Provider Network Performance Manager
About the role
Founded in 2017, the organization operates in the healthcare industry focused on improving the health and well-being of older adults. It addresses challenges in healthcare delivery by integrating advanced data, artificial intelligence, and clinical services to enhance patient experiences and outcomes.
The Provider Network Performance Manager is responsible for driving provider performance across the New York market. This role focuses on improving cost, quality, access, and overall network effectiveness by managing provider relationships, analyzing performance data, and aligning contracts and strategies to support measurable improvements.
Responsibilities
- Manage performance for assigned providers, identifying gaps and opportunities for improvement
- Develop and implement targeted provider performance improvement plans
- Lead provider performance reviews and foster accountability
- Build partnerships to resolve performance issues and remove barriers
- Analyze financial, operational, and quality data to generate actionable insights
- Support contract negotiations to align incentives with performance goals
- Collaborate cross-functionally to enhance network efficiency, quality, and compliance
Requirements
- Minimum 5 years of experience in managed care or similar healthcare settings
- At least 5 years of direct provider-facing experience
- Proven track record in improving provider performance on cost and quality metrics
- Strong analytical skills with ability to translate data into actionable strategies
- Excellent relationship management, communication, and influencing skills
- Ability to work independently and solve complex problems
Pay
Salary range: $60,000‑$115,000 per year. Compensation depends on experience, skills, education, and location. Total rewards include employer‑sponsored health, dental, and vision plans with low or no premiums, generous paid time off, monthly stipend for mobile or internet, stock options and bonus eligibility for applicable roles, parental leave program, and 401(k) program.
Benefits
- Employer‑sponsored health insurance
- Dental insurance
- Vision insurance
- Paid maternity leave
- Paid paternity leave
- 401(k) retirement plan