Senior Provider Network Manager

The Senior Provider Network Manager will lead the strategic execution and continuous evolution of our clinical quality programs, provider performance and engagement initiatives across Maven’s provider network (W2 and 1099). This role involves driving clinical quality programs, managing performance, ensuring provider engagement, and fostering strong relationships across the organization to optimize network effectiveness and deliver high-value care.

Key Responsibilities: 

• Clinical Quality Program Management: (50%) 
  • Drive the design, implementation, and continuous improvement of clinical quality programs (e.g., clinical case reviews, prescription monitoring program, provider scorecard) that allow for assessment at individual and global levels.
  • Partner with clinical leaders to standardize best practices and integrate clinical guidelines across network operations.
  • Develop and maintain a centralized, user-friendly repository for all provider-facing clinical materials, ensuring a single source of truth and ease of access to critical clinical content.
  • Strategically own, design, and continuously evolve a comprehensive provider engagement strategy that drive satisfaction and performance  (e.g., recognition programs, communications, learning/development offerings)
• Provider Performance Management: (30%) 
  • Co-develop and operationalize provider performance management frameworks, including constructive feedback protocols, grievance resolution processes, and documentation standards.
  • Partner with Sr. Medical Director and Practice Group Providers to address performance concerns, resolve member complaints, and ensure disciplinary actions are consistent with policy.
  • Leverage dashboards and performance metrics to identify trends and provide actionable insights to senior leadership.
  • Create consistent, effective communication channels for providers (e.g., newsletters, office hours, announcements) and ensure alignment with broader org communications to foster a cohesive and informed provider community.
• Strategic Leadership and Cross-Functional Collaboration: (20%) 
  • Lead proactive identification and resolution of complex, systemic challenges impacting provider care delivery, leveraging data and insights to drive impactful solutions.
  • Build consensus and drive alignment across clinical leadership, product, engineering, and operations to ensure seamless integration of quality and engagement initiatives.
  • Champion provider network voice across the organization ensuring initiatives are grounded in frontline feedback and business goals.
  • Contribute to the development and execution of the broader provider network strategy, ensuring clinical quality and engagement are central pillars.
  • Cultivate strong, collaborative relationships with key providers and stakeholders within the network.

Ideal Candidate Profile:

• Experience:
  • 5-7 years of experience in clinical quality management, healthcare operations, or provider relations, preferably in a high-growth healthcare technology or virtual care environment.
  • Experience project managing cross-functional initiatives in a matrixed organization (eg implementing new clinical protocols, integrating technology solutions, or rolling out new engagement initiatives).
  • Demonstrated success in developing and scaling operational systems focused on clinical and service quality improvement.
  • Applied experience with performance management, quality improvement methodologies, and provider relations.
• Skills:
  • Strong organizational and program build-out capabilities, adept at structuring and scaling new initiatives
  • Strong accountability for program results, proactively anticipates challenges, makes sound, data-driven trade-offs, and optimizes for both team efficiency and individual effectiveness.
  • Exceptional verbal, written, and presentation skills, with the ability to communicate complex information clearly and concisely to diverse audiences.
  • Analytical thinking and problem-solving skills with the ability to translate data into strategic recommendations and drive impactful change.
  • Proficiency in data management and reporting; familiarity with data visualization tools (e.g., Looker, Tableau).
  • Highly proactive and results-oriented with a strong sense of ownership.
  • Ability to work effectively in a fast-paced, matrixed environment.
• Education:
  • Bachelor’s degree in a healthcare-related field or equivalent experience.

The base salary range for this role is $140,000-$175,000 per year. You will also be entitled to receive stock options and benefits. Individual pay decisions are based on a number of factors, including qualifications for the role, experience level, and skillset.