Partnership and Performance Manager, Upstate NY region

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.

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