Senior Manager-Program Performance (Hybrid/Detroit, MI) - Mosaic CIN

GENERAL SUMMARY:

The Senior Manager, Program Performance provides strategic leadership for the design, implementation, and performance of value‑based payor programs and attribution operations across the clinically integrated network (CIN). This role is responsible for translating value‑based contract requirements into operational strategies, overseeing execution of various initiatives, and ensuring accurate attribution methodologies that support performance measurement, incentive models, and aligns with stakeholder needs. The Senior Manager leads the Program Performance team, establishing consistent standards, improving program execution, and ensuring alignment with population health, contracting, analytics, clinical transformation, and CIN leadership. This role serves as a subject matter expert on payor program requirements, attribution logic, performance levers, and operational execution needed to maximize outcomes under value‑based reimbursement.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

• Provides strategic direction for the implementation, optimization, and oversight of value‑based programs across the CIN, ensuring alignment with system goals and contractual requirements.
• Serves as the enterprise subject matter expert on value-based care and alternative payment model terms, attribution methodologies, incentive structures, quality requirements, and performance levers.
• Leads the development and execution of a system‑wide roadmap for payor programs and attribution operations, including operational workflows, compliance processes, and continuous improvement strategies.
• Oversees all attribution methodologies across payors and programs, ensuring accuracy, transparency, and alignment with program rules.
• Partners with analytics, IT, and population health teams to ensure attribution data integrity, timely reporting, and actionable insights for practices and providers.
• Drives development of attribution tools, dashboards, and communication strategies to support provider understanding and program engagement.
• Directs teams responsible for day‑to‑day execution of value‑based programs, ensuring consistent adherence to program requirements, timelines, and performance expectations.
• Ensures strong operational processes for program implementation, data management, provider servicing, and performance reporting.
• Identifies performance gaps and oversees development of improvement strategies to meet payor program targets, including quality, utilization, and cost outcomes.
• Collaborates closely with contracting, population health, clinical integration, clinical leadership, finance, analytics, and IT teams to operationalize payor contract requirements and support enterprise goals.
• Represents Program Performance in internal and external forums, workgroups, and committees.
• Builds and maintains strong relationships with providers, medical group leadership, and practice transformation teams to ensure alignment of program requirements and performance strategies.
• Leads, mentors, and develops direct and indirect reports within the Program Performance team, fostering a culture of accountability, service excellence, and continuous improvement.
• Ensures team members are equipped with the tools, training, and support required to perform effectively in a rapidly evolving value‑based care environment.

EDUCATION/EXPERIENCE REQUIRED:

• Bachelor's degree in Health Care Administration, Business, Public Health, Health Policy, or a related field. Master's degree in Health Care Administration, Business, or related field preferred.
• Seven (7) or more years of progressive experience in managed care, payor relations, clinical integration, value‑based programs, population health, or related healthcare operations.
• Three (3) or more years of leadership experience overseeing teams, programs, or multi‑disciplinary initiatives.
• Experience managing cross‑functional operations involving analytics, clinical teams, IT, payors, and provider networks.
• Manager or above leadership experience in a clinically integrated network, health plan, or complex delivery system environment preferred.
• Experience with Epic, enterprise data warehouse environments, and population health platforms preferred.
• Experience collaborating directly with payor partners on program design, performance reporting, and operational execution preferred.
• Demonstrated expertise in value‑based reimbursement, alternative payment models, payor program requirements, and attribution methodologies.
• Strong understanding of quality measurement, clinical performance improvement frameworks, utilization management levers, and program incentive structures.
• Excellent communication skills with the ability to translate complex program requirements into actionable operational strategies.
• Demonstrated ability to influence stakeholders, build buy‑in, and drive accountability across diverse teams and provider groups.
• Proven project management, change management, and organizational leadership capabilities.

Additional Information

• Organization: Corporate Services
• Department: HF CIN
• Shift: Day Job
• Union Code: Not Applicable