Curative HR LLC

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. SUMMARY The Director Network Development oversees the development and management of insurance networks, focusing on improving affordability and quality outcomes while managing provider relationships and negotiation strategies in the South East Region. This role is crucial for building and maintaining a strong network of healthcare providers, ensuring access to care for members, and optimizing network performance. Candidates should have experience working with providers in the South East Region states. ESSENTIAL DUTIES AND RESPONSIBILITIES - 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. 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 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 EDUCATION and/or EXPERIENCE - Bachelor's degree (B. A.) from four-year college or university; - 7+ years of work experience beyond degree within provider contracting and/or health insurance. - Must have current hospital and/or large group and ancillary contracting experience in appropriate states - Existing relationships with major health systems and large physician groups in appropriate state 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 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 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. SUMMARY Curative is reimagining health insurance by eliminating out-of-pocket costs and making care truly accessible. The Installation Manager will support the installation of new and renewal business sales. This position is responsible for managing tasks from post-sale and continuing through for active clients. The Installation Manager will focus on completing set-up milestones, supporting group and broker escalations throughout the year. ESSENTIAL DUTIES AND RESPONSIBILITIES - Efficiently escalate and close group and member concerns and issues that are brought to our attention via the broker or group while tracking and trending such concerns and issues. - Providing support to the Account Executives throughout the implementation process including but not limited to: - Discovery to gather all new client implementation requirements. - Ensure that all parties are up to date on implementation status and have clear actions for the next check-in that are aligned with onboarding success. - Ensuring all group documents are completed accurately and received timely. - Supporting enrollment meetings both virtually and on site as a back up to the account executive as needed. - Updating group and broker information company client management systems - Additional enrollment, eligibility, and contracting support as needed - Serving as a subject matter expert for Curative Health Plan benefits, implementation processes and procedures. - Develop proficiency in ENav enrollment platform and EDI enrollments - Nurture long term relationships with internal and external stakeholders. 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: - Possess the ability to adapt quickly in a fast-paced, ever-changing environment - Knowledge of state specific Health Plan Benefits - Detailed oriented with experience with CRM systems - Proficient in Microsoft Office Suite, Google Workspace and Adobe - Fluent in spoken and written English (Spanish bilingual -preferred but not required) - Possess excellent diplomacy and people skills. - 3 years’ experience in Health Plan Sales, Benefit Counselling or Account Management - Excellent, professional verbal and written communication skills 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. - Remote position - Must have password protected, stable high speed internet access - stipend will be provided - Must have a quiet place, with no distractions to perform duties for work from home - Work location MUST be secure and private to maintain HIPAA compliance for work from home - Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset - While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; talk; and hear. - The employee is frequently required to reach with hands and arms. - Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. - For this position the percentage of expected Travel is: 0% of the time. Training Expectations - You will attend a 3-4 week minimum remote training program. - Attendance is mandatory for the full training program. - Training will be Monday through Friday 8:30am - 5pm PST. - You will be required to take regular open book competency and retention exams intermittently during all weeks of training. Passing grades are 90% or above. - We also request, with the exception of emergencies, that you do not request any time off within the first 120 days of employment. Any request within the first 120 days, if approved, will be unpaid. 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 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. SUMMARY Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around whole-person affordable preventive care featuring more benefits. Curative is looking for a Pharmacy Technician with Member Services experience who is passionate about helping the company as we work to reinvent healthcare options. Candidates will be able to utilize their previous experience in Pharmacy Operations/Member Services experience by increasing satisfaction and retention by providing Curative health plan Members, patients, and providers with accurate, consistent, timely and meaningful information. They will provide support to Members’ while building rapport and collaborative relationships with current and prospective Members in accordance with compliance guidelines. This is a remote