Sr. Mgr. Network Performance

Healthcare Outcomes Performance Co. (HOPCo)•Phoenix, AZ

10h•Remote

About The Position

This role is responsible for analyzing financial, operational, and clinical data to identify trends and translate insights into actionable recommendations that improve cost, quality, and utilization outcomes. The position involves partnering with Regional Medical Directors to engage clinicians in understanding program expectations, incentive eligibility, clinical performance data, quality metrics, and utilization trends. The role requires creating and delivering performance reviews, driving provider engagement and accountability, and leading the onboarding and ongoing enablement of provider groups. Collaboration with various teams is essential to develop tools, resources, and reporting for performance tracking and improvement, as well as addressing performance gaps and enhancing program design. The Sr. Mgr. Network Performance will also establish and execute a consistent provider engagement cadence and support network growth strategies.

Requirements

Bachelor’s degree required.
Minimum of 6 years of experience in value-based care, population health, or other MSK value-based care programs.
Demonstrated experience working with claims, quality, utilization, and performance data to drive performance improvement.
Proven experience engaging providers and driving performance improvement within value-based care programs.
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.
Ability to travel up to 50%, as needed.
Ability to work effectively and independently in a remote environment.
Ability to manage multiple assigned provider practices, value-based programs, and priorities simultaneously while meeting deadlines.
Ability to communicate effectively, verbally and in writing, to a wide range of audiences.
Strong understanding of MSK value-based care program design and performance drivers.
General clinical knowledge of orthopedics and clinical workflows.
General knowledge of payor contracting.
Advanced Microsoft Office skills (Excel, PowerPoint, Word, PowerBI).
Strong analytical and problem-solving skills; ability to translate complex data into clear findings.
Strong written and oral communication skills including frequent virtual meetings.
Excellent communication and presentation abilities.

Nice To Haves

Master’s degree in Nursing, Healthcare Administration, Business Administration, or related field (MSN, MHA, MBA) preferred.
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.

Responsibilities

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 Regional 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 establish and 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 growth strategies and execution.
Other duties as assigned.