What are the responsibilities and job description for the Sr. Mgr. Network Performance position at Healthcare Outcomes Performance Co. (HOPCo)?
Essential Functions
- Analyze financial, operational, and clinical data to identify trends and translate insights into actionable recommendations that improve cost, quality, and utilization outcomes
- Partner with Regional Medical Directors to engage market MSK and PCP clinicians in understanding HOPCo’s program expectations, incentive eligibility, clinical performance data, quality metrics, and utilization trends.
- Create and deliver performance reviews and presentations to providers, practice leadership, and staff, clearly communicating opportunities, expectations, and progress
- Drive provider engagement and accountability through ongoing communication, education, and alignment to program goals, contractual requirements, and MSK best practices
- Lead onboarding and ongoing enablement of provider groups, ensuring alignment to program workflows, expectations, and success metrics
- Work with Regional Medical Directors, Network Performance, Medical Economics, and Operations teams to develop tools, resources, and reporting to support performance tracking, transparency, and continuous improvement
- Collaborate cross-functionally with clinical, analytics, and operations teams to address performance gaps, enhance program design, and support key initiatives
- Work with VP of VBC Network Management and Network Performance team to establish and execute a consistent provider engagement cadence, including quarterly business reviews and ongoing touchpoints
- Independently manage multiple priorities, projects, and deadlines with minimal oversight
- Support network growth strategies and execution
- Other duties as assigned
- Bachelor’s degree required.
- Master’s degree in Nursing, Healthcare Administration, Business Administration, or related field (MSN, MHA, MBA) preferred
- Minimum of 6 years of experience in value-based care, population health, or other MSK value-based care programs
- Demonstrated experience working with claims, quality, utilization, and performance data to drive performance improvement
- Proven experience engaging providers and driving performance improvement within value-based care programs
- Experience working in or closely with orthopedic clinical settings or MSK-focused operational environments preferred
- Experience supporting at-risk arrangements and/or large, coordinated provider networks, including statewide or payer-aligned networks, preferred
- Registered Nurse (RN) or other clinically trained professional with musculoskeletal (MSK) or orthopedic experience preferred; candidates with strong MSK value-based care experience will also be considered
- Ability to travel up to 50%, as needed
- Ability to work effectively and independently in a remote environment
- Ability to manage multiple assigned provider practices, value-based programs, and priorities simultaneously while meeting deadlines
- Ability to communicate effectively, verbally and in writing, to a wide range of audiences
- Strong understanding of MSK value-based care program design and performance drivers
- General clinical knowledge of orthopedics and clinical workflows.
- General knowledge of payor contracting.
- Advanced Microsoft Office skills (Excel, PowerPoint, Word, PowerBI).
- Strong analytical and problem-solving skills; ability to translate complex data into clear findings.
- Strong written and oral communication skills including frequent virtual meetings.
- Excellent communication and presentation abilities.
- Standard office environment
- Work hours will require flexibility to accommodate meetings across different time zones.
- Some travel required for provider meetings, team meetings, training, or organizational events.
- Requires prolonged periods of sitting and working at a computer.
- Manual dexterity using a keyboard and mouse
- HOPCo Mission, Vision and Values must be acknowledged and adhered to