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Provider Network Performance Manager

🕒 21 days ago
Provider Performance ManagementData AnalysisRelationship ManagementContracting Strategy

📜 Description

  • Drive provider performance management across cost, quality, access, and key network metrics.
  • Identify performance gaps and develop targeted improvement plans.
  • Lead regular provider performance reviews and build strong relationships.
  • Analyze financial and operational data to generate actionable insights.
  • Support contract negotiations to align provider incentives with performance goals.

🛠️ Requirements

  • 5+ years of experience in managed care or a similar healthcare environment.
  • 5+ years of direct provider-facing experience.
  • Strong analytical skills to translate data into action.
  • Demonstrated experience improving provider performance across cost and/or quality metrics.
  • Excellent provider relationship management and communication skills.

Benefits

  • Dental
  • Vision plan with low or no premium
  • Generous paid time off.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for all roles excluding Director and above.
Full job description

As a Network Performance Manager, you will drive provider performance across the New Jersey market, partnering with providers to enhance cost, quality, access, and overall network performance.

Description

  • Drive provider performance management across cost, quality, access, and key network metrics.
  • Identify performance gaps and develop targeted improvement plans.
  • Lead regular provider performance reviews and build strong relationships.
  • Analyze financial and operational data to generate actionable insights.
  • Support contract negotiations to align provider incentives with performance goals.

Requirements

  • 5+ years of experience in managed care or a similar healthcare environment.
  • 5+ years of direct provider-facing experience.
  • Strong analytical skills to translate data into action.
  • Demonstrated experience improving provider performance across cost and/or quality metrics.
  • Excellent provider relationship management and communication skills.

Benefits

  • Dental
  • Vision plan with low or no premium
  • Generous paid time off.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for all roles excluding Director and above.

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