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Director Network Performance Management Jobs (NOW HIRING)

Devoted

Provider Network Performance Manager

Manhattan, NY · On-site

$60K - $115K/yr

Own performance management for assigned providers across cost, quality, access, and key network ... Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales ...

CIBC

Director, Network Engineering

Chicago, IL · On-site

We're seeking a Director, Network Engineering to lead a talented team responsible for designing and ... management and stakeholders, providing updates on network projects, initiatives, and performance.

Secunetics, Inc

Network Performance Engineer

Reston, VA · On-site

... network performance. We are looking for aNetwork Performance Engineer to interface with our team ... Experience working with or integrating various enterprise management systems * Experienced leader ...

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Director Network Performance Management information

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How much do director network performance management jobs pay per year?

As of Sep 10, 2026, the average yearly pay for director network performance management in the United States is $119,323.00, according to ZipRecruiter salary data. Most workers in this role earn between $93,500.00 and $147,500.00 per year, depending on experience, location, and employer.

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For Director Network Performance Management jobs, the most frequently searched job titles are:

Director Network Performance & Engagement

Southfield, MI • On-site

AmeriHealth Caritas Health Plan
Health Care and Social Assistance • 5 - 10K employees
Learn more about AmeriHealth Caritas Health Planexternal

Full-time

Posted 29 days ago

AmeriHealth Caritas rating

8.3

Company rating: 8.3 out of 10

Based on 73 frontline employees who took The Breakroom Quiz

Job description

Role Overview: The Director, Provider Network Performance & Engagement is responsible for leading strategies and initiatives to optimize provider network performance, advance value-based contracting, and strengthen provider relationships.
Work Arrangements:
  • Hybrid - Associate must reside in Michigan (MI) and work onsite at the Southfield, MI office two days per week.

Responsibilities:
  • Lead initiatives to monitor and improve provider performance, focusing on quality, efficiency, cost of care, and patient outcomes.
  • Responsible for development and execution of annual provider network strategy to include network adequacy standards, value-based strategies to drive and improve outcomes and engagement, and strategies to deliver a market-competitive network.
  • Analyze utilization and financial performance data to identify cost drivers and implement targeted interventions.
  • Oversight of VBP negotiations, VBP Contract performance, and leading VBP strategies in collaboration with internal stakeholders.
  • Monitor SCA and out-of-network utilization and trends, and develop contracting strategies to improve and increase in-network utilization.
  • Responsible for departmental staffing decisions and provides supervision to assigned staff, writing and performing annual reviews, and monitors performance issues as they arise.
  • Ensures department staff remain compliant in all aspects of Federal and State rules, regulations, policies, and procedures, and creates or modifies departmental policies to reflect changes.
  • Establish key performance indicators (KPIs) and regularly report on network performance to executive leadership.
  • Actively partners with the Market Director of Quality to drive Company-wide and Plan quality initiatives, such as Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and National Committee for Quality Assurance/Utilization Review Accreditation Commission (NCQA/URAC), and analytics teams to ensure alignment on performance strategies.
  • Responsible for oversight of network adequacy monitoring and managing provider network, developing strategies to close gaps, and ensuring appropriate access to services throughout the Plan's territory.
  • Oversight of large-scale provider terminations to include tracking, reporting, and identifying risks and strategies for gap closure and access.
  • Ensures provider contracts are consistent with organizational guidelines, claim payment methodologies, and state and federal regulatory requirements.
  • Ensures that non-standard contract elements are tracked and communicated to appropriate departments and obtains AHC and Plan approval before submission to the provider.
  • Responsible for leading complex negotiations for facilities and value-based contracts for clinically integrated networks.
  • Other duties as assigned.

Education & Experience:
  • Bachelor's degree required.
  • 5 or more years of provider contracting experience with various reimbursement models.
  • 10 or more years of healthcare strategy, provider relations, or network management.
  • Managed care experience preferred

Skills & Abilities:
  • Strong knowledge of provider network management, provider contracting, and reimbursement methodologies.
  • Demonstrated experience developing and executing provider network strategies that support quality, cost, access, and performance goals.
  • Ability to lead value-based payment strategies, risk-sharing arrangements, and complex provider negotiations.
  • Strong analytical skills with the ability to interpret utilization, financial, quality, and network performance data.
  • Knowledge of network adequacy standards, access requirements, and state and federal managed care regulations.
  • Ability to identify cost drivers, performance gaps, and provider access issues and develop targeted improvement strategies.
  • Strong understanding of HEDIS, CAHPS, NCQA, and URAC quality standards.
  • Excellent leadership and people management skills, including staff supervision, performance management, and departmental planning.
  • Strong relationship-building skills with providers, executive leadership, internal departments, and external stakeholders.
  • Excellent written and verbal communication skills, including the ability to present complex information to executive audiences.
  • Ability to collaborate cross-functionally with quality, analytics, finance, operations, and compliance teams.
  • Strong problem-solving, decision-making, and strategic planning skills in a fast-paced managed care environment.

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