Manager, Network Performance Position Available In Kennebec, Maine

Manager, Network Performance at Humana in Augusta, Maine, United States Job Description Become a part of our caring community and help us put health first As the Manager of Network Performance, you will lead a team of Network Performance Professionals dedicated to improving provider performance and enhancing Stars ratings. Your role is pivotal in fostering a collaborative and supportive environment where your team can thrive. By building and maintaining strong relationships with assigned physician groups, your team will implement strategies and tactics that elevate network performance and increase plan quality. This role offers a unique opportunity to leverage your expertise in healthcare provider relations to influence operational decisions and support the overall success of the organization. You will be responsible for guiding, mentoring, and developing your team to achieve their full potential, ensuring that they are equipped with the knowledge and tools necessary to excel in their roles. Key Responsibilities +

Team Leadership:

Lead a team of provider-facing direct reports, guiding them in their efforts to improve provider performance. +

CMS Program Expertise:

Serve as the expert on CMS Stars program, HEDIS, CAHPS, and HOS, providing guidance and support to the team. +

Provider Solutions:

Build and maintain strong relationships with provider practices, leading the team’s discussions to find and implement improvement opportunities, develop workflows, and monitor outcomes while focusing on solutions that enhance provider engagement. +

Performance Metrics:

Inform and lead the team based on enterprise, regional, and departmental KPIs and OKRs, ensuring alignment with organizational goals and objectives. +

Cross-Departmental Collaboration:

Partner with other departments to advance performance in Provider Engagement, Stars Improvement, MRA, Interoperability, Clinical, Corporate Partners, and Provider Contracting to improve provider/member engagement. Leads interdepartmental and team + strategy meetings. +

Data Driven-Insights:

Ingest data from various sources, analyze it, and inform the team and leadership of learnings. +

Educational Initiatives:

Create data-supported, focused education to drive team tactics and improve performance. +

Solution Focus:

Direct the team’s focus toward solutions that maximize provider abilities to engage effectively. +

Leadership Decisions:

Own decisions related to people leadership, resources, strategic planning, and tactical operations for the team. +

Performance Review:

Review and communicate