Manager of Delegate Performance

Job Summary

A company is looking for a Manager, Delegate Performance.

Key Responsibilities

• Manage performance assessment and analysis for delegated entities, synthesizing various data inputs into comprehensive performance narratives
• Lead performance discussions with delegated partners, defining improvement actions and monitoring progress against plans
• Collaborate with cross-functional teams to align oversight findings with performance management strategies

Required Qualifications

• 6+ years of experience in healthcare operations or delegated oversight
• 3+ years in a performance management or operational leadership role within a health plan or related organization
• Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field; Master's degree preferred
• Strong understanding of delegated functions including claims, UM, CM/CCM, and appeals
• Experience with performance reporting or data visualization tools such as Tableau or Power BI