Overview
Leads and oversees key provider relationships across the region. Drives network performance, value-based outcomes, and membership growth through strategic provider contracting, performance management, and collaboration with home care providers and NYS Social Care Networks. Brings health plan experience, strong organizational skills, and a creative, solution-oriented approach to complex provider and market challenges.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
Employer-matched retirement saving funds
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
Ensures alignment with organizational goals, regional growth priorities, and market expansion initiatives.
Serves as the primary relationship manager for external vendor relationships, key provider partners, including hospital systems, home care agencies, FQHCs, IPAs, multi-specialty groups, and community-based organizations.
Oversees performance-based and value-based contracts, monitoring quality, cost, utilization, access, and network performance outcomes.
Partners with internal growth, marketing, and operations teams to support membership growth through network expansion, provider engagement, and market readiness.
Develops and executes strategies to improve provider performance, member outcomes, provider retention, and network adequacy, with a focus on home care and community-based services.
Builds and maintains strong relationships with NYS Social Care Networks and community partners to support integrated, whole-person care delivery.
Identifies, escalates, and resolves provider issues in collaboration with internal stakeholders, creating sustainable process improvements.
Coordinates and participates in Joint Operating Committee (JOC) and other provider performance and growth-related meetings.
Partners cross-functionally with Quality, Finance, Clinical, Operations, and Growth teams to execute network and market strategies.
Analyzes performance, utilization, and growth data to inform leadership decisions and provider engagement strategies.
Qualifications
Education: Bachelor''s Degree in healthcare administration, business, or related field, or equivalent experience required
Work Experience: Minimum 5 years of experience in provider relations, contracting, network management, or performance management within a health plan or managed care environment required Demonstrated experience working with home care services, community-based providers, and/or long-term services and supports (LTSS) required Experience supporting membership growth through provider network expansion, market development, or strategic partnerships required Strong understanding of value-based contracting, quality metrics, cost and utilization, and provider performance improvement required Highly organized with strong project management and prioritization skills required Creative problem solver with the ability to operate effectively in complex, multi-stakeholder environments required Excellent communication and relationship-building skills, with the ability to influence provider and executive leadership required Proficiency in Microsoft Office, including Excel and PowerPoint required
Pay Range
USD $93,400.00 - USD $116,800.00 /Yr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 "neighbors" who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.