Manager, Network Management - Provider Performance (Health Insurance)

Location: Hybrid field-based role in the Houston market; onsite at provider offices typically 3 days per week and work from home 2 days per week. Remote work is available within the continental United States, excluding California, New York, Alaska, and Hawaii.

Base pay: $92,700–$167,500 annually, plus eligibility for an annual incentive bonus.

Company

hirify.global provides health insurance services and supports provider networks and value-based care programs.

What you will do

• Manage strategies and daily activities to improve provider HEDIS, CMS STARS, risk adjustment, and financial performance.
• Lead provider recruitment, contracting, contract development, and negotiations for physicians, groups, facilities, and complex health systems.
• Build provider relationships, provide education and service, and ensure strategic coverage within the assigned territory.
• Lead, mentor, and train Provider Performance Network Operations Consultants.
• Identify performance opportunities, develop actionable plans, measure outcomes, and adjust strategies in a value-based care environment.

Requirements

• Bachelor’s degree and 5 years of provider contracting experience, or 9 years of managed care experience including 5 years of provider contracting experience.
• Extensive knowledge of provider and facility contracting, products, and claims-processing systems.
• Leadership, negotiation, relationship-building, analytical, project management, and communication skills.
• Microsoft Office proficiency and the ability to meet deadlines and work under pressure.
• Ability and willingness to travel within the assigned area, including overnight stays.
• Sponsorship is not available.

Nice to have

• Previous HEDIS and/or CMS STARS experience.
• Understanding of health insurance, customer messaging and design, and project management.
• Expert Excel skills, including pivot tables and VLOOKUP.
• Financial or trend analysis experience.
• Experience fostering relationships and gaining buy-in in a matrix environment.

Culture & Benefits

• Development plans and professional growth opportunities.
• 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, and paid holidays.
• Disability insurance, supplemental life insurance, employee assistance, tuition reimbursement, and other incentives.