Provider Network Performance Lead (NJ-based)

F-Prime Capital; New Jersey; Vor Ort; USD 60.000 - 115.000; Vollzeit

Benefits dieser Stelle

Health, dental and vision plan

Generous paid time off

$100 monthly mobile or internet stiped

Stock options for all employees

401K program

Parental leave program

Zusammenfassung

Devoted Health is seeking a Network Performance Manager in New Jersey to drive provider performance across cost, quality, and access, partnering with physicians, medical groups, and health systems. This role blends data analysis, relationship management, and contracting strategy to turn insights into action.

You will own performance management for assigned providers, lead reviews, and develop improvement plans, while negotiating contracts and aligning incentives with outcomes.

Qualifikationen

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

Aufgaben

• Own performance management for assigned providers across cost, quality, access, and key network metrics.
• Identify performance gaps, root causes, and opportunities for improvement.
• Develop and execute targeted provider performance improvement plans.
• Monitor results and adjust strategies to drive sustained improvement.
• Lead regular provider performance reviews and Joint Operating Committees (JOCs).
• Build strong relationships while creating clear accountability for performance expectations and outcomes.
• Partner with providers to resolve performance issues and remove barriers to improvement.
• Analyze financial, operational, quality, and provider performance data to identify trends and opportunities.
• Independently leverage reporting systems, dashboards, and AI-enabled tools to generate insights.
• Translate complex data into clear recommendations and actionable strategies.
• Provide leadership with visibility into performance trends, risks, and opportunities.
• Support contract negotiations and renegotiations, where applicable, to align provider incentives with performance goals.
• Apply fee-for-service, value-based, and risk-based models to support improvements in cost and quality.
• Evaluate provider and network opportunities through a performance lens.
• Partner cross-functionally to improve network efficiency, quality, access, and regulatory compliance.

Kenntnisse

Managed care

Provider-facing

Analytical skills

Provider relationship management

Independent work

Jobbeschreibung

Devoted Health is seeking a Network Performance Manager in New Jersey to drive provider performance across cost, quality, and access, partnering with physicians, medical groups, and health systems. This role blends data analysis, relationship management, and contracting strategy to turn insights into action.

You will own performance management for assigned providers, lead reviews, and develop improvement plans, while negotiating contracts and aligning incentives with outcomes.