Michael Curtin Email & Phone Number

Columbus, Oh, Us

Minnetonka, Mn, Us

• Lead a team of experienced network account managers, providing oversight and direction on fee for service contracting and strategy, provider relations and issue resolution, execution of healthcare affordability initiatives and identification and execution of data-driven IT solutions. • Develop and manage contracts and relationships with large hospital systems, integrated care delivery networks and clinically integrated networks, healthcare consultants, and cross functional business partners and leaders within UnitedHealthcare and Optum. • Manage market-level budgets and cost trends through contract negotiation and innovative administrative and operational solutions, and value-based contracting initiatives, including performance-based reimbursement, ACO programs, and capitation arrangements. • Develop and manage market and state-wide contracting and affordability initiatives across commercial, Medicare Advantage, managed Medicaid, and Veterans’ Affairs contracts. • High skilled with deep knowledge in: health insurance and healthcare provider contracts, value-based reimbursement and programs for all line of business, healthcare financial reporting and analysis, revenue cycle and operations management, data analytics (specifically healthcare quality and network financial and competitiveness data), employee and leadership development

Us

Team Lead, Physician Network Management•Lead physician network team in managing team metrics, contract negotiations, physician and hospital accounts, and department projects for commercial and government programs•Analyze, investigate, and evaluate industry trends, provider budgets, clinical operations, and customer financials; focusing on financial management, forecasting, and best in class contract outcomes•Train, mentor, and coach the physician network management team through complex contract negotiations including performance based contracting•Develop and manage relationships with all provider types, including health systems, hospitals, and physician groups•Manage and develop a team of account managers working within a fast paced and account service centered environment •Evaluate and negotiate contracts with physicians and facilities, focusing on financial analysis and management of cost trends and marketplace trends•Drive contract reimbursement reform initiatives including pay for performance, ACO management, and outcome-based quality and efficiency programs

Us

Senior Network Account Manager•Completed and executed contract negotiations for network contract renewals and network recruitment targets netting significant annual savings for the market•Developed and implemented innovative contract and payment arrangements based on clinical quality and efficiency metrics•Coordinated and developed strategies to implement performance based incentive programs, focusing on evaluation of industry trends and customer opportunities•Solved complex account issues and managed operational processes for physician groups and health systems•Achieved organization metrics, leading to a number one ranking in the nation by delivering on unit cost targets, network development targets for all products, and implementing innovative contract payment arrangements•Developed a fully compliant, accessible network for Ohio state Medicaid reorganization in 2012

Us

• Managed customer accounts and contract negotiations executing on unit cost targets • Evaluated and forecasted account negotiations focusing on financial analysis and evaluation of market and industry trends• Coordinated claims projects and contracting operations for primary care accounts in the Columbus market• Managed customer accounts and facilitated all operations for account servicing and contracting

Master'S Degree, Business Administration And Management, General

Bachelor Of Science (Bs), Finance, General