Manager, Network Management – Provider Performance

Health Care Service Corporation

. Manage daily activities and implement strategies to improve provider HEDIS, STARS, risk adjustment, and financial performance .

Posted 9/29/2026full-timeHouston • Texas • United StatesMid-LevelSenior💰 $92,700 - $167,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in provider contracting, relationship management, and performance improvement within a value-based care environment. Proficient in negotiation, project management, and analytical skills to drive financial performance and operational efficiencies.

Highest-signal resume keywords

Provider Contracting ExperienceNegotiation SkillsLeadership SkillsHEDIS KnowledgeProject Management Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Provider ContractingFinancial AnalysisClaims Processing SystemsHEDISCMS STARsExcel (Pivot Tables, VLOOKUP)Analytical SkillsPerformance ImprovementValue-Based CareProject Management

Soft Skills

Relationship BuildingVerbal CommunicationWritten CommunicationAbility to Work Under PressureMentoring Skills

Tools & Technologies

Microsoft OfficeExcel

Industry Keywords

Managed CareHealth InsuranceProvider EducationValue-Based ArrangementsMarketplace Knowledge

About the role

Key responsibilities & impact

Manage daily activities and implement strategies to improve provider HEDIS, STARS, risk adjustment, and financial performance
Lead provider recruitment and contracting efforts for physicians, physician groups, and facilities, including large or complex health systems and value-based arrangements
Develop and negotiate contracts
Build and maintain strong provider relationships
Ensure strategic coverage within the assigned territory
Provide ongoing provider education and service
Lead a team of Provider Performance Network Operations Consultants
Manage, mentor, and train provider support resources
Serve as a subject matter expert to improve efficiencies and results
Engage physicians and influence behavior change
Identify performance improvement opportunities and develop actionable plans
Measure outcomes and adjust strategies to achieve client goals in a value-based care environment
Work onsite at provider offices typically 3 days a week and from home 2 days a week
Attend infrequent evening and weekend meetings

Requirements

What you’ll need

Bachelor Degree and 5 years provider contracting experience OR 9 years managed care experience including 5 years provider contracting experience
Extensive knowledge of provider and facility contracting, products, and claims/processing systems
Leadership skills to oversee staff, implement initiatives, and work across the company to resolve issues
Negotiation skills
Relationship building skills
Knowledge of marketplace
Ability to meet deadlines and work well under pressure
Verbal and written communication skills to interact with all levels of corporate personnel and providers
PC proficiency including Microsoft Office
Analytical skills
Project management skills
Ability and willingness to travel within assigned areas, including overnight stays
Sponsorship is not available
Previous HEDIS and/or CMS STARs experience preferred
Solid understanding of health insurance, customer messaging/design and project management preferred
Expert level of Excel, including pivot tables and VLOOKUP, preferred
Experience in financial/trend analysis preferred
Proven ability to foster and manage working relationships within a matrix environment preferred

Benefits

Comp & perks

Curated development plans and professional development
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Annual incentive bonus plan
Other incentives