ESSENTIAL FUNCTIONS
Analyze financial, operational, and clinical data to identify trends and
translate insights into actionable recommendations that improve cost,
quality, and utilization outcomes
Partner with Regional Medical Directors to engage market MSK and PCP
clinicians in understanding HOPCo’s program expectations, incentive
eligibility, clinical performance data, quality metrics,
and utilization trends.
Create and deliver performance reviews and presentations to providers,
practice leadership, and staff, clearly communicating opportunities,
expectations, and progress
Drive provider engagement and accountability through ongoing communication,
education, and alignment to program goals, contractual requirements, and MSK
best practices
Lead onboarding and ongoing enablement of provider groups, ensuring alignment
to program workflows, expectations, and success metrics
Work with Regional Medical Directors, Network Performance, Medical Economics,
and Operations teams to develop tools, resources, and reporting to support
performance tracking, transparency, and continuous improvement
Collaborate cross-functionally with clinical, analytics, and operations teams
to address performance gaps, enhance program design, and support key
initiatives
Work with VP of VBC Network Management and Network Performance team
to establish and execute a consistent provider engagement cadence, including
quarterly business reviews and ongoing touchpoints
Independently manage multiple priorities, projects, and deadlines with
minimal oversight
Support network growth strategies and execution
Other duties as assigned
EDUCATION
Bachelor’s degree required.
Master’s degree in Nursing, Healthcare Administration, Business
Administration, or related field (MSN, MHA, MBA) preferred
EXPERIENCE
Minimum of 6 years of experience in value-based care, population health, or
other MSK value-based care programs
Demonstrated experience working with claims, quality, utilization, and
performance data to drive performance improvement
Proven experience engaging providers and driving performance improvement
within value-based care programs
Experience working in or closely with orthopedic clinical settings or
MSK-focused operational environments preferred
Experience supporting at-risk arrangements and/or large, coordinated provider
networks, including statewide or payer-aligned networks, preferred
REQUIREMENTS
Registered Nurse (RN) or other clinically trained professional with
musculoskeletal (MSK) or orthopedic experience preferred; candidates with
strong MSK value-based care experience will also be considered
Ability to travel up to 50%, as needed
Ability to work effectively and independently in a remote environment
Ability to manage multiple assigned provider
practices, value-based programs, and priorities simultaneously while meeting
deadlines
Ability to communicate effectively, verbally and in writing, to a wide range
of audiences
KNOWLEDGE
Strong understanding of MSK value-based care program design and performance
drivers
General clinical knowledge of orthopedics and clinical workflows.
General knowledge of payor contracting.
SKILLS
Advanced Microsoft Office skills (Excel, PowerPoint, Word, PowerBI).
Strong analytical and problem-solving skills; ability to translate complex
data into clear findings.
Strong written and oral communication skills including frequent virtual
meetings.
ABILITIES
Excellent communication and presentation abilities.
ENVIRONMENTAL WORKING CONDITIONS
Standard office environment
Work hours will require flexibility to accommodate meetings across different
time zones.
Some travel required for provider meetings, team meetings, training, or
organizational events.
PHYSICAL/MENTAL DEMANDS
Requires prolonged periods of sitting and working at a computer.
Manual dexterity using a keyboard and mouse
ORGANIZATIONAL REQUIREMENTS
HOPCo Mission, Vision and Values must be acknowledged and adhered to
This description is intended to provide only basic guidelines for meeting job
requirements. Responsibilities, knowledge, skills, abilities and working
conditions may change as needs evolve.