Provider Network Performance Manager
Job Description
MUST BE LOCATED IN GA Network Performance Manager
Drive Provider Performance
- 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
- Monitor results and adjust strategies to drive sustained improvement
Lead Provider Partnerships
- Serve as a primary performance partner for assigned physicians, medical groups, health systems, and other providers
- Lead regular provider performance reviews and Joint Operating Committees (JOCs)
- Build strong relationships while creating clear accountability for performance expectations and outcomes
- Partner with providers to resolve performance issues and remove barriers to improvement
Turn Data Into Action
- Analyze financial, operational, quality, and provider performance data to identify trends and opportunities
- Independently leverage reporting systems, dashboards, and AI-enabled tools to generate insights
- Translate complex data into clear recommendations and actionable strategies
- Provide leadership with visibility into performance trends, risks, and opportunities
Align Contracts & Network Strategy
- Support contract negotiations and renegotiations, where applicable, to align provider incentives with performance goals
- Apply fee-for-service, value-based, and risk-based models to support improvements in cost and quality
- Evaluate provider and network opportunities through a performance lens
- Partner cross-functionally to improve network efficiency, quality, access, and regulatory compliance
Required Skills and Experience
- 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
- Able to work independently, solve complex problems, and drive results
Desired Skills and Experience
- Experience negotiating provider contracts, including physician groups and/or health systems
- Experience with value-based or risk-based payment models
- Experience in provider performance, network optimization, or healthcare analytics
What Success Looks Like
You are a performance-minded relationship builder who can move comfortably between data and people. You understand what the numbers are saying, can identify what needs to change, and know how to work with providers and internal partners to turn insights into measurable improvements.
Travel
Approximately 30–40% within the assigned market to support provider meetings, relationship building, and market presence.
Pay
$60,000-115,000 / year
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; Commission eligibility for Sales roles
- Parental leave program
- 401K program
About the Company
Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.
Equal Opportunity Employer
We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law.