Sr. Mgr. Network Performance

ESSENTIAL FUNCTIONS

• 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 understandingHOPCosprogram 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 DirectorsNetwork 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 toestablishand 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

• Bachelorsdegreerequired.

• Masters 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 qualityutilization 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 preferredâ

REQUIREMENTS

• Registered Nurse (RN) or other clinically trainedprofessionalwith 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 practicesvalue-basedprogramsand 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 WordPowerBI).â

• 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.â

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.

Required Experience:

Manager