Director, Provider Performance

🕒 May 20

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Define and lead the provider performance strategy across New York City • Establish performance targets and ensure accountability for cost, quality, and access outcomes • Identify enterprise-level opportunities to improve provider performance and drive scalable solutions • Align market-level strategies with broader organizational goals and growth initiatives • Build and maintain executive-level relationships with key health systems, provider groups, and strategic partners • Serve as a senior escalation point for complex provider performance issues and negotiations • Lead high-level performance reviews and Joint Operating Committees (JOCs) with major provider partners • Influence provider strategy and behavior to align with organizational performance objectives • Lead, coach, and develop a team of Network Performance Managers and Senior Network Performance Managers • Establish clear performance expectations and foster a culture of accountability and continuous improvement • Oversee the use of advanced analytics to identify trends, risks, and opportunities across markets, leveraging AI-driven prompts with a strong emphasis on advanced AI tools. • Drive large-scale performance improvement initiatives, including cost containment and quality enhancement programs • Ensure consistent use of data to inform decision-making and track performance outcomes • Partner with Finance and Actuarial teams to evaluate financial performance and optimize network economics • Maintain executive visibility into compliance, performance risks, and corrective actions • Influence enterprise decision-making related to provider performance and network strategy • Support market expansion, strategic planning, and organizational growth initiatives.

🎯 Requirements

• Minimum of 10 years of experience in provider performance, network management, or provider contracting • Minimum of 5 years of leadership experience managing high-performing teams • Demonstrated success driving large-scale provider performance improvement across cost and quality metrics • Deep experience working with health systems, physician groups, and complex provider organizations • Advanced analytical capabilities with a track record of translating data into enterprise-level strategies • Proven ability to influence executive stakeholders internally and externally • Strong business acumen, including expertise in payer economics, provider incentives, and market dynamics • Demonstrated history of successfully executing large-scale initiatives to improve provider performance across key cost and quality metrics. • Proven capacity to influence and negotiate with executive-level stakeholders, both within the organization and externally. • Strong understanding of business fundamentals, including expertise in payer economics, provider incentive models, and broader market dynamics. • Proficiency in Google Workspace or Microsoft Office Suite • Strong written and oral communication skills.

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....