Grow your career at APWU Health Plan
Senior Program Manager, Procurement and Contract Administration
APWU Health Plan, a non-profit organization located in Elkridge, MD, is seeking a Senior Program Manager, Procurement and Contract Administration, to join our Compliance Department.
The Senior Program Manager, Procurement and Contract Administration, establishes and administers a centralized contract procurement function for the Health Plan. The role serves as the primary point of contact for solicitation support, contract initiation, vendor documentation, contract file maintenance, procurement compliance tracking, contract renewals, and related administrative activities in accordance with established policies, procedures, budget requirements, and applicable regulatory guidelines.
RESPONSIBILITIES
Coordinates and administers contract procurement activities, including requests for proposals, requests for quotes, vendor questionnaires, bid documentation, and related solicitation materials for general contractual agreements.
Receives, organizes, and tracks vendor responses, proposals, quotes, required forms, certifications, insurance documents, business documents, business associate agreements, and other procurement-related submissions.
Maintains complete and accurate contract procurement files, including solicitation records, vendor communications, evaluation materials, approval documentation, contract drafts, amendments, renewals, and executed agreements.
Coordinates with business owners to document contract needs, scopes of services, vendor requirements, timelines, and support documentation required for procurement review.
Tracks contract terms, expiration dates, renewal deadlines, notice requirements, service commitments, pricing provisions, and required follow-up actions to ensure timely review by business owners and management.
Manages contract review with operational functions in Finance, Compliance, and Information Technology, and support vendor selection and award documentation by organizing evaluation materials, pricing comparisons, decision-support records, and required approvals.
Identifies contractual requirements, potential conflicts, and compliance or operational impacts; ensure that all terms align with OPM regulations, policies, and procedures.
Coordinates signatures, amendments, extensions, renewals, and related documentation before contract execution or continuation.
Ensures that vendors complete required business associate agreements and coordinate with Vendor Compliance staff on risk management activities before contracts are fully executed.
Monitors vendor performance documentation and assists with follow-up on contract deliverables, service concerns, outstanding documentation, pricing discrepancies, and administrative issues.
Prepares contract procurement status reports, renewal schedules, vendor summaries, contract tracking reports, spending information, and other reports requested by management.
Maintains confidentiality of contract terms, vendor information, pricing, financial records, internal evaluations, and procurement-related documentation.
Participates in audits, contract reviews, procurement process improvement initiatives, vendor management activities, and other departmental projects related to contract procurement administration.
Performs related duties as requested.
QUALIFICATIONS
Bachelor’s degree in business administration, procurement, contract administration, public administration, or a related field preferred; equivalent work experience may be substituted.
Minimum of five years of experience in contract procurement, contract administration, vendor coordination, or a related procurement and contract management function required.
Knowledge of FEHB, PSHB, Medicare, Medicaid, FEDVIP, or similar government-sponsored healthcare programs preferred. Applied knowledge in a business healthcare setting of quality improvement, research, and statistics.
Knowledge of contract procurement practices, solicitation documentation, vendor submissions, contract file maintenance, renewal tracking, purchase order linkage, and basic budget controls. In addition, ability to review contract procurement documents for completeness, accuracy, required approvals, dates, terms, pricing provisions, renewal language, and supporting information.
Demonstrated ability to analyze complex information, develop solutions and implement effective courses of action for contract execution, including coordination with vendor compliance staff on complementary activities.
Strong organizational skills and ability to manage multiple solicitations, contracts, renewal dates, documentation requests, deadlines, and priorities. Attention to detail and proficiency in maintaining accurate procurement records and databases.
Ability to maintain confidentiality and exercise discretion when handling vendor, pricing, financial, business, internal evaluation, and contract information.
Proficiency with Microsoft Office applications, including Word, Excel, and Outlook; ability to learn contract management, procurement, finance, and document management systems.
Strong communication skills required, including the ability to effectively communicate verbally and in writing, internally and externally, and at different levels as necessary.
Extensive knowledge of regulatory requirements and ability to adapt to changing regulations and organizational needs while maintaining compliance.
To apply
- All stated requirements must be clearly reflected in your resume or specifically addressed in your cover letter.
- Stated salary requirements (range is acceptable) are required for consideration.
- Experience in a Union environment preferred.
- No relocation assistance available.
- Must pass criminal records check and drug screening prior to employment.
EOE M/F/D/V; Drug-Free Employer
AI Data Business Analyst
APWU Health Plan, a non-profit organization located in Elkridge, MD, is seeking an AI Data Business Analyst to join our Information Technology Division.
The AI Data Business Analyst plays a critical role in translating business needs into data driven, AI enabled solutions that will drive strategic decisions across the APWU Health Plan.
RESPONSIBILITIES
Business & Data Analysis
- Partner with business stakeholders to understand operational challenges and translate them into clear data and analytics requirements.
- Analyze large, complex datasets to identify trends, risks, and improvement opportunities.
