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3 дня назад

Provider Network Performance Manager (Healthcare)

60 000 - 110 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US/Washington
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Мэтч & Сопровод

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Описание вакансии

Текст:
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TL;DR
Provider Network Performance Manager (Healthcare): Driving provider performance across Oregon and Washington by analyzing cost, quality, access, and network data with an accent on provider partnerships, performance improvement plans, and value-based care. Focus on translating complex analytics into actionable strategies, aligning contracts with performance goals, and improving measurable provider outcomes.

Location: Fully remote; must be located in Washington or Oregon. Travel approximately 30–40% within the assigned market for provider meetings, relationship building, and market presence.

Salary: $60,000–$110,000 per year.

Company

hirify.global provides an integrated care platform focused on improving the health and well-being of older Americans through data, AI, clinical, and service experiences.

What you will do

  • Own performance management for assigned physicians, medical groups, health systems, and other providers across cost, quality, access, and key network metrics.
  • Identify performance gaps and root causes, develop targeted improvement plans, monitor results, and adjust strategies for sustained improvement.
  • Lead provider performance reviews and Joint Operating Committees while building relationships and accountability for performance outcomes.
  • Analyze financial, operational, quality, and provider performance data using reporting systems, dashboards, and AI-enabled tools.
  • Translate complex data into recommendations and actionable strategies, providing leadership with visibility into trends, risks, and opportunities.
  • Support contract negotiations and network strategy across fee-for-service, value-based, and risk-based models while partnering cross-functionally on efficiency, quality, access, and regulatory compliance.

Requirements

  • 5+ years of experience in managed care, a health plan, or a similar healthcare environment.
  • 5+ years of direct provider-facing experience.
  • Demonstrated experience improving provider performance across cost and/or quality metrics.
  • Strong analytical skills with the ability to translate data into action.
  • Strong provider relationship management, communication, and influencing skills.
  • Ability to work independently, solve complex problems, and drive results.

Nice to have

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

Culture & Benefits

  • Full-time employment with employer-sponsored health, dental, and vision plans with low or no premium.
  • Generous paid time off and a parental leave program.
  • $100 monthly mobile or internet stipend.
  • Stock options for all employees.
  • Bonus eligibility for roles below Director level.
  • 401(k) program and a diverse, collaborative, and supportive work environment.

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