CU Medicine’s Health Plans and Analytics Department (Formerly Health Plan Development (HPD)) Department houses the essential business functions of Commercial Payer Contracting, Professional Services Contracting and Managed Care Credentialing for School of Medicine (SOM) faculty members.
Vice President, Payor Relations and Network Development
The Business Intelligence team develops reporting and analytics systems for the various HPD teams, UPI leadership, and School of Medicine departments. Using UPI’s clinical data and integrated with other sources, our focus is on a more metric-based response to the often asked, “what if.” BI is also responsible for collecting provider clinical FTEs and clinical workforce productivity related analytics.
Associate Director of Business Intelligence
Manager Business Intelligence
Sr Business Intelligence Consultant
Sr Business Intelligence Analyst
UPI’s Commercial Payer Contracting group offers SOM faculty leading edge contract reimbursement rates and contract language with all major payers within the market.
Managed Care Contracting Manager
Managed Care Coordinator
CU Medicine’s Managed Care/Commercial Credentialing staff credentials the SOM faculty members for participation on over 50 Managed Care Organization (MCO) panels. This credentialing facilitates CU Medicine to bill and collect for services rendered to each respective MCO health plan member.
Manager of Managed Care/commercial Credentialing
Managed Care/commercial Credentialing Coordinator
UPI’s Professional Services Contracting group manages the contracting of professional services for all School of Medicine faculty members. Such contracts entail the performance of paid consulting, clinical and administrative services by faculty members on behalf of external organizations including pharmaceutical and medical device companies, hospitals and healthcare facilities, and federal, state and local government agencies.
Senior Legal Counsel
Contract Coordinator, Managed Care Contracting
CU Health Plan Medical Management performs utilization management for the CU Health Plan Exclusive and the CU GME Health Plans.
Senior Case Manager