Emily Leigh

WORK HISTORY

ABOUT EMILY LEIGH

Leads team, providing strategy and guidance in provider network development 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 for customers and business partners (Employer & Individual, Medicare, Medicaid and TriCare). Evaluates and negotiates contracts in compliance with company contract templates, reimbursement structure standards, and other key process controls. Establishes and maintains strong business relationships with Hospital, Physician, or Ancillary providers, and ensures the network composition includes an appropriate distribution of provider specialties- Provides leadership to and is accountable for the performance of managers and/or senior level professional staff- Develops functional, market level, and/or site strategy, plans, production and/or organizational priorities- Identifies and resolves technical, operational and organizational problems outside own team-Evaluates current contract performance to identify potential remediation opportunities and/or cost savings-Demonstrated understanding of contract language in order to assess financial and operational impact and legal implications of requested contract changes-Demonstrated understanding of competitor landscape within the market (e.g, rates; market share; products; provider networks;market intelligence; GeoAccess)-Balance financial and operational impact of contracts to providers, members, UHN, and different customer groups when developing and/or negotiating contract terms-Demonstrates understanding of contract language and terms of agreement in order to ensure that financial/operational impact and legal implications are aligned with business objectives· Bring in the Right Talent· Develop People· Drive Employee Engagement· Foster Teamwork and Collaboration