Senior Manager, Network Performance

Point32Health

. Lead analytic support for contract negotiations, strategic initiatives, and regulatory requests .

Posted 9/29/2026full-timeRemote • Massachusetts • United StatesSenior💰 $133,747 - $200,620 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing complex analyses related to provider contracts and payment changes, while effectively leading and developing a team. Proficient in coordinating provider network re-contracting and regulatory requests, with a strong understanding of value-based reimbursement mechanisms.

Highest-signal resume keywords

Provider Contractual ArrangementsValue-Based Reimbursement MechanismsComplex Analysis SupportStaff Management and DevelopmentRegulatory Request Preparation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Financial Impact AnalysisData PreparationCosting of ServicesPerformance AssessmentInnovative Financial Models

Soft Skills

Team LeadershipCollaborationTraining and MentoringWorkload ManagementQuality Standards Adherence

Tools & Technologies

Analytic ToolsDepartment Tools Development

Industry Keywords

Provider Network Re-ContractingPayment ArrangementsCost and Utilization DriversSales RFP Support

About the role

Key responsibilities & impact

Lead analytic support for contract negotiations, strategic initiatives, and regulatory requests
Manage analysts in designing and executing complex analyses measuring the financial impact of provider contracts and payment changes
Maintain knowledge of provider contractual arrangements, value-based reimbursement mechanisms, and cost and utilization drivers
Submit regulatory requests
Coordinate and oversee annual provider-network re-contracting for commercial business
Collaborate with Network Contracting, Provider Analytics, Accounting, Trends, and Reserving on provider risk deals
Identify opportunities to improve Point32Health’s financial position through enhanced payment arrangements
Manage development and enhancement of department tools
Coordinate quarterly provider performance assessment reviews
Participate in external provider meetings with Network Contracting staff
Manage network service costing to support Actuarial product pricing
Recruit, train, develop, and evaluate staff
Manage team workload and timelines
Support Sales RFPs as appropriate
Perform other duties and projects as needed

Requirements

What you’ll need

Broad, comprehensive knowledge and understanding of provider contractual arrangements
Knowledge of value based reimbursement mechanisms and key cost and utilization performance drivers
Experience supporting complex analysis related to negotiations and provider contracts
Experience managing staff and providing training and mentoring
Ability to manage data preparation for regulatory requests
Ability to coordinate annual re-contracting of the provider network
Ability to work with Network Contracting, Provider Analytics, Accounting, Trends and Reserving
Ability to evaluate and recommend new and innovative financial models and processes
Ability to manage costing of services for network product pricing
Ability to recruit, train, develop, and evaluate staff performance
Ability to manage workload while meeting quality standards and customer timelines

Benefits

Comp & perks

Medical, dental and vision coverage
Retirement plans
Paid time off
Employer-paid life and disability insurance with additional buy-up coverage options
Tuition program
Well-being benefits
Full suite of benefits to support career development, individual & family health, and financial health
Variable pay eligibility