Director, Provider Network Performance

Job Description

Summary ‎ apree health is seeking an experienced leader to oversee the operations and performance of our medical network to ensure success in value-based partnerships. ‎ How will you make an impact & Requirements ‎

This is a remote position that can be based anywhere within the United States.

We are seeking an experienced and outcomes-oriented Director, Partner Network Operations & Performance to oversee the operational and clinical performance of our contracted provider partners. This leader drives execution on economic, clinical, and population health strategies that enable success under value-based care arrangements. This role requires deep familiarity with provider risk contracts, including understanding the economic levers and operational dynamics necessary to optimize performance in shared savings, capitation, or full-risk arrangements. This position leads efforts to proactively pull, analyze, and translate population health data into strategic insights, identifying opportunities for improvement and partnering with providers to create and execute actionable plans that enhance quality, reduce cost, and improve patient outcomes. The Director is accountable for fostering healthy relationships with partner practices, alignment to Vera’s clinical and operational model, and support for the Population Health Analyst and Clinical Liaison, who together enable providers to deliver on population health outcomes. Key Responsibilities: Risk-Based Operational Oversight Lead and support partner practices under value-based care/risk contracts, ensuring performance against key financial and quality metrics. Develop deep understanding of contract terms, attribution, quality incentive structures, and risk adjustment methodologies. Translate contract details into operational execution strategies for practice teams. Population Health and Data Strategy Establish and maintain a predictable cadence of population health data pulls and reviews in collaboration with the Population Health Analyst. Guide analysis and interpretation of population health trends, patient segmentation, care gap closure, and cost utilization data. Drive the development of actionable plans with clinical and operational teams based on identified opportunities in the data. Monitor implementation progress and iterate strategies to improve results. Cross-Functional Team Leadership Directly manage and develop the Population Health Analyst and Clinical Liaison, ensuring they have clear priorities, training, and performance goals aligned to Vera and partner practice objectives. Serve as a liaison between clinical, operational, and analytical teams to ensure data-driven decisions inform daily workflows and strategic initiatives. Partner Practice Relationship Management In partnership with the Sr. Manager, Provider Network Success, build and maintain high-trust relationships with partner practice leadership teams, serving as a strategic advisor and performance coach. Facilitate regular Joint Operating Committees or similar governance forums with provider partners and internal stakeholders. Identify partner needs and tailor apree support resources accordingly to meet mutual goals. Lead quality improvement initiatives focused on closing care gaps, enhancing patient experience, and optimizing clinical workflows. Collaborate with internal stakeholders to support the expansion or onboarding of new partner practices. Required Education and Experience: Bachelor’s degree in Healthcare Administration, Public Health, Business, or related field. Minimum 5 years of leadership experience in healthcare operations, preferably in value-based or risk-based care settings. Strong understanding of provider risk contracts, including upside/downside risk, capitation, and shared savings models. Experience managing multi-site healthcare operations and cross-functional teams. Demonstrated experience in population health management, data interpretation, and performance improvement. Preferred Qualifications: Master’s degree in Business, Healthcare Administration, Public Health, or similar preferred. Experience working with ACOs, CINs, or delegated provider groups under risk. Certified clinical background (e.g., RN, NP, PA) is a plus. Experience leading virtual teams across regions/states. Strong proficiency in Excel and healthcare analytics tools. Key Competencies: Strategic thinker with strong analytical acumen and ability to translate data into action. Clear and persuasive communicator with ability to influence providers and stakeholders. Strong project management and organizational skills. Demonstrated commitment to patient-centered, value-based care. Comfort working in a fast-paced, evolving environment with changing contract and partner dynamics. Work Environment & Travel Requirements: Remote with regional travel to partner practices as needed (up to 50%). May require occasional evening or weekend hours. Must be able to work with team members across time zones and virtual platforms.

This position is bonus eligible based on individual and company performance.

‎ Compensation: $170,616.00 to $213,270.50 Beware of fraudulent job postings: While Mosaic Health job advertisements may be found on many sites, our current openings page and its associated Workday account are the only places we accept applications for open roles. If you suspect a job post is fraudulent, please let us know at [email protected]. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health Apply tot his job Apply To this Job