Senior Provider Network Manager

Position Overview

• Location Type: Not Specified
• Job Type: Not Specified
• Salary: Not Specified

Maven is the world's largest virtual clinic for women and families on a mission to make healthcare work for all of us. Maven's award-winning digital programs provide clinical, emotional, and financial support all in one platform, spanning fertility & family building, maternity & newborn care, parenting & pediatrics, and menopause & midlife. More than 2,000 employers and health plans trust Maven's end-to-end platform to improve clinical outcomes, reduce healthcare costs, and provide equity in benefits programs. Recognized for innovation and industry leadership, Maven has been named to the Time 100 Most Influential Companies, CNBC Disruptor 50, Fast Company Most Innovative Companies, and FORTUNE Best Places to Work. Founded in 2014 by CEO Kate Ryder, Maven has raised more than $425 million in funding from top healthcare and technology investors.

Maven has an award-winning culture working towards an important mission and is a recipient of over 30 workplace and innovation awards, including:

• Fortune Change the World (2024)
• CNBC Disruptor 50 List (2022, 2023, 2024)
• Fortune Best Workplaces for Millennials (2024)
• Fortune Best Workplaces in Health Care (2024)
• TIME 100 Most Influential Companies (2023)
• Fast Company Most Innovative Companies (2020, 2023)
• Built In Best Places to Work (2023)
• Fortune Best Workplaces NY (2020, 2021, 2022, 2023, 2024)
• Great Place to Work certified (2020, 2021, 2022, 2023, 2024)
• Fast Company Best Workplaces for Innovators (2022)
• Built In LGBTQIA+ Advocacy Award (2022)

The Senior Provider Network Manager will lead the strategic execution and continuous evolution of Maven’s clinical quality programs, provider performance, and engagement initiatives across Maven’s provider network (W2 and 1099). This role involves driving clinical quality programs, managing performance, ensuring provider engagement, and fostering strong relationships across the organization to optimize network effectiveness and deliver high-value care.

Key Responsibilities

Clinical Quality Program Management: (50%)

• Drive the design, implementation, and continuous improvement of clinical quality programs (e.g., clinical case reviews, prescription monitoring program, provider scorecard) that allow for assessment at individual and global levels.
• Partner with clinical leaders to standardize best practices and integrate clinical guidelines across network operations.
• Develop and maintain a centralized, user-friendly repository for all provider-facing clinical materials, ensuring a single source of truth and ease of access to critical clinical content.
• Strategically own, design, and continuously evolve a comprehensive provider engagement strategy that drives satisfaction and performance (e.g., recognition programs, communications, learning/development offerings).

Provider Performance Management: (30%)

• Co-develop and operationalize provider performance management frameworks, including constructive feedback protocols, grievance resolution processes, and documentation standards.
• Partner with Sr. Medical Director and Practice Group Providers to address performance concerns, resolve member complaints, and ensure disciplinary actions are consistent with policy.
• Leverage dashboards and performance metrics to identify trends and provide actionable insights to senior leadership.
• Create consistent, effective communication channels for providers (e.g., newsletters, office hours, announcements) and ensure alignment with broader org communications to foster a cohesive and informed provider community.

Strategic Leadership and Cross-Functional Collaboration: (20%)

• Lead proactive identification and resolution of complex, systemic challenges impacting provider network operations.