position with multiple shift options in a 24/7 call center. ESSENTIAL DUTIES AND RESPONSIBILITIES - Monitoring for prescription claims rejections from 3rd party pharmacies - Outreach to members and providers with information regarding rejection and offering alternative options as applicable - Working with the Curative pharmacy prior authorization team discussing PA decisions with members and providers as needed - Evaluating extenuating requests and processing overrides as appropriate in the CAPRx JUDI system - Working with the Pharmacy team on non formulary drug alternatives for member and provider notification - Contact 3rd party pharmacies to reprocess claims, notify of drug alternatives, prior authorization status. - Correct claims and prior authorization request as needed - SME on pharmacy and drug benefits handling escalated contacts from members, providers, pharmacies, and member service team - Escalation support for after hours issues resolution as needed - Processing notifications to members services team for member outreach and status updates on prescription status - Working with leadership team on policy and process improvements - This position assumes and performs other duties, project management and data reporting as assigned - Work adhering to US regulatory and Quality System requirements (21 CFR 820, etc). 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: - Excellent attendance is critical to success in this position - Internal candidates must have been in their current role for at least 6 months and have no performance or attendance actions in effect. - Excellent computer and phone skills, attention to detail, process and policy adherence - Call Center Experience preferred but not required - Excellent verbal and written communication skills. - Strong interpersonal skills. - Active listening skills to accurately respond to inquiries and requests. - Exceptional organizational skills, retention of policy and process a must - Intermediate skills minimum in google and microsoft office suite of products a must - Experience with Talkdesk (or other VOIP phone systems) preferred but not required - Experience with Helpscout (or other email ticket systems) preferred but not required - Experience with JUDI (or other prescription claims systems) preferred but not required - Experience with slack, gmail, zoom conference preferred but not required EDUCATION and/or EXPERIENCE - Minimum 5 years experience in pharmacy or PBM operations - Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience. CERTIFICATES, LICENSES, REGISTRATIONS - Active PTCB certification 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. - Remote position - Must have a quiet place, secure, with no distractions to perform duties for work from home - Must have password protected, stable internet access - stipend will be provided - Work location MUST be secure and private to maintain HIPAA compliance for work from home - Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset - While performing the duties of this Job, the employee is regularly required to sit; use hands to type, talk; and hear. - The employee is frequently required to reach with hands and arms. - Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. - We also request, with the exception of emergencies, that you do not request any time off within the first 120 days of employment. Any request within the first 120 days if approved will be unpaid - For this position the percentage of expected Travel is:0% of the time TRAINING EXPECTATIONS - You will attend a 2-3 week minimum remote training program. - Attendance is mandatory for the full training program - You will be required to take daily competency exams and a retention exam on the Friday of both weeks of training. Passing grades are 90% or above. - We also request, with the exception of emergencies, that you do not request any time off within the first 120 days of employment. Any request within the first 120 days if approved will be unpaid 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 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. SUMMARY Curative is reimagining health insurance - with straightforward pricing and $0 out of pocket costs with a baseline visit. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. We are seeking a Junior Actuary to support Curative’s pricing and portfolio strategy team. This will be a unique actuarial role combining traditional actuarial responsibilities (i.e., data science, experience studies, pricing) with operational and strategic ownership (interaction and ownership of key matrix relationships with sales, account management, underwriting, and operational executives). This role will be a key contributor to the broader company as Curative expands and grows. This is a great opportunity for a recent college graduate to kickstart their career in actuarial science. In this role, you will assist with data analysis, pricing support, and portfolio management while gaining valuable hands-on experience. You will collaborate closely with other teams, such as Sales, Account Management, Underwriting, and Operations, to help drive Curative’s growth and success. PRIMARY RESPONSIBILITIES - Assist with developing pricing strategies to support growth and profitability goals - Collaborate with senior actuaries to refine underwriting guidelines and procedures - Analyze Curative data (e.g., claims, member interactions) to support pricing and strategy decisions - Help in calculating group rates for new business and renewals based on group experience, industry, location, and demographics - Contribute to the