Vice President, Network Performance Remote (anywhere in United States)
About the Role
Remote (anywhere in United States)(United States)
The Company is seeking a Vice President of Network Performance to lead and scale network operations, including provider data management and the processes that ensure negotiated agreements are accurately configured for claims payment. The role will set the operations roadmap, budget, staffing model, and vendor strategy, while building a high-performing team and supporting expansion across multiple markets. Responsibilities include improving contract-to-configuration accuracy and cycle times, strengthening provider engagement and performance measurement, and using scorecards and market analysis to guide network decisions. The VP will also partner with technical and operational teams to automate workflows and develop performance metrics and dashboards. Candidates should have 12 or more years of health plan or managed care experience, including at least seven years leading provider network operations, and five or more years of senior leadership experience managing layered teams and external partners. Deep knowledge of Medicare Advantage network requirements, provider directories, credentialing standards, and audit readiness is required, along with experience translating provider contracts and payment models into claims configuration. Applicants should have a record of improving operational performance through process redesign, data governance, and technology, and a bachelor’s degree or equivalent combination of education and experience. Experience with multi-state growth, provider data platforms, automation, and provider directory standards is desirable.
Functions:
- Operations
- Data Management/Analytics
Compensation
USD $257,500-$293,000 (salary) per year
About the Company
Progressive healthcare company providing Medicare Advantage plans
Industry
Hospital & Health Care
Type
Privately Held, VC-backed
Age
employees
1001-5000
Funding
>$200m