinkedIn followers
16,409

Emergent Holdings’ elite team makes lives, companies and communities better! Emergent Holdings is driven by a singular goal — improving the health and safety of our customers and our communities. How do we do that? We create innovative insurance products, technology solutions and services to support our key stakeholders — individuals, employers, providers and strategic partners — improving the health and safety of the people and places we serve. At Emergent Holdings, we’re inspired to create, to challenge the status quo, to think not just about what our customers need now, but what they will need in the future. We are strategic thinkers. We are industry innovators. We are market trendsetters. Together, we are Emergent Holdings. Our team of established industry experts embraces a culture of innovation and entrepreneurial spirit. That means we’re focused on innovation, on leading and shaping our markets and improving health and safety for our customers and communities. For our customers, the result is a suite of solutions, services and products delivered ahead of market needs — and in anticipation of member demands. We are tireless in our pursuit of the exceptional, and our companies deliver optimal customer experiences and improve people’s lives every day, by making workplaces safer and delivering affordable, solutions-focused healthcare services.

Offices: 200 N Grand Ave, Lansing, Michigan 48933, US

Claims processingRegulatory complianceMedicare AdvantageEnrollmentRevenue optimizationUtilization managementMedicaidMedicare membership/payment reconciliationProvider performanceDual eligibility administration
View all jobs at Emergent Holdings

About Emergent Holdings

LinkedInVisit site

Making lives healthier, safer and better — together

Industry
Insurance
Company size
1,001-5,000 employees
Headquarters
Lansing, Michigan
LinkedIn followers
16,409

Emergent Holdings’ elite team makes lives, companies and communities better! Emergent Holdings is driven by a singular goal — improving the health and safety of our customers and our communities. How do we do that? We create innovative insurance products, technology solutions and services to support our key stakeholders — individuals, employers, providers and strategic partners — improving the health and safety of the people and places we serve. At Emergent Holdings, we’re inspired to create, to challenge the status quo, to think not just about what our customers need now, but what they will need in the future. We are strategic thinkers. We are industry innovators. We are market trendsetters. Together, we are Emergent Holdings. Our team of established industry experts embraces a culture of innovation and entrepreneurial spirit. That means we’re focused on innovation, on leading and shaping our markets and improving health and safety for our customers and communities. For our customers, the result is a suite of solutions, services and products delivered ahead of market needs — and in anticipation of member demands. We are tireless in our pursuit of the exceptional, and our companies deliver optimal customer experiences and improve people’s lives every day, by making workplaces safer and delivering affordable, solutions-focused healthcare services.

Offices: 200 N Grand Ave, Lansing, Michigan 48933, US

Claims processingRegulatory complianceMedicare AdvantageEnrollmentRevenue optimizationUtilization managementMedicaidMedicare membership/payment reconciliationProvider performanceDual eligibility administration
View all jobs at Emergent Holdings

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