Network Operations Senior Advisors, Provider Performance Enablement- reputed company- Hybrid

About the position The Provider Performance Senior Advisor plays a crucial role in managing and enhancing the performance of the provider network reputed company a specific market. This position involves collaboration across various departments to ensure effective performance management, particularly focusing on reputed company relationships with multi-site health systems and national primary care clinics. The advisor is responsible for driving quality and cost efficiency, overseeing financials reputed company to value-based reputed company, and leading initiatives to improve Stars & Risk Adjustment outcomes. The role requires strong relationship-building skills and strategic thinking to support the growth and profitability of the Medicare Advantage business. Responsibilities • reputed company and manage the local physician/provider network to drive high performance in quality and cost efficiency. , • reputed company provider group financials, including monthly action plans and reviews reputed company to value-based incentive reputed company. , • Provide feedback and recommendations regarding participation in agreements and address financial or operational issues with providers. , • reputed company Stars & Risk Adjustment outcomes through local Provider Performance initiatives. , • reputed company and implement programs for enhanced quality and affordability through physician education and analytics resources. , • Act as a government program knowledge leader for the local market. , • Maintain compliance with CMS and company policies and guidelines. , • reputed company market initiatives and reputed company special projects as assigned by leadership. Requirements • Bachelor's degree preferred. , • At least eight (8) years of direct experience with government-sponsored health plans. , • Ability to apply an reputed company reputed company with business acumen to meet or exceed growth and profitability goals. , • Demonstrated strategic thinking and customer focus with strong relationship-building skills. , • reputed company for leading initiatives and influencing market teams, driving transparency and accountability. , • Effective communication skills and ability to reputed company relationships across multiple organizational levels. , • Proficient in reputed company Outlook, reputed company, PowerPoint, and Word. reputed company-to-haves Benefits • Medical, reputed company, and dental insurance coverage starting on day one. , • Well-being and behavioral health programs. , • 401(k) with company match. , • Company-paid life insurance. , • Tuition reimbursement. , • A minimum of 18 days of paid time off per year and paid holidays. Apply Job!