Network Management Consultant - Provider Performance (Healthcare)

Location: Hybrid field-based position in the Houston market; onsite at provider offices up to 3 days per week and work from home typically 2 days per week. The position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Salary: $63,300–$114,300 annually, plus eligibility for an annual incentive bonus.

Company

hirify.global provides health insurance and managed care services with a focus on provider performance and member care outcomes.

What you will do

• Support HEDIS, CMS STARS, risk adjustment, financial provider performance, and contracting activities.
• Develop and negotiate contracts with physicians, physician groups, and small to mid-size hospitals.
• Support complex hospital and physician contracting initiatives within an assigned territory.
• Build provider relationships and deliver ongoing education and service.
• Use analytics to identify improvement opportunities, create action plans, and influence provider outcomes.
• Travel within the assigned territory, including overnight stays, and work onsite at provider offices.

Requirements

• Bachelor’s degree and at least one year of experience developing and negotiating provider contracts, or five years of managed care operations experience including at least one year of provider contract experience.
• Analytical, organizational, planning, verbal, and written communication skills.
• Proficiency with Microsoft Office and the ability to meet deadlines under pressure.
• Ability and willingness to travel within the assigned territory, including overnight stays.
• Ability to collaborate in a matrix environment and build working relationships with providers and internal stakeholders.

Nice to have

• Previous HEDIS or CMS STARS experience.
• Business degree and experience with health insurance, project management, financial or trend analysis.
• Expert Excel skills, including pivot tables and VLOOKUP.
• Experience with EMRs, population health tools, provider outreach, medical record retrieval, chart notes, and HIPAA-compliant PHI handling.

Culture & Benefits

• Professional development plans and opportunities for career growth.
• Monday–Friday schedule during typical business hours, with infrequent evening and weekend meetings.
• Health and wellness benefits, 401(k), pension plan, paid time off, paid parental leave, disability insurance, life insurance, and employee assistance programs.
• Paid holidays and tuition reimbursement.

Hiring process

• Employment may be contingent upon successful completion of drug screening in accordance with applicable law.
• Visa sponsorship is not available.