
Curative
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Building a healthier tomorrow, together.
13 Jobs
• Manages contract negotiations with Major Health Systems, large physician groups in West and North Texas; 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
• 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
• Manages contract negotiations with Major Health System and 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 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.
• Lead and execute a comprehensive information security and IT strategy, including Governance, Risk & Compliance, Security Operations, and Enterprise IT. • Own the design, implementation, and continuous improvement of the company's information security program. • Partner cross-functionally with every aspect of the business to ensure that security is embedded into every layer of the organization. • Oversee IT operations including helpdesk, system administration, and physical network administration, ensuring reliability and security across the environment. • Set the strategy and roadmap for enterprise applications and infrastructure, including identity and access management; evaluate and govern the use of AI-powered productivity and business tools. • Maintain vulnerability management processes including prioritization, remediation tracking, and SLA enforcement; leverage AI tooling to improve detection coverage and triage efficiency. • Lead incident response, coordinating cross-functional teams, managing communications, and driving post-incident reviews. • Own security and IT vendor relationships, contracts, and budgets, including forecasting and investment recommendations. • Deliver regular updates to executive leadership on program status, key risks, and strategic priorities. • Lead, mentor, and develop a team spanning security and IT, managing priorities, workload, and career growth across both operational and strategic work.
• Own strategy and hands-on engineering for Detection and Response platforms; identify, onboard, and normalize all log sources including cloud, containers, endpoints, and SaaS • Build and maintain Security Orchestration, Automation, and Response (SOAR) tooling to reduce response time and analyst toil • Lead incident response for complex threats including developing runbooks, driving post- incident improvements, and designing/running BCP/DR tabletop exercises. • Embed security into the SDLC: threat modeling, secure design reviews, SAST/DAST tooling, and automated security gates in CI/CD pipelines • Own the vulnerability management program at host and application levels; track and drive remediation • Champion "security as code" practices across engineering teams • Build AI-powered security tooling: threat detection and anomaly identification at appropriate confidence thresholds, automated triage and remediation workflows, and AI-assisted post- mortem summarization • Define and implement the security model for LLM-based systems and internal AI tooling • Architect harness patterns to constrain LLM behavior and harden against prompt injection, indirect injection via RAG pipelines, and data exfiltration via model outputs • Evaluate and govern AI tool adoption from a security and data-risk perspective • Own AWS security posture and enforce baselines across Linux/Windows, network devices, and enterprise SaaS (M365, Google Workspace, Azure) • Engineer, configure, and operate EDR, DLP, and endpoint security programs • Provide IAM architecture expertise across identity and access systems • Mentor and actively develop junior and mid-level security engineers through design reviews, pairing, and direct feedback. Growing team capability is a core expectation of this role • Define and drive security engineering standards across the organization • Collaborate closely with IT operations, platform, and software to translate threat intelligence into detection and hardening priorities
Software Engineer L2 – Finance & Accounting Platform
CurativeBuilding a healthier tomorrow, together.
• Be the technical owner of Curative’s F&A platform. • Pull, transform, and reconcile large volumes of financial data. • Collaborate closely with F&A team to identify discrepancies and develop solutions. • Build AI agents to automate support and billing questions. • Manage codebase, architectural decisions, and quality control of a Python + TypeScript application. • Handle sensitive PHI and financial information with data privacy discipline. • Monitor platform performance and propose changes based on operational metrics. • Maintain stakeholder relationships and co-own the product plan with F&A.
• Design and implement an enterprise claims quality assurance program focused on defect reduction and operational excellence. • Develop statistically valid sampling methodologies and quality scorecards. • Establish auditing frameworks that support continuous improvement and measurable quality outcomes. • Create audit dashboards and reporting that provide actionable operational insights to leadership. • Perform comprehensive audits of professional, institutional, behavioral health, and ancillary claims to validate adjudication accuracy, contract compliance, and regulatory adherence. • Conduct random sampling audits, targeted audits, focused reviews, and high-risk claims analysis across all lines of business. • Identify trends, root causes, and systemic issues contributing to payment inaccuracies, provider abrasion, or operational inefficiencies. • Collaborate with Claims Operations, Payment Integrity, Compliance, Provider Relations, Utilization Management, and Information Technology teams.
Senior Claims Integrity & Quality Analyst, Health Plan Operations
CurativeBuilding a healthier tomorrow, together.
• Conduct in-depth audits and clinical reviews of professional, institutional, ancillary, and high-dollar claims, focusing on adjudication accuracy, benefit application, pricing, and coding (ICD-10, CPT/HCPCS, DRG). • Utilize advanced coding expertise and workflow systems to substantiate audit findings, generate recoverable claims, and investigate potential fraud and utilization patterns. • Drive operational excellence by validating claims configuration, reimbursement methodologies, and processing logic. • Support the implementation of automated controls, advanced editing/AI solutions, and workflow enhancements to improve payment accuracy, reduce administrative costs, and contribute to the development of audit tools, policies, and procedures. • Identify trends, defects, and operational risks impacting claims quality. Develop reports and present findings and recommendations to operational leadership to drive corrective actions and improvement opportunities.
• Develop and enhance relationships with assigned clients, brokers, and consultants, understanding each of their business goals and key initiatives, and seeking opportunities to enhance value for all parties. • Monitor service delivery by tracking and analyzing key performance metrics, ensuring clients receive the highest level of service and value from our products and services while aligning with their business goals. • Deliver analytics on Curative’s performance and productivity, updates on key issues or trends. • Retain and grow their assigned book of business profitably, enhancing overall client satisfaction through excellent service. • Collaborate closely with internal teams, including operations, clinical, network and finance to ensure seamless delivery of services and support to constituents. • Stay informed about industry trends, competitor activities, and regulatory changes to provide clients with insightful initiative-taking advice. • Coordinate and conduct Open Enrollment meetings to ensure assigned clients members make informed decisions about their benefits.
• Maximize overall client retention rates for enterprise key accounts focused on managing their assigned book of business to overall profitably, enhancing overall client satisfaction through excellent service and strategic planning. • Develop and enhance relationships with assigned clients, brokers, and consultants, understanding each of their business goals and key initiatives, and seeking opportunities to enhance value for all parties. • Lead new business implementation efforts for enterprise / large employer accounts. Delivery of a leading implementation end to end for enterprise accounts. Identifying the tools and resources required to deliver on the implementation strategy, including on-going planning for future enhancements. • Work with brokers and employer groups for seamless onboarding and recommend and design process improvements for administration, continuity of care and differentiated experience. • Drive successful open enrollment meetings maximizing membership, employer group onboarding and member engagement. • Quarterback client and broker escalations for employer group and member issue resolution. • Establish and drive continuous process improvement efforts across the organization by creating feedback loops (both internal and external) for client and member experience enhancements. • Attend Client and Broker meetings to drive relationships and exceed client expectations for service and delivery. • Work with employer groups and brokers to drive completion of baseline visit and maximize Curative offerings. Ability to understand pop-health drivers and trends to align with Curative based solutions to drive continuous value. • Collaborate with sales and marketing teams to develop compelling value propositions, proposals and strategic initiatives to attract new Curative clients. • Participate in revenue growth through contract negotiations, successful renewals, pricing strategies, and effective account management practice. • Capture actionable insights from customers and work with product to shape new future offerings and drive valuable, informational employer group reporting. • Act as liaison to Curative leadership on industry and market demands to impact product, and tech development, along with driving organizational process improvements. Thought leader open to change to improve the organization and deliver on our mission.
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