2 дня назад
Manager, Network Performance (Healthcare)
94 900 - 130 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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 offices for training or meetings may be required.
Salary: $94,900–$130,500 per year, plus eligibility for a bonus incentive plan.
Company
is a U.S. healthcare and insurance company providing Medicare, Medicaid, and healthcare services through 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.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →
Похожие вакансии
2 дня назад
Manager, Network Management - Provider Performance (Health Insurance)
92 700 - 167 500$
2 дня назад
Senior Manager Prof Provider Network Performance
92 700 - 167 500$
2 дня назад
Senior Manager Healthcare Claims
107 000 - 140 000$
6 дней назад
Supervisor Appeals - Medicare
7 дней назад
Senior Manager of Strategic Credentialing and Network Operations (Healthcare)
105 000 - 115 000$
2 дня назад
Coder Quality Auditor (Healthcare Coding)
57 400 - 99 000$