Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, Health Informatics, or related field, or equivalent experience required.
• Four years in a healthcare payer, integrated delivery system, ACO, or value-based care environment required.
• Advanced skills in Excel and experience with Power BI/Tableau or similar tools required.
• Preferred experience in population health or analytics, designing workflows, and managing care for dual-eligible populations.
• Lean Six Sigma or process improvement certification preferred.

Responsibilities

• Lead provider performance management and network optimization initiatives.
• Manage strategic relationships with healthcare providers and stakeholders.
• Serve as a senior escalation resource for performance-related issues.
• Drive complex performance initiatives to improve provider outcomes.
• Support the Plan Performance provider operating model through data analysis and communication.

Benefits

• This is a fully remote position, allowing flexibility in work environment.
• Opportunity to engage in strategic healthcare initiatives impacting provider performance and patient care.
• Access to advanced tools and technologies for data analysis and visualization.
• Support for ongoing professional development and certifications, such as Lean Six Sigma.