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Provider Network Performance Manager

🕒 5 days ago
Provider Performance ManagementData AnalysisRelationship ManagementContracting Strategy

📜 Description

  • Own performance management for assigned providers across cost, quality, access, and key network metrics.
  • Identify performance gaps, root causes, and opportunities for improvement.
  • Develop and execute targeted provider performance improvement plans.
  • Lead regular provider performance reviews and Joint Operating Committees (JOCs).
  • Analyze financial, operational, quality, and provider performance data to identify trends and opportunities.

🛠️ Requirements

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

Benefits

  • Employer sponsored health, dental and 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.
  • Parental leave program.
  • 401K program.
Full job description

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

Description

  • Own performance management for assigned providers across cost, quality, access, and key network metrics.
  • Identify performance gaps, root causes, and opportunities for improvement.
  • Develop and execute targeted provider performance improvement plans.
  • Lead regular provider performance reviews and Joint Operating Committees (JOCs).
  • Analyze financial, operational, quality, and provider performance data to identify trends and opportunities.

Requirements

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

Benefits

  • Employer sponsored health, dental and 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.
  • Parental leave program.
  • 401K program.

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