Director, Network Development (Healthcare)

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.

^SUMMARY

^{The Director Network Development Senior is a leader who provides strategic leadership and oversight for network management and contracting team. Develops and implements network strategies manage provider contracts and negotiations leads dispute resolution processes and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships..}

^{ESSENTIAL DUTIES AND RESPONSIBILITIES}

• Manages contract negotiations with Major Health Systems large physician groups in Texas and Oklahoma; national ancillary providers; conducting several negotiations simultaneously to meet growth demands
• Deep understanding and experience with all complex contracts to ensure contract terms and conditions address the coding structures which are most impacted by negotiations
• People manager and mentor. Will directly manage a team of negotiators.
• Able to work in a fast-paced environment with high volume contracting requirements for the role. (Position will be responsible for completing a minimum number of contracts per month as well as managing the team to do the same.)
• Proactively build 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 and identify and manage 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 newer team members on strategies and approaches to successful negotiations
• 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
• ^{This position assumes and performs other duties as assigned.}

^{QUALIFICATIONS}

^{To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:}

• Superior problem solving decision-making negotiating skills contract language and financial acumen
• In depth understanding of the contract cycle from contractual negotiation to credentialing and contract terms load
• Hospital / Health Systems Large Physician Groups and Ancillary provider contracting and negotiations
• 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
• Team player with proven ability to develop strong working relationships within a fast- paced high-volume organization
• Customer centric and interpersonal skills are required
• 5 years of being a people manager
• Experience with Google products

^{EDUCATION and/or EXPERIENCE}

• ^{Bachelors degree (B. A.) from four-year college or university; or equivalent experience in related field.}
• ^{7 years of experience with health plan or provider organizations}
• A minimum of 10 years professional work experience in provider negotiating and contracting with Texas and Oklahoma hospitals and/or affiliated large group contracting experience
• ^{Must have current hospital and/or large group and ancillary contracting experience in appropriate state}
• Existing relationships with major health systems and large physician groups in Texas and Oklahoma is required

^{WORK ENVIRONMENT}

^{The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.}

• ^{Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and ability to adjust focus.}
• ^{The noise level in the work environment is usually: Mild}
• ^{For this position the percentage of expected Travel is: 5-10% of the time}

Curative 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.