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The Role
Manages ACO provider relationships, onboarding, education, engagement, and performance improvement across Florida and emerging markets. Analyzes quality, utilization, referral, risk, and HCC data to identify practice opportunities and recommend actionable strategies. Leads provider change management, coordinates value-based care initiatives, supports regulatory compliance, and serves as a liaison among providers and internal teams. The role is remote with regular fieldwork and occasional travel.
Summary Generated by Built In
Astrana is seeking a Manager - Netowrk Performance and Improvement to be responsible for building and maintaining strong provider relationships to support engagement, satisfaction, compliance, and performance in the Accountable Care Organization (ACO) in our new Florida market and other emerging markets!
This position independently manages complex, cross-functional projects and exercises sound judgment in evaluating performance and recommending strategies that impact value-based care outcomes. The Manager will be responsible for analyzing practice performance and executing strategies to improve and optimize ACO performance across Florida and emerging markets. The role identifies practice-specific opportunities, translates data into actionable strategies, and drives ACO initiatives aligned with organizational and market objectives.
Reporting to the Senior Director of Operations, the Manager serves as a strategic partner to internal stakeholders and external providers, integrating data analysis, provider engagement, and operational execution to drive sustainable performance improvement and alignment with regulatory and value-based care requirements.
Our Values:
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
What You'll Do
- Serve as a primary point of contact for ACO providers, guiding them through recruitment, onboarding, education and process improvement processes.
- Conduct in-person and virtual meetings with physicians, provider groups, and staff members to present practice specific improvement opportunities and influence decisions and actions.
- Identify and recommend improvements to provider engagement strategies and onboarding experiences.
- Build and maintain relationships with key provider stakeholders to support long-term ACO success.
- Monitor overall provider performance utilizing performance data and insights (i.e., quality, utilization, referral management, risk), provider engagement activities, and team feedback.
- Understand, support HCC improvement activities with assigned practices, in collaboration with Astrana’s coding team.
- Implement provider change management activities at the practice and market level: organize and structure provide education sessions, develop tools with their team to establish provider profiles and insights to identify key areas in the workflow that can improve to better align in office activities such as AWV workflow and scheduling processes.
- Serve as a liaison among Value-Based Care, Business Development, Operations, Quality, and other internal teams to facilitate alignment and effective execution.
- Provide data-driven insights and recommendations to leadership to inform practice- and market-level operational improvements.
- Serve as a subject matter expert on Market Representative activities that support ACO performance, identifying and sharing best practices across markets.
- Partner with leadership to align performance improvement initiatives with broader ACO and organizational objectives.
- Other duties as assigned.
Qualifications
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required
- At least 5 years of experience in provider network relations, healthcare operations, managed care, or related field
- Experience in provider relations and ACO experience preferred
- Demonstrated experience analyzing data and making recommendations that impact business or operational outcomes
- Valid driver’s license with ability to travel within the Florida service area and occasionally to the West coast
- Demonstrated ability to exercise independent judgment and discretion in evaluating provider opportunities for ACO performance improvement
- Strong analytical skills with the ability to interpret data and translate findings into actionable strategies
- Understanding of value-based care and be able to bridge the gap in provider understanding of the concepts
- Knowledge of CMS, Medicare, and ACO regulatory requirements
- Ability to influence stakeholders and build relationships with providers and internal partners.
- Strong communication and presentation skills
- Ability to manage multiple priorities and adapt in a fast-paced environment
- Proficiency in Microsoft Office and data/reporting tools
Environmental Job Requirements and Working Conditions
- This is a full-time, remote position with regular travel and field-work required across Florida (travel up to Jacksonville and down to Miami required). Travel to California and Nevada will also be required per business need.
- The national target compensation for this position is $98,000 - $115,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
About
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Skills Required
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field
- At least 5 years of experience in provider network relations, healthcare operations, managed care, or a related field
- Experience in provider relations and accountable care organizations
- Experience analyzing data and making recommendations affecting business or operational outcomes
- Valid driver's license and ability to travel within the Florida service area and occasionally to the West Coast
- Ability to exercise independent judgment and discretion in evaluating provider opportunities for performance improvement
- Strong analytical skills and ability to translate findings into actionable strategies
- Understanding of value-based care and ability to explain related concepts to providers
- Knowledge of CMS, Medicare, and ACO regulatory requirements
- Ability to influence stakeholders and build relationships with providers and internal partners
- Strong communication and presentation skills
- Ability to manage multiple priorities and adapt in a fast-paced environment
- Proficiency in Microsoft Office and data/reporting tools
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The Company
What We Do
Astrana Health is a physician-centric, technology-powered healthcare company that operates an integrated delivery platform. It enables providers to participate in value-based care arrangements, helping them deliver accessible, high-quality, and cost-effective care to patients. The company provides care coordination services to patients, primary care physicians, specialists, and health plans, leveraging proprietary technology to streamline operations and improve patient outcomes across local communities.
