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Enrollment & Claims Platform Modernization

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How the program manages the platform vendor and supporting suppliers across a fifteen-month delivery. Owned by W. Donnelly, Vendor / Procurement Manager, with technical authority held by the Solution Architect and commercial authority retained by Procurement.

Bi-weekly
Vendor governance cadence
4
Escalation tiers
6
Performance measures
R-003
Top vendor risk
Warranty
Bounded support scope
The structural reality of this engagement. The organization is replacing a platform because its vendor announced end-of-support, and the replacement is delivered by a vendor. The program's central commercial exposure is therefore dependency: the business case has no genuine "do nothing" option, the go-live date is fixed by the open-enrollment calendar, and the vendor knows both. Vendor management on this program is not adversarial, but it is deliberately unsentimental — clarity of scope, evidence of progress, and contractual recourse are what protect a program that cannot walk away.

01 Purpose & Scope

This plan governs identification, contracting, oversight and performance management of third parties delivering into the program, and the transition of vendor responsibilities into steady-state support at closeout.

In scope

Out of scope

02 Vendor Landscape & Roles

PartyProvidesCriticalityProgram contact
Platform vendorCore system version upgrade, configuration support, technical guidance, warranty support — governed by SOW-001 ($1,850,000)Critical — single sourceW. Donnelly (commercial) · J. Albert (technical)
Integration middleware vendorMiddleware licensing and implementation support for the six downstream integrations ($620,000)Important — competitively selectedW. Donnelly · M. Castillo (technical)
External SOX assessment firmIndependent assessment of controls over financial reporting (D-004)Important — independence requiredG. Fenwick
Offshore QA capacityManual test execution under the dual-shore model (D-003)Important — capacityP. Sundaram
Infrastructure & hostingEnvironments supporting build, test and productionImportantM. Alvarez

Internal accountabilities

RoleAccountability
W. Donnelly — Vendor / Procurement ManagerOwns this plan, the SOW, commercial performance, and all contractual correspondence
C. Tyrrell — Program ManagerAccountable for vendor delivery within program schedule and budget; owns Tier 3 escalation
J. Albert — Solution ArchitectTechnical authority: accepts or rejects vendor technical approach and deliverables
M. Alvarez — System Upgrade LeadDay-to-day working interface with vendor delivery staff
G. Fenwick — Internal Audit / SOXIndependence of the external assessment firm; no program influence over its findings
Executive SponsorTier 4 escalation; any decision affecting the commercial relationship
Separation of commercial and technical authority is deliberate. The Solution Architect can reject a technical approach without that becoming a commercial dispute, and Procurement can enforce a contractual term without adjudicating a technical argument. Collapsing both into the Program Manager — the common shortcut — means every technical disagreement escalates as a contract issue and every contract issue gets argued on technical merit.

03 Contractual Structure

InstrumentPurposeOwner
Master agreementGoverning terms: liability, confidentiality, data protection, IP, terminationLegal / Procurement
Statement of WorkProgram-specific scope, deliverables, acceptance criteria, milestones and payment scheduleW. Donnelly
Business Associate AgreementHIPAA obligations where the vendor may access protected health informationLegal / Compliance
Change ordersAny scope change to vendor-delivered work, priced and approved before work beginsW. Donnelly via change control

SOW content requirements

The SOW is written against the baselined Business Requirements Document so that vendor scope and business need cannot drift apart. It must specify:

The SOW is on the critical path, and that is a known risk. Risk R-003 records that vendor SOW finalization delay could push back environment provisioning and the overall start of build activity. The mitigation is sequencing: the requirements baseline is held at 3 November 2026 regardless of SOW status, so that negotiation works against a fixed specification rather than a moving one. A SOW negotiated against unstable requirements takes longer and binds less.

04 Governance & Cadence

ForumParticipantsPurposeFrequency
Vendor delivery working sessionM. Alvarez, vendor delivery lead, J. Albert as neededDay-to-day progress, blockers, technical questionsWeekly
Vendor governance reviewW. Donnelly, C. Tyrrell, J. Albert, vendor engagement managerDeliverable status, dependencies, performance scorecard, commercial mattersBi-weekly
Deliverable acceptance reviewJ. Albert, relevant workstream lead, W. DonnellyFormal acceptance or rejection against SOW criteriaPer deliverable
Executive vendor reviewSponsor, C. Tyrrell, vendor senior leadershipRelationship health, systemic issues, escalated mattersQuarterly, or on escalation
Warranty reviewM. Alvarez, IT Operations, vendor supportDefect trends and remediation during warrantyWeekly during warranty

05 Deliverable & Dependency Management

Acceptance discipline

StepRequirement
SubmissionVendor submits against a defined SOW deliverable with stated acceptance criteria
Review windowFixed review period; the clock is documented so neither party disputes elapsed time
DeterminationAccepted, or rejected with specific reference to the criterion not met — never rejected on general dissatisfaction
ReworkRework cycle defined; repeated rejection on the same criterion escalates to Tier 3
PaymentMilestone payment released on acceptance, not on submission

Dependencies run both ways

Most vendor disputes on programs of this shape originate in client-side dependency failure — environments not ready, decisions not made, data not provided — which then becomes an argument about vendor delay. A dependency register tracks both directions, with owner and due date, and is reviewed at every governance session.

