Sr. Mgr. Network Performance
Role details
Job location
Tech stack
Job description
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Analyze financial, operational, and clinical data to identify trends and translate insights into actionable recommendations that improve cost, quality, and utilization outcomes
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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.
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Create and deliver performance reviews and presentations to providers, practice leadership, and staff, clearly communicating opportunities, expectations, and progress
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Drive provider engagement and accountability through ongoing communication, education, and alignment to program goals, contractual requirements, and MSK best practices
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Lead onboarding and ongoing enablement of provider groups, ensuring alignment to program workflows, expectations, and success metrics
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Work with Regional Medical Directors, Network Performance, Medical Economics, and Operations teams to develop tools, resources, and reporting to support performance tracking, transparency, and continuous improvement
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Collaborate cross-functionally with clinical, analytics, and operations teams to address performance gaps, enhance program design, and support key initiatives
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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
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Independently manage multiple priorities, projects, and deadlines with minimal oversight
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Support network growth strategies and execution
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Other duties as assigned, REAL TIME CONSULTING (An RTCo Company)-POSITION DESCRIPTION JOB TITLE: Software Engineer - Avionics Network Server ABOUT THE JOB: This position is responsible for the design an…
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Requirements
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Bachelor's degree required.
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Master's degree in Nursing, Healthcare Administration, Business Administration, or related field (MSN, MHA, MBA) preferred
EXPERIENCE
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Minimum of 6 years of experience in value-based care, population health, or other MSK value-based care programs
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Demonstrated experience working with claims, quality, utilization, and performance data to drive performance improvement
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Proven experience engaging providers and driving performance improvement within value-based care programs
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Experience working in or closely with orthopedic clinical settings or MSK-focused operational environments preferred
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Experience supporting at-risk arrangements and/or large, coordinated provider networks, including statewide or payer-aligned networks, preferred, * Registered Nurse (RN) or other clinically trained professional with musculoskeletal (MSK) or orthopedic experience preferred; candidates with strong MSK value-based care experience will also be considered
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Ability to travel up to 50%, as needed
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Ability to work effectively and independently in a remote environment
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Ability to manage multiple assigned provider practices, value-based programs, and priorities simultaneously while meeting deadlines
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Ability to communicate effectively, verbally and in writing, to a wide range of audiences
KNOWLEDGE
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Strong understanding of MSK value-based care program design and performance drivers
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General clinical knowledge of orthopedics and clinical workflows.
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General knowledge of payor contracting.
SKILLS
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Advanced Microsoft Office skills (Excel, PowerPoint, Word, PowerBI).
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Strong analytical and problem-solving skills; ability to translate complex data into clear findings.
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Strong written and oral communication skills including frequent virtual meetings.
ABILITIES
- Excellent communication and presentation abilities.
ENVIRONMENTAL WORKING CONDITIONS
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Standard office environment
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Work hours will require flexibility to accommodate meetings across different time zones.
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Some travel required for provider meetings, team meetings, training, or organizational events.
PHYSICAL/MENTAL DEMANDS
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Requires prolonged periods of sitting and working at a computer.
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Manual dexterity using a keyboard and mouse
ORGANIZATIONAL REQUIREMENTS
- HOPCo Mission, Vision and Values must be acknowledged and adhered to