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Castlight Health · 1 day ago

Director, Provider Network Performance

United States

Full-time

Remote

Lead/Staff, Director/Executive

$171K/yr - $213K/yr

5+ years exp

Castlight Health is seeking an experienced leader to oversee the operations and performance of their medical network. The Director will drive execution on economic, clinical, and population health strategies to ensure success in value-based partnerships and will be responsible for managing relationships with partner practices while optimizing performance under risk contracts.

EnterpriseFitnessHealth CareInformation TechnologyWellness

Comp. & Benefits

Responsibilities

Lead and support partner practices under value-based care/risk contracts, ensuring performance against key financial and quality metrics

Develop deep understanding of contract terms, attribution, quality incentive structures, and risk adjustment methodologies

Translate contract details into operational execution strategies for practice teams

Establish and maintain a predictable cadence of population health data pulls and reviews in collaboration with the Population Health Analyst

Guide analysis and interpretation of population health trends, patient segmentation, care gap closure, and cost utilization data

Drive the development of actionable plans with clinical and operational teams based on identified opportunities in the data

Monitor implementation progress and iterate strategies to improve results

Directly manage and develop the Population Health Analyst and Clinical Liaison, ensuring they have clear priorities, training, and performance goals aligned to Vera and partner practice objectives

Serve as a liaison between clinical, operational, and analytical teams to ensure data-driven decisions inform daily workflows and strategic initiatives

In partnership with the Sr. Manager, Provider Network Success, build and maintain high-trust relationships with partner practice leadership teams, serving as a strategic advisor and performance coach

Facilitate regular Joint Operating Committees or similar governance forums with provider partners and internal stakeholders

Identify partner needs and tailor apree support resources accordingly to meet mutual goals

Lead quality improvement initiatives focused on closing care gaps, enhancing patient experience, and optimizing clinical workflows

Collaborate with internal stakeholders to support the expansion or onboarding of new partner practices

Qualification

Provider risk contractsPopulation health managementHealthcare operations leadershipData interpretationPerformance improvementHealthcare analytics toolsProject managementClear communicationStrategic thinking