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Senior Manager Prof Provider Network Performance - Work From Home

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Quick Summary

Overview

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding,

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At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for managing the development and maintenance of harmonious working relationships with assigned providers, negotiating provider agreements, assigning responsibilities to team members, and leading staff through training, coaching, performance management, and other supervisory responsibilities. As a key member of a cross-functional organization, the Senior Manager oversees the performance and growth of an assigned provider network, partnering with providers and internal stakeholders to drive quality, affordability, operational excellence, and member satisfaction. This role provides leadership for Provider Performance teams, oversees provider network financial performance and value-based initiatives, supports Stars and Risk Adjustment goals, ensures compliance with CMS and company policies, and collaborates across the organization to strengthen provider relationships, improve health outcomes, and support the continued growth and profitability of the HealthSpring Medicare Advantage business.

Requirements

~1 min read
  • 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.

  • Effective verbal and written communication skills to interact with all levels of corporate personnel and assigned providers.

  • Demonstrated analytical abilities and proficient planning skills.

  • Effective negotiation skills.

  • Demonstrated ability to meet deadlines and work well under pressure.

  • Team player/people oriented.

  • Ability and willingness to travel, including overnight stays.

    • Previous HEDIS and/or CMS STARs experience

    • Solid understanding of health insurance, customer messaging/design and project management

    • Expert level of Excel preferred (knowledge of pivot tables, VLOOKUP, etc.).

    • Experience in financial/trend analysis

    • Team player with proven ability to foster and manage working relationships within a matrix environment to obtain buy-in and drive results.

    • Master's degree, MBA or other

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

 

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

$92,700.00 - $167,500.00

Exact compensation may vary based on skills, experience, and location.

Location & Eligibility

Where is the job
—
Location terms not specified
Who can apply
Same as job location

Listing Details

Posted
September 29, 2026
First seen
September 30, 2026
Last seen
September 30, 2026

Posting Health

Days active
0
Repost count
0
Trust Level
49%
Scored at
September 30, 2026

Signal breakdown

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Senior Manager Prof Provider Network Performance - Work From Home