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This role is responsible for hospital and ancillary contracting for our Tier 1 and large Tier 2 providers in North and South Carolina, as well as large free standing ambulatory surgery centers and radiology centers. The opening reports to United Health Networks Southeast Region.
The role is responsible for yielding a geographically competitive, broad access, stable network that achieves objectives for unit cost performance and trend management, and produces an affordable and predictable product. The role uses data to evaluate and then negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls.
The hiring manager for this role is located in Charlotte, NC. which would be an ideal location. However, other locations will be considered for the right candidate if this becomes necessary.
- Anticipate customer needs and proactively develop solutions to meet them
- Serve as a key resource on complex and/or critical issues
- Forecast and plan resource requirements
- May lead functional or segment teams or projects