Opportunity Description
Supports the medical cost position of assigned markets through analysis of healthcare provider contracts, analysis of high performing network solutions, analysis of medical expense reports, data drill downs of trend drivers, and execution of key initiatives designed to address medical expense and product pricing trends. Partners with network management and pricing units to deliver medical expense results in line with trend/cost expectations to ensure strong competitive positioning within the marketplace.
**ESSENTIAL FUNCTIONS**
+ Provide analytical and strategic support of health care provider rate negotiations.
+ Identify opportunities for medical cost reduction, develop action plans, and drive execution.
+ Assess the cost and quality efficiency of health care providers.
+ Collaborate with local network team to develop and maintain high performing network solutions.
+ Assess competitiveness of standard and high performing network products.
+ Analyze r...
**ESSENTIAL FUNCTIONS**
+ Provide analytical and strategic support of health care provider rate negotiations.
+ Identify opportunities for medical cost reduction, develop action plans, and drive execution.
+ Assess the cost and quality efficiency of health care providers.
+ Collaborate with local network team to develop and maintain high performing network solutions.
+ Assess competitiveness of standard and high performing network products.
+ Analyze r...
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