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8 часов назад

Provider Network Performance Manager (Healthcare)

60 000 - 115 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Provider Network Performance Manager (Healthcare): Driving provider performance across the New York market by analyzing cost, quality, access, and network data and translating insights into provider improvement plans with an accent on managed care, value-based arrangements, and provider relationships. Focus on leading performance reviews, influencing provider behavior, aligning contracts with performance goals, and solving complex network performance issues through data-driven strategies.

Location: Fully remote, but must be located in New York City; approximately 30–40% travel within the assigned market is required.

Salary: $60,000–$115,000 per year

Company

hirify.global is a healthcare company founded in 2017 that combines an integrated care platform with advanced data and AI to improve the health and well-being of older Americans.

What you will do

  • Own performance management for assigned providers across cost, quality, access, and network metrics.
  • Identify performance gaps and root causes, then develop and execute targeted improvement plans.
  • Build provider relationships, lead performance reviews and Joint Operating Committees, and establish accountability for results.
  • Analyze financial, operational, quality, and provider data using reporting systems, dashboards, and AI-enabled tools.
  • Translate complex data into recommendations and provide leadership with visibility into trends, risks, and opportunities.
  • Support contract negotiations and network strategy across fee-for-service, value-based, and risk-based models.

Requirements

  • 5+ years of experience in managed care, a health plan, or a similar healthcare environment.
  • 5+ years of direct provider-facing experience.
  • Demonstrated success improving provider performance across cost and/or quality metrics.
  • Strong analytical, communication, relationship management, and influencing skills.
  • Ability to work independently, solve complex problems, and drive measurable results.
  • Must be located in New York City and able to travel 30–40% within the assigned market.

Nice to have

  • Experience negotiating contracts with physician groups or health systems.
  • Experience with value-based or risk-based payment models.
  • Experience in provider performance, network optimization, or healthcare analytics.

Culture & Benefits

  • Employer-sponsored health, dental, and vision plans with low or no premiums.
  • Generous paid time off and parental leave.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for most roles and a 401(k) program.
  • Supportive, collaborative, and inclusive work environment.

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