Regional Head Network Development (Mid Atlantic Region)

Curative HR

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profile Job Location:

Austin, TX - USA

profile Monthly Salary: $ 200000 - 250000
Posted on: 3 hours 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.

SUMMARY

The Head of Network Development role is responsible for leading the strategic development competitive positioning and operational management of Curatives provider network across a designated geography (Delaware Maryland North Carolina Pennsylvania Virginia Washington D.C.
& West Virginia)
. The primary objective is to ensure the development of a network that is highly competitive against larger health plans in terms of both coverage and unit costs. Key functions include leading complex negotiations with major health systems managing critical provider relationships ensuring regulatory compliance and aligning network strategy with Curatives overall growth and profitability goals. The Head will also hire train and direct a team of negotiators leverage financial analysis for contract terms and drive initiatives focused on improving total medical cost and quality.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Lead the network development for Delaware Maryland North Carolina Pennsylvania Virginia Washington D.C. & West Virginia

  • 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 designated 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 designated state(s)

  • Manage the most critical provider relationships in the Mid Atlantic Region 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 designated states network strategy and priorities are fully aligned with Curatives 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

  • Remote with occasional travel (10%)

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

  • 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

EDUCATION and/or EXPERIENCE

  • Bachelors degree or equivalent experience in related fields or equivalent combination of education and experience.

  • 15 years of work experience beyond degree within provider contracting and/or health insurance

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.

  • While performing the duties of this Job the employee is regularly required to sit; use hands to handle or feel; talk; and hear.

  • Must thrive in a fast-paced environment

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.

About CurativeCurative 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...
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Key Skills

  • Correspondent
  • Accounts Handling
  • Food & Beverage
  • Infection Control
  • AC Maintenance
  • Jboss

About Company

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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

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