DirectionTypical dependencyConsequence of failure
Vendor → programUpgrade release, configuration guidance, defect fixes, technical documentationBuild and test activity stalls
Program → vendorEnvironment provisioning, requirements decisions, test data, SME availabilityVendor delay claim; schedule and cost exposure to the program
An early lesson already recorded. Issue I-002 — the initial vendor-provided test environment lacked production-representative data volume, delaying early integration testing — is exactly the class of dependency failure this register exists to surface. It was a vendor-side dependency that met the letter of the obligation (an environment was provided) without meeting its purpose (an environment that could support meaningful testing). Dependency definitions now state fitness, not just delivery.

06 Performance Measurement

Vendor performance is scored on a small number of measures that matter, reviewed at each bi-weekly governance session and trended quarterly.

MeasureTargetWhy it is measured
Deliverable on-time submission≥ 95%Leading indicator of schedule risk
First-pass acceptance rate≥ 90%Quality of what is submitted; repeated rework consumes program capacity, not just vendor capacity
Dependency response within agreed time≥ 95%Whether the vendor is unblocking the program or blocking it
Defect resolution within severity SLA100% critical / highWarranty and hypercare performance
Key personnel continuityNo unnotified substitutionContinuity of understanding on a complex conversion
Change order accuracyNo unpriced scope performedPrevents scope drift becoming a retrospective invoice

Service level tiers for defect resolution

SeverityDefinitionResponseResolution target
CriticalProduction unavailable, data loss or corruption, incorrect claims paymentImmediateContinuous effort until resolved
HighCore business function unusable with no workaroundSame business dayDefined business-day target
MediumFunction impaired with acceptable workaround2 business daysNext scheduled release
LowCosmetic or minor5 business daysBacklog

07 Issue Escalation

TierTriggerProgram sideVendor sideTimeframe
Tier 1Working-level blocker or technical questionM. AlvarezVendor delivery leadSame day
Tier 2Deliverable rejected twice, or dependency missedW. Donnelly + J. AlbertVendor engagement manager3 business days
Tier 3Schedule, scope or cost impact to the programC. TyrrellVendor account executive5 business days
Tier 4Go-Live at risk, or material breachExecutive SponsorVendor senior leadershipImmediate

Escalation is a normal governance mechanism, not a hostile act. Issues are escalated on defined triggers rather than on frustration, and every escalation is documented with the evidence supporting it — which is what makes the mechanism credible when it is genuinely needed.

08 Vendor Risk & Contingency

RiskExposureMitigationContingency if realized
R-003 — SOW finalization delayEnvironment provisioning and build start pushed; every downstream window compresses against a fixed Go-LiveRequirements baseline held at 3 Nov 2026; parallel drafting of SOW schedulesRe-sequence build; descope "Should" requirements before compressing test
Single-source dependencyNo practical alternative supplier within the schedule; limited commercial leverageMilestone-linked payment; acceptance discipline; exit assistance negotiated at signatureExecutive escalation; contractual remedy
A-003 — upgrade approach requires database platform changeAssumption failure would materially change scope, cost and scheduleAssumption tested explicitly during technical validation, not left standingFormal change order; Steering re-baseline decision
Key personnel substitutionLoss of accumulated understanding of a complex conversionNamed key personnel with notice requirement in the SOWRequire equivalent-or-better replacement plus handover period
Vendor warranty scope disputePost-Go-Live defects argued as new workWarranty scope defined precisely at SOW stage, before goodwill is testedEscalation with defect evidence; commercial remedy
Offshore capacity variability (R-002)Test throughput drops (see I-003)Throughput tracked as a measure; environment access treated as a program dependencyRebalance onshore/offshore mix

09 Warranty & Transition to Steady State

Go-Live is not the end of the vendor relationship; it is the start of the period in which the program discovers what it actually bought.

StageVendor obligationProgram action
Hypercare (immediately post-cutover)Elevated support presence; rapid defect remediationDaily defect review; trend tracked against SLA
Warranty periodRemediation of defects attributable to delivered scope, at no additional chargeWeekly warranty review; defects classified by attribution
Knowledge transferDocumentation, runbooks and handover to IT OperationsVerified by IT Operations acceptance, not by vendor assertion
Warranty exitOpen defects dispositioned; residual items transitionedFormal exit review; unresolved items recorded before closure
Steady-state supportTransitions to the standard support agreementOut of program scope; owned by IT Operations from closeout
Attribution is settled before it is contested. The predictable warranty argument is whether a defect is a delivery defect (vendor remediates) or a change request (client pays). The classification rule is agreed at SOW stage, when neither party knows which side of it they will be on — and defects are classified as they arise, not batched for negotiation at warranty exit when the answer has become financially consequential.

10 Closeout

Governing relationship. This plan operates under the Project Management Plan and the master agreement. Vendor scope derives from the baselined Business Requirements Document; scope changes route through the Change Control Log as priced change orders. Vendor risks are carried on the RAIDD Log, and vendor-delivered functionality is verified under the Test & Quality Strategy.