Senior Network Contracting Specialist
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Job Location:
Austin, TX - USA
Monthly Salary:
$ 100000 - 125000
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
About Curative
Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B Curative is scaling rapidly and investing in AI-powered service deeper member engagement and a smart network designed for todays workforce.
Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan support our members to how we collaborate as a team.
If you want to do meaningful work with a team that moves fast experiments boldly and cares deeply Curative is the place to do it. Were growing fast and looking for teammates who want to help transform health insurance for the better.
Responsibilities
Manages contract negotiations with large physician groups and ancillary providers; conducting several negotiations simultaneously to meet growth demands
Deep understanding and experience with all clinical specialties to ensure contract terms and conditions address the coding structures which are most impacted by negotiations
Proactively builds relationships that nurture provider partnerships to support the local market strategy
Initiates nurtures and maintains effective channels of communication with matrix partners including but not limited to Claims Medical Management Credentialing Legal Medical Economics Compliance Sales and Marketing
Responsible for meeting unit cost targets while preserving an adequate network to achieve and maintain competitive position
Identify and manages initiatives that improve total medical cost and quality; including renegotiation of existing agreements
Prepares analyzes reviews and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms
Collaborates cross-functionally to manage provider compensation and pricing development activities submission of contractual information and the review analysis of reports as part of negotiation and reimbursement modeling activities.
Assists in resolving elevated provider service complaints; researching and negotiating with internal/external partners/customers to resolve complex and/or escalated issues.
Manages key provider relationships and is accountable for critical interface with providers and business staff
Coach and support new team members on negotiation strategies and approaches to successful
Demonstrates comprehensive knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
Partner with Regulatory Affairs to ensure all network filings are timely and accurate; including participation with Compliance to ensure adherence to established guidelines supporting Mental Health Parity
Position Requirements
Bachelors degree or equivalent experience in related field including 7 years of work experience with Texas hospitals and providers beyond degree within provider contracting and/or health insurance
Existing relationships with major health systems and large physician groups in Texas is required
Superior problem solving decision-making negotiating skills contract language and financial acumen
Experience with Physician group and ancillary provider contracting and negotiations
Experience negotiating delegated credentialing agreements
Experience in developing and managing key provider relationships including senior executives
Demonstrated experience in seeking out building and nurturing strong external relationships with provider partners
Intimate understanding and experience with larger more complex integrated delivery systems managed care and provider business models
Team player with proven ability to develop strong working relationships within a fast-paced organization
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
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)
One-on-one care navigation
Chronic condition programs (diabetes weight hypertension)
Maternity and family planning support
24/7/365 Curative Telehealth
Pharmacy benefits
- Comprehensive dental and vision coverage
Employer-provided life and disability coverage with additional supplemental options
Flexible spending accounts
Flexible work options: remote and in-person opportunities
Generous PTO policy plus 11 paid annual company holidays
401K for full-time employees
Generous Up to 812 weeks paid parental leave based on role eligibility.
Required Experience:
Senior IC
Key Skills
- Dhcp
- Routing Protocols
- Collection Management
- Network Administration
- Network security
- Tcp/IP
- LAN
- Computer Networking
- OSPF
- Network Monitoring
- TCP
- Dns
About Company
We are looking for an energetic Staff Accountant looking to obtain accelerated learning and experience in a fast-paced, high growth environment. Our health insurance organization is seeking an entry level Staff Accountant. The successful applicant will work on accounts payable, accoun ... View more
