Provider Network Performance Manager

About the role

As a Network Performance Manager, you will drive provider performance across the New Jersey market, partnering directly with providers to improve cost, quality, access, and overall network performance. This role combines provider performance management, data analysis, relationship management, and contracting strategy. You will use performance data to identify opportunities, lead provider conversations, develop improvement plans, and influence provider behavior toward measurable results.

The ideal candidate understands managed care and provider networks, is comfortable working with both fee-for-service and value-based arrangements, and can turn complex performance data into clear strategies and action.

Responsibilities

• 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

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
• Ability to work independently, solve complex problems, and drive results

Preferred Qualifications

• 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 per year. The pay range listed is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. The actual base salary offered will depend on qualifications, experience, skills, education, location, and other factors.

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