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 - General knowledge of payor contracting SKILLS - 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 ABILITIES - Excellent communication and presentation abilities ENVIRONMENTAL WORKING CONDITIONS - Standard office environment - Work hours will require flexibility to accommodate meetings across different time zones - Some travel required for 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 - HOPCo Mission, Vision and Values must be acknowledged 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.