Manager, Provider Network Performance
Core
Manage and support the development of network performance analytics and contracting modeling applications to support business needs around provider contracting and statewide rate changes.
Role type
Manager, Provider Network Performance
Builds
Network performance analytics solutions, contracting modeling applications, and analytic reporting tools
Domain
Healthcare / Provider Contracting
Deliverable
production ML models
Required skills
Contracting, health care reimbursement, provider contract modeling, quality measurement, project management, cross-functional team leadership, unit cost trend analysis, network improvement strategy
Preferred skills
Health Care Delivery Systems knowledge, SQL, SAS/SPSS, Office Suite, Visio
Responsibilities
Oversee development of project applications and determine financial impact of contract negotiations; Collaborate interdepartmentally to determine analytic reporting needs and provide training; Lead provider profiling and network performance analytic support functions; Oversee, monitor and measure unit cost trends and network improvement opportunities; Support existing application solutions and develop technical enhancements; Plan, manage, analyze, design and implement projects including scheduling deliverables and milestones
Seniority
Manager, supervisory level