Provider Network Performance Manager
About The Position
As a Network Performance Manager, you will drive provider performance across the New Jersey market, partnering directly with providers to improve cost, quality, access, and overall network performance. This role combines provider performance management, data analysis, relationship management, and contracting strategy. You will use performance data to identify opportunities, lead provider conversations, develop improvement plans, and influence provider behavior toward measurable results. The ideal candidate understands managed care and provider networks, is comfortable working with both fee-for-service and value-based arrangements, and can turn complex performance data into clear strategies and action.
Requirements
- 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
Nice To Haves
- 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
Responsibilities
- 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
- Serve as a primary performance partner for assigned physicians, medical groups, health systems, and other providers
- 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
Benefits
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above
- Commission eligibility for Sales roles
- Parental leave program
- 401K program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
