• Develop strategic partnerships between the health plan and the contracted provider networks • Engage with providers to align on network performance opportunities • Consultative account management and accountability for issue resolution • Drive optimal performance in contract incentive performance, quality, and cost utilization • Participate in the development of network management strategies • Assist in the strategic implementation of new initiatives for performance improvement • Serve as primary contact for providers • Act as a liaison between the providers and the health plan • Identify and deliver solutions to providers concerns and issues as needed • Investigate, resolve and communicate provider claim issues • Engage with and educate providers regarding policies and procedures • Perform provider orientations and ongoing provider education • Manages Network performance for assigned territory • Evaluates provider performance and develops strategic plan to improve performance • Drives provider performance improvement in various areas • Present detailed HBR analysis and create reports for Joint Operating Committee meetings • Develop proficiency in tools and educate providers on use of tools