Bachelor's degree or equivalent experience combined with 15+ years in provider contracting or health insurance.
Exceptional problem solving, decision-making, and negotiation skills with a strong grasp of contract language and finances.
Experience in complex hospital/health systems and with large physician groups for contracting negotiations.
Proven ability to develop and manage relationships with senior executives in healthcare.
Strong written and verbal communication skills with the ability to influence diverse audiences.
Experience in delivering formal presentations effectively.
Customer-centric approach with excellent interpersonal skills.
Remote work capability with occasional travel (5-10%).
Existing relationships with major health systems and large physician groups in targeted states.
Responsibilities
Lead network development across the state or region, ensuring competitiveness against larger health plans.
Hire, train, and oversee negotiators in provider contracting and maintain vital relationships.
Negotiate competitive contracts with major health systems in the geography.
Ensure network compliance with state regulations.
Manage critical provider relationships to maintain Curative's competitive edge.
Collaborate across departments to align network strategy with growth and profitability goals.
Understand clinical specialties to ensure negotiations reflect appropriate terms and coding structures.
Identify and manage initiatives to enhance total medical cost and quality through contract renegotiations.
Project the financial impact of complex provider contracts and new agreements.
Benefits
100% employer-covered medical premiums with 50% coverage for dependents on the base plan including $0 copays and deductibles upon completion of Baseline Visit.
Comprehensive mental health support through various programs and services.
Generous maternity and family planning support alongside chronic condition management programs.
Telehealth services available 24/7 along with pharmacy benefits.
Comprehensive dental and vision coverage provided.
Employer-paid life and disability insurance with supplemental options available.
Flexible spending accounts for additional financial flexibility.
Generous PTO and 11 paid company holidays per year.
401K plan available for full-time employees.
Paid parental leave of up to 8-12 weeks depending on eligibility.
Full Job Description
RESPONSIBILITIES
Lead the network development for a state or group of states. Assure that Curative develops and maintains a network that is very competitive with the larger health plans.
Hire, train and direct a group of negotiators contracting with providers across the state(s) and maintaining key provider relationships.
Lead and complete negotiations with the largest health systems in the geography that result in very competitive contracts with those health systems
Maintain network regulatory compliance in state(s)
Manage the most critical provider relationships in the geography to make and keep
Curative competitive with the larger health plans in terms of unit costs
Work collaboratively with all internal departments to assure that the state's network strategy and priorities are fully aligned with Curative's growth and profitability objectives.
Understand all clinical specialties to ensure contract terms and conditions address the coding structures which are most impacted by negotiations
Identify and manage initiatives that improve total medical cost and quality; including renegotiation of existing agreements
Prepare, analyze, review, and project financial impact of high spend or increasingly complex provider contracts and alternate contract terms
QUALIFICATIONS
Bachelor's degree or equivalent experience in related field, including 15+ years of work experience beyond degree within provider contracting and/or health insurance
Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
Experience with complex Hospital / Health Systems, Large Physician Groups and
Ancillary provider contracting and negotiations
Experience in developing and managing key provider relationships including senior executives
The ability to influence both sales and provider audiences through strong written and verbal communication skills.
Experience with formal presentations
Customer centric and interpersonal skills are required
Remote with occasional travel (5-10%)
Existing relationships with Major Health Systems and Large Physician Groups in major state(s)
Perks & Benefits
Curative Health Plan (100% employer-covered medical premiums for you and 50% coverage for dependents on the base plan.)
$0 copays and $0 deductibles (with completion of our Baseline Visit )
Preventive and primary care built in
Mental health support (Rula, Televero, Two Chairs, Recovery Unplugged)
