Manager, Provider Network Performance

Role overview Manage analytics and applications that help evaluate provider network performance, contract negotiations, and reimbursement trends. The role combines data solution development, project oversight, and support for health plans and other stakeholders. It is field-based and involves working with providers and communities across Georgia.

Responsibilities - Oversee development of applications for contracting analytics and assess the financial effects of negotiations and statewide rate changes. - Work with internal teams to define reporting needs and provide training and support for analytics applications. - Lead provider profiling and network performance analysis for health plans and other stakeholders. - Monitor unit cost trends and identify opportunities to improve provider networks. - Support existing applications and identify technical enhancements that improve results. - Plan and manage projects, including schedules, deliverables, goals, and milestones.

Requirements - Bachelor’s degree in business, economics, finance, healthcare, or a related field, or equivalent experience. - At least five years of experience in contracting, healthcare reimbursement, provider contract modeling, or quality measurement. - Experience leading a functional area, cross-functional projects, or staff, including relevant supervisory responsibilities. - Residence in Georgia and ability to meet the role’s travel requirements.

Nice to have Knowledge of healthcare delivery systems and familiarity with SQL, SAS or SPSS, office productivity software, and Visio.

Benefits and work setup Field-based work across Georgia. The listed annual pay range is $87,700–$157,800. Benefits may include health coverage, retirement and stock purchase plans, tuition support, paid time off, and holidays; eligibility and compensation depend on individual circumstances.