Director, DPC Performance & Preferred Provider Relationships

Midwest Startups; Wisconsin; On-site; USD 57,000 - 95,000; Full time

Job summary

Self Fund Health is seeking a Director for DPC Performance & Preferred Provider Relationships in a remote-capable role serving Wisconsin and US partners. The role oversees DPC performance, provider networks, and growth opportunities, ensuring clinical quality and steerage outcomes while driving cost savings with employer relationships.

The candidate will manage onboarding, contract development, and ongoing partner accountability, leveraging AI-assisted tooling and data platforms to optimize

Qualifications

• Experience managing healthcare provider relationships or networks (Direct Primary Care, employer health, TPA/benefits, or clinically adjacent setting).
• Track record of rate or contract negotiation or comparable deal-getting experience.
• Data-driven approach with comfort using scorecards and performance metrics.
• Experience supervising AI-assisted tooling.

Responsibilities

• Serve as primary point of contact for DPC and preferred-provider partners.
• Onboard new partners, explaining the SFH model and addressing questions on payment, billing, and operations.
• Work with DPCs and preferred providers on contract development.
• Proactively recruit new DPCs to expand member access.
• Own and maintain the preferred-provider list, training and validating AI-assisted maintenance tools and managing edge cases.
• Define quality, steerage, and operational standards for network partners.
• Run provider relationships through scorecards, quarterly performance conversations, and escalations.
• Hold partners accountable to standards and track referral leakage to non-preferred providers.
• Drive adoption of clinical-data platform with DPC partners.
• Recommend partner removal when standards are not met.
• Operationalize practice-growth playbook with every DPC and preferred provider, attending meetings alongside sales team.
• Identify single-case and cash-pay agreement opportunities.
• Drive rate negotiations and execute agreements to generate direct plan savings.
• Work hand-in-hand with nurse navigators on clinical steerage and care management.
• Partner with sales on employer growth initiatives.

Skills

Provider relationships

Contract negotiation

Data analysis

Scorecards

AI-assisted tooling

Clinical quality management

Tools

AI-assisted tooling

Clinical data platforms

Job description

Director, DPC Performance & Preferred Provider Relationships

Wisconsin, USA; Remote · Remote $95k+/yr Full-Time Operations Director May 29

Direct Primary Care (DPC) Provider relationship management Healthcare network management Contract negotiation Rate negotiation Data analysis Performance metrics Scorecards AI-assisted tooling Clinical quality management Steerage outcomes Referral management Single-case agreements Clinical data platforms Business development Employer health benefits TPA/benefits Self-funded health benefits Stop-loss Value-based provider arrangements Onboarding and partner enablement Accountability management

About the role

Director, DPC Performance & Preferred Provider Relationships at Self Fund Health

The role involves owning the performance of Direct Primary Care (DPC) and preferred-provider networks, turning provider relationships into growth and savings. This position sits at the intersection of clinical network management and business development, holding provider partners accountable for clinical quality and steerage outcomes while mining relationships for employer introductions and cost-savings agreements.

Responsibilities:

• Serve as primary point of contact for DPC and preferred-provider partners


• Onboard new partners, explaining the SFH model and addressing questions on payment, billing, and operations


• Work with DPCs and preferred providers on contract development


• Proactively recruit new DPCs to expand member access


• Own and maintain the preferred-provider list, training and validating AI-assisted maintenance tools and managing edge cases


• Define quality, steerage, and operational standards for network partners


• Run provider relationships through scorecards, quarterly performance conversations, and escalations


• Hold partners accountable to standards and track referral leakage to non-preferred providers


• Drive adoption of clinical-data platform with DPC partners


• Recommend partner removal when standards are not met


• Operationalize practice-growth playbook with every DPC and preferred provider, attending meetings alongside sales team


• Identify single-case and cash-pay agreement opportunities


• Drive rate negotiations and execute agreements to generate direct plan savings


• Work hand-in-hand with nurse navigators on clinical steerage and care management


• Partner with sales on employer growth initiatives

Requirements:

• Experience managing healthcare provider relationships or networks (Direct Primary Care, employer health, TPA/benefits, or clinically adjacent setting)


• Service mindset with comfort being day-to-day point of contact and onboarding partners


• Track record of rate or contract negotiation or comparable deal-getting experience


• Strong relationship management instincts and ability to conduct accountability conversations


• Ability to make removal recommendations when partners fall short


• Data-driven approach with comfort using scorecards and performance metrics


• Experience supervising AI-assisted tooling


• Business-development orientation with ability to identify employer introductions and savings opportunities within provider relationships


• Self-directed and able to own outcomes independently


• Collaborative approach working with nurse navigators and sales teams


• Knowledge of self-funded health benefits, stop-loss, or value-based provider arrangements (strong plus)


• Legal authorization to work in the United States

Work arrangement: Remote, Full-time Location: Wisconsin, USA Compensation: USD 95k+ per year, with competitive base salary commensurate with experience plus performance-based variable component tied to growth and savings generated