Senior Manager, Provider Network Performance

Health Care Service Corporation

. Manage development and maintenance of harmonious working relationships with assigned providers .

Posted 9/29/2026full-timeUnited StatesSenior💰 $92,700 - $167,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates strong leadership in managing provider relationships and overseeing performance within a healthcare administration context. Proficient in negotiation, compliance with CMS policies, and financial performance analysis to drive operational excellence and member satisfaction.

Highest-signal resume keywords

Provider Relationship ManagementNegotiation SkillsFinancial Performance AnalysisHEDIS and CMS STARs ExperienceTeam Leadership

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Healthcare AdministrationManaged Care ExperienceFinancial AnalysisProject ManagementExcel (Pivot Tables, VLOOKUP)

Soft Skills

Effective CommunicationAnalytical AbilitiesTeam PlayerAbility to Work Under PressureCoaching and Performance Management

Certifications & Qualifications

Bachelor’s Degree in Business or Related FieldMaster’s Degree or MBA (Preferred)

Industry Keywords

CMS ComplianceProvider Network ManagementHealth InsuranceOperational ExcellenceMember Satisfaction

About the role

Key responsibilities & impact

Manage development and maintenance of harmonious working relationships with assigned providers
Negotiate provider agreements
Assign responsibilities to team members
Lead staff through training, coaching, performance management, and other supervisory responsibilities
Oversee performance and growth of an assigned provider network
Partner with providers and internal stakeholders to drive quality, affordability, operational excellence, and member satisfaction
Provide leadership for Provider Performance teams
Oversee provider network financial performance and value-based initiatives
Support Stars and Risk Adjustment goals
Ensure compliance with CMS and company policies
Collaborate across the organization to strengthen provider relationships, improve health outcomes, and support growth and profitability of the HealthSpring Medicare Advantage business
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’s Degree in Business or related field plus four years of health care administration or managed care experience
Eight years of similar experience may substitute for the degree and four years of experience
Effective verbal and written communication skills
Demonstrated analytical abilities and proficient planning skills
Effective negotiation skills
Ability to meet deadlines and work well under pressure
Team player/people oriented
Ability and willingness to travel, including overnight stays
Must live within 380 miles from the territory serviced
Sponsorship is not available
Preferred: 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
Master’s degree, MBA or other 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
Other incentives
Annual incentive bonus plan