- Develop business cases and ROI narratives for analytics and AI initiatives that improve efficiency, reduce errors, or enhance member experience.
AI & Advanced Analytics Enablement
- Collaborate with IT to produce analysis dashboards, to create visualizations for the organization.
- Support the design, testing, and deployment of machine learning and AI enabled use cases for approved initiatives.
- Assist in monitoring models post deployment, identifying data quality issues, bias risks, or performance drift.
Governance, Compliance & Risk Awareness
- Adhere to APWUHP Compliance requirements related to data handling and reporting requirements.
- Document data sources, logic, assumptions, and limitations to support audits, transparency, and explainability.
- Participate in responsible AI and data governance processes, ensuring ethical use of analytics across the organization.
Coordinate with IT Team Leads in conjunction with the IT Project Manager, to align with organization priorities.
Work with external vendors to develop and maintain approved solutions. Scope business functional enhancement projects and validate recommended solutions to the organization.
Complete other duties as assigned.
QUALIFICATIONS
- Bachelor’s degree in business Analytics, Data Science, Information Systems, Statistics, Computer Science, or a related discipline, or equivalent practical experience.
- 5+ years of experience in data analysis, business analysis, or analytics roles, preferably in healthcare, insurance, or other regulated environments.
- Hands‑on experience working with structured datasets and analytical tools to support business decision‑making.
- Experience collaborating with cross‑functional teams, including IT, compliance, and operations.
- Excellent technical and analytical skills, as well as exceptional verbal and written communication skills. Ability to render and write business requirements such as technical documentation and business decision documentation.
- Proficiency in requirements gathering – effectively translating business needs as expressed by users into workable specs, estimating time\duration to complete and implement the solution.
- Strong SQL and data analysis skills; experience with BI and visualization tools.
- Familiarity with machine learning or AI concepts (predictive modeling, NLP, automation), with emphasis on business application rather than model development.
- Ability to clearly communicate insights, risks, and recommendations to non‑technical audiences.
- Experience with healthcare claims, enrollment systems, or payer data preferred.
- Exposure to model governance, audit support, or regulatory reporting preferred.
- Experience supporting analytics during high volume periods such as Open Season preferred.
To apply
- All stated requirements must be clearly reflected in your resume or specifically addressed in your cover letter.
- Stated salary requirements (range is acceptable) are required for consideration.
- Experience in a Union environment preferred.
- No relocation assistance available.
- Must pass criminal records check and drug screening prior to employment.
EOE M/F/D/V; Drug-Free Employer
Claims Adjudication System Tester/Validator
APWU Health Plan is seeking a Claims Adjudication System Tester/Validator to join our Testing Department.
This position is responsible for developing and validating test plans, conducting acceptance and regression testing for the heath claims processing system and other interactive systems.
RESPONSIBILITIES
- Primarily focusing on testing and validation for upgrades, add-ons, benefit changes and continued maintenance of the QNXT claims processing system.
- Testing and validation of all business-related applications.
- Work with Health Plan Business Analysts (and others as needed) to ensure that test plans and scenarios cover all testable requirements and provides detailed feedback to the Information Technology staff related to application set-up or possible design flaws.
- Keep detailed testing documentation including screen prints of system set-up and testing results, both positive and negative.
- Review and/or develops reports as needed to ensure thorough testing as well as to identify trends in system issues.
- Identify innovative methodologies to guarantee that tests are as fail-safe as possible and that potential fallout from fixes is tested.
- Documents details of bugs found during testing and notifies affected parties.
- Schedules status meetings as necessary to include all affected parties.
- Maintain and/or enhance system skills as needed to sustain a superior knowledge of the Plan’s workflow, policies, procedures and system(s) capabilities.
- Work hours outside of normal work day/week when necessary.
- Other duties as assigned.
QUALIFICATIONS
- 2-4 years software testing experience or 5+ years of experience in testing methodology and practical application in a healthcare environment.
- A minimum of 3 years healthcare claims processing, review or support staff experience.
- Excellent verbal and written communication skills.
- Excellent problem solving and issue identification skills.
- Ability to work well independently.
- Proficiency with Microsoft Suite.
- SQL knowledge preferred.
- Experience with the QNXT system is preferred.
- Experience and proficiency with claims editing software.
- Experience and proficiency with Claim Test Pro a plus.
- Experience with automated test tools a plus.
- A.A. degree and professional industry certification preferred.
To apply
- All stated requirements must be clearly reflected in your resume or specifically addressed in your cover letter.
- Stated salary requirements (range is acceptable) are required for consideration.
- Experience in a Union environment preferred.
- No relocation assistance available.
- Must pass criminal records check and drug screening prior to employment.
EOE M/F/D/V; Drug-Free Employer
Note to agencies
We do not accept unsolicited resumes from third-party vendors. Only resumes received from contracted agencies/vendors will be considered. Unsolicited resumes sent to APWU Health Plan will not be recognized and such agency will have no recourse from APWU Health Plan.