Sr. Mgr. Network Performance

ESSENTIAL FUNCTIONS 

• 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  

EDUCATION 

• Bachelor’s degree required.  

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

EXPERIENCE 

• 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 

• 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 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 

KNOWLEDGE  

• Strong understanding of MSK value-based care program design and performance drivers 

• General clinical knowledge of orthopedics and clinical workflows.