Senior Provider Network Manager
Maven ClinicSalary not specified
- Full Time
- Senior (5 to 8 years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should possess 23+ years of Medicare experience and a strong understanding of value-based care models, along with proficiency in analyzing and interpreting healthcare data and trends. Demonstrated capability in leading, coaching, and developing associates through formal or informal training and SME roles is required, alongside comprehensive knowledge of Microsoft Office applications and strong communication skills, including experience presenting to leadership.
Responsibilities
As the Manager of Network Performance, you will lead a team of up to 11 provider-facing direct reports, guiding them in their efforts to improve provider performance and enhance Stars ratings. You will serve as the expert on CMS Stars program, HEDIS, CAHPS, and HOS, providing guidance and support to the team. You will build and maintain strong relationships with provider practices, leading the team’s discussions to find and implement improvement opportunities, develop workflows, and monitor outcomes while focusing on solutions that enhance provider engagement. You will also inform and lead the team based on enterprise, regional, and departmental KPIs and OKRs, ensuring alignment with organizational goals, partner with other departments to advance performance, create data-supported education, direct the team’s focus toward solutions that maximize provider abilities to engage effectively, review and communicate performance results, and articulate a desired culture attributes.
Skills
Healthcare provider relations
CMS Stars program
HEDIS
CAHPS
HOS
Data analysis
Provider engagement
Performance improvement
Team leadership
KPI and OKR management
Humana
Health insurance provider for seniors and military
About Humana
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees