Provider Network Performance Manager
Core
Drive provider performance across cost, quality, access, and network metrics in the New Jersey market through data analysis, relationship management, and contracting strategy.
Role type
Provider Network Performance Manager
Builds
Provider performance improvement plans and network efficiency strategies
Domain
Healthcare / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Managed care experience, provider relationship management, data analysis, contract negotiation, value-based payment models, root cause analysis
Preferred skills
Experience with physician groups and health systems, healthcare analytics, risk-based payment models
Technologies
Reporting systems, dashboards, AI-enabled tools
Responsibilities
Own performance management for assigned providers, lead provider performance reviews and Joint Operating Committees, analyze financial and operational data to identify trends, support contract negotiations to align incentives, partner cross-functionally to improve network efficiency
Seniority
Mid-Senior, hands-on IC
