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2 дня назад

Manager, Network Performance (Healthcare)

94 900 - 130 500$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
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
Manager, Network Performance (Healthcare): Leading provider-facing teams and improving Medicare network performance through quality measurement, operational optimization, and data-driven provider collaboration with an accent on CMS Stars, HEDIS, CAHPS, HOS, and value-based care. Focus on analyzing healthcare data, translating insights into measurable improvement strategies, and coordinating cross-functional initiatives across provider engagement, clinical, contracting, and interoperability functions.

Location: Remote/work at home, with residence required in Alabama, Louisiana, Mississippi, or Tennessee. Must be available during 8-5pm EST/CST; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $94,900–$130,500 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and insurance company providing Medicare, Medicaid, and healthcare services through hirify.global and CenterWell.

What you will do

  • Lead, coach, and develop a team of provider-facing associates.
  • Partner with physician groups to improve performance, workflows, outcomes, and network effectiveness.
  • Serve as a subject matter expert on CMS Stars, HEDIS, CAHPS, HOS, interoperability, and Medicare risk adjustment.
  • Analyze healthcare data, identify trends and opportunities, and communicate actionable findings to leadership.
  • Coordinate cross-functional meetings and strategic initiatives with provider engagement, clinical, contracting, interoperability, and other business teams.
  • Align execution with enterprise, regional, and departmental KPIs and OKRs while monitoring team and initiative results.

Requirements

  • 3–5 years of progressive experience in payer, healthcare, provider relations, quality improvement, or a related field.
  • Prior Medicare experience and strong knowledge of value-based care, provider performance improvement, HEDIS/Stars, interoperability, and Medicare risk adjustment.
  • Experience analyzing and interpreting healthcare data and converting insights into measurable improvement strategies.
  • Experience leading, coaching, mentoring, or developing associates.
  • Must live in Alabama, Louisiana, Mississippi, or Tennessee and work 8-5pm EST/CST.
  • Ability to work from a dedicated space protecting member PHI and HIPAA information; home internet must provide at least 25 Mbps download and 10 Mbps upload.

Nice to have

  • Bachelor’s degree in business, finance, healthcare, or a related field, or equivalent experience.
  • Management experience and progressive experience in the health solutions industry.
  • Managed care or Medicaid experience.

Culture & Benefits

  • Remote/work-at-home position with occasional travel for training or meetings.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan, paid time off, company and personal holidays, and paid parental and caregiver leave.
  • Short- and long-term disability, life insurance, and additional well-being benefits.
  • Full-time schedule of 40 hours per week.

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