Sr. Mgr. Network Performance

The CORE Institute; Phoenix (AZ); Presencial; USD 110.000 - 150.000; Jornada completa

Descripción de la vacante

The CORE Institute is seeking a remotely based, senior-level analyst/manager to analyze financial, operational, and clinical data within MSK value-based care programs. You will partner with Regional Medical Directors to engage clinicians, deliver performance reviews, and drive improvements in cost, quality, and utilization.

Ideal candidates hold a Master’s degree in Nursing or related field and have 6+ years in value-based care with orthopedic exposure.

Formación

• RN or clinically trained professional with MSK/orthopedic experience preferred.
• Strong ability to travel up to 50% as needed.
• Ability to work effectively and independently in a remote environment.
• Ability to manage multiple provider practices, value-based programs, and priorities simultaneously while meeting deadlines.
• Excellent written and verbal communication for diverse audiences.

Responsabilidades

• Analyze financial, operational, and clinical data to identify trends and translate insights into actionable recommendations that improve cost, quality, and utilization outcomes.
• Partner with Regional Medical Directors to engage market MSK and PCP clinicians in understanding HOPCo’s program expectations, incentive eligibility, clinical performance data, quality metrics, and utilization trends.
• Create and deliver performance reviews and presentations to providers, practice leadership, and staff, clearly communicating opportunities, expectations, and progress.
• Drive provider engagement and accountability through ongoing communication, education, and alignment to program goals, contractual requirements, and MSK best practices.
• Lead onboarding and ongoing enablement of provider groups, ensuring alignment to program workflows, expectations, and success metrics.
• Work with VP of VBC Network Management and Network Performance team to establish and execute a consistent provider engagement cadence, including quarterly business reviews and ongoing touchpoints.

Conocimientos

Excel

PowerPoint

PowerBI

Word

Analytical skills

Communication skills

Educación

Master’s degree in Nursing

MHA / MBA

Herramientas

MS Office

Descripción del empleo

• Analyze financial, operational, and clinical data toidentifytrends and translate insights into actionable recommendations that improve cost, quality, andutilizationoutcomes
• Partner with Regional Medical Directors to engage market MSK and PCP clinicians in understandingHOPCo’sprogram expectations, incentive eligibility, clinical performance data, quality metrics, andutilizationtrends.
• Create and deliver performance reviews and presentations to providers, practice leadership, and staff, clearly communicating opportunities, expectations, and progress
• Drive provider engagement and accountability through ongoing communication, education, and alignment to program goals, contractual requirements, and MSK best practices
• Lead onboarding and ongoing enablement of provider groups, ensuring alignment to program workflows, expectations, and success metrics
• Work withRegional Medical Directors,Network Performance, Medical Economics, and Operations teams to develop tools, resources, and reporting to support performance tracking, transparency, and continuous improvement
• Collaborate cross-functionally with clinical, analytics, and operations teams to address performance gaps, enhance program design, and support key initiatives
• Work with VP of VBC Network Management and Network Performance team to establishand execute a consistent provider engagement cadence, including quarterly business reviews and ongoing touchpoints
• Independently manage multiple priorities, projects, and deadlines with minimal oversight
• Support network growthstrategies and execution
• Other duties as assigned

EDUCATION

• Master’s degree in Nursing, Healthcare Administration, Business Administration, or relatedfield(MSN, MHA, MBA) preferred

EXPERIENCE

• Minimum of 6years of experience in value-based care, population health, or otherMSKvalue-based care programs
• Demonstrated experience working with claims, quality,utilization, and performance data to driveperformanceimprovement
• Proven experience engaging providers and driving performance improvement within value-based care programs
• Experience working in or closely with orthopedic clinical settings or MSK-focused operational environments preferred
• Experience supporting at-risk arrangements and/or large, coordinated provider networks, including statewide or payer-aligned networks, preferred

REQUIREMENTS

• Registered Nurse (RN) or other clinically trained professionalwith musculoskeletal (MSK) or orthopedic experience preferred; candidates with strong MSK value-based care experience will also be considered
• Ability to travel up to 50%, as needed
• Ability to work effectivelyand independentlyin a remote environment
• Ability to manage multipleassigned provider practices,value-basedprograms,and priorities simultaneouslywhile meeting deadlines
• Ability to communicate effectively, verbally and in writing, to a wide range of audiences

KNOWLEDGE

• Strong understanding of MSK value-based care program design and performance drivers
• General clinical knowledge of orthopedicsand clinical workflows.
• General knowledge of payor contracting.

SKILLS

• Advanced Microsoft Office skills (Excel, PowerPoint, Word,PowerBI).
• Strong analytical and problem-solving skills; ability to translate complex data into clear findings.
• Strongwritten and oral communication skillsincludingfrequent virtual meetings.

ABILITIES

• Excellent communication and presentation abilities.

ENVIRONMENTAL WORKING CONDITIONS

• Standardoffice environment
• Work hours will require flexibility to accommodate meetings across different time zones.
• Sometravelrequiredfor provider meetings, team meetings, training, or organizational events.

PHYSICAL/MENTAL DEMANDS

• Requires prolonged periods of sitting and working at a computer.
• Manual dexterity using a keyboard and mouse

ORGANIZATIONAL REQUIREMENTS

• HOPCoMission, Vision and Valuesmust beacknowledged and adhered to

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.