Provider Network Performance Manager
$60k - $110kDevoted
- # Provider Network Performance ManagerApply: Fully Remote - Washington: Fully Remote - Oregon: Full time: Posted Today: R3753**Job Description*****MUST BE LOCATED IN WA/OR*** Network Performance Manager As a Network Performance Manager, you will drive provider performance across the Oregon and Washington markets, 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.## ## Your roles and responsibilities will include: ### 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* Ability 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 LikeYou 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.***Salary:*** $60,000-110,000 / yearThe pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.Our Total Rewards package includes:* 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* And more....*\\*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.*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.
- J-18808-Ljbffr Devoted
Vacancy posted 2 days ago
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