Director, Provider Performance (Healthcare)

TL;DR

Director, Provider Performance (Healthcare): Establish and execute the strategic direction for provider performance across New York City with an accent on cost, quality, and access improvements. Focus on leading high-level performance reviews, driving AI-driven analytics, and developing value-based contracting strategies.

Location: Must be located in North Jersey OR New York

Salary: $150,000 - $175,000 / year

Company

An integrated healthcare company combining health insurance, clinical care, and technology to improve the well-being of older Americans.

What you will do

• Define and lead the provider performance strategy for New York City, ensuring accountability for cost, quality, and access outcomes.
• Build and maintain executive-level relationships with key health systems and provider groups to influence strategic behavior.
• Lead, coach, and develop a team of Network Performance Managers to elevate organizational capabilities.
• Utilize advanced AI-driven analytics to identify trends and drive large-scale performance improvement initiatives.
• Provide strategic oversight of provider contracting and guide the development of value-based arrangements.
• Ensure all provider performance activities meet regulatory, contractual, and compliance requirements.

Requirements

• Minimum 10 years of experience in provider performance, network management, or provider contracting.
• Minimum 5 years of leadership experience managing high-performing teams.
• Must be located in North Jersey OR New York.
• Demonstrated success driving large-scale provider performance improvements across cost and quality metrics.
• Strong expertise in payer economics, provider incentive models, and market dynamics.
• Proficiency in Google Workspace or Microsoft Office Suite.

Nice to have

• Experience in Medicare Advantage or government-sponsored healthcare programs.
• Deep knowledge of CMS STAR measures and value-based care models.
• Advanced degree such as an MBA, MHA, or MPH.
• Background in clinical operations, population health, or healthcare delivery.

Culture & Benefits

• Employer-sponsored health, dental, and vision plans with low or no premiums.
• Generous paid time off and a comprehensive parental leave program.
• $100 monthly mobile or internet stipend.
• Stock options available for all employees.
• 401K program.