preparation of executive reports on actuarial and financial metrics - Maintain communication with internal teams to support various actuarial projects and initiatives - Support day-to-day actuarial tasks and assist with ad-hoc analysis - Assist where needed on high-priority underwriting requests (e.g., final peer review, actuarial troubleshooting of rate build up) - Performs other projects and duties in support of the company as required 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 essential functions: - Strong analytical skills and creative problem-solving abilities with attention to detail - Able to translate and effectively communicate results and implications of actuarial, data, financial, and underwriting analyses - Ability to effectively coordinate and manage matrix stakeholders to execute on projects and priorities - Capable of independently driving multiple projects and workstreams - Excellent organizational and time management skills EDUCATION and/or EXPERIENCE - Bachelor’s degree in business, finance, economics, mathematics, statistics, economics, actuarial science, business, computer science or related degree - Experience with excel - Experience in health insurance industry, data analysis or data management a plus - Knowledge of SQL and relational databases a plus - Progress towards Associate of the Society of Actuaries (ASA) designation, with some exams passed. Full ASA designation is not required at the time of hire but is preferred. 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 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. Role Overview The Sr. Director, Claims Operations is responsible for the end-to-end performance of the claims function, including adjudication accuracy, operational efficiency, compliance, vendor oversight, and technology optimization. This leader will partner across the organization to ensure claims operations support Curative’s rapid growth and exceptional member and provider experience. Key Responsibilities Operational Leadership - Lead and scale end-to-end claims operations, including intake, adjudication, payment accuracy, and appeals coordination. - Establish performance standards and drive operational excellence across cycle time, cost per claim, accuracy, and productivity metrics. - Develop workforce planning models and resource strategies to support growth and changing claim volumes. - Build, mentor, and retain high-performing operational teams. Claims Strategy & Transformation - Identify and implement automation, AI, and workflow optimization initiatives to improve scalability and operational efficiency. - Lead continuous improvement initiatives focused on reducing administrative costs and improving turnaround time. - Partner with technology teams to optimize claims platforms, configuration, and system integrations. Data & Analytics - Leverage advanced analytics to monitor claims trends, identify operational gaps, and drive strategic improvements. - Develop dashboards and performance reporting to support executive decision-making. - Translate operational data into actionable insights that improve claim accuracy and cost management. Quality & Compliance - Establish and oversee claims quality assurance and audit programs to ensure payment accuracy and regulatory compliance. - Serve as a key leader for state regulatory audits, compliance reviews, and market expansion readiness. - Ensure adherence to HIPAA, CMS requirements, and state regulations. Cross-Functional Collaboration - Partner with internal stakeholders including Network, Utilization Management, Provider Operations, Member Services, Compliance, and Technology. - Act as a strategic liaison for complex provider or claims issues. - Lead cross-functional initiatives that improve provider experience and operational scalability. - Oversee third-party vendors and BPO relationships supporting claims operations. - Establish vendor performance standards and ensure alignment with operational KPIs and service level agreements. Qualifications Education - Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required - MBA or Master’s degree in Healthcare Management, Analytics, or related field preferred Experience - 10+ years of experience in health insurance claims operations - 7+ years of leadership experience managing large claims teams or multi-functional operations - Experience scaling employer group health plan operations - Demonstrated success leading claims transformation, automation, or process improvement initiatives - Experience managing claims vendors, BPO partnerships, or third-party administrators - Proven ability to build and lead high-performing operational teams Expertise - Deep knowledge of health plan claims lifecycle, adjudication systems, and payment workflows - Strong understanding of payer regulatory frameworks, CMS requirements, and HIPAA compliance - Experience improving claims payment accuracy and operational cost structures - Expertise in operational metrics such as inventory management, productivity, quality scores, and cycle time - Preferred: Background implementing AI-enabled claims automation or advanced editing systems - Preferred: System integration / replacement while maintaining performance metrics Technical Skills - Experience working with claims platforms (HealthEdge HealthRules Payer preferred) - Proficiency with data analytics tools and dashboards (Looker, Power BI, Snowflake, or similar) - Familiarity with automation, workflow optimization, and AI-driven operational tools Leadership Competencies - Strategic thinker with the ability to balance operational execution and long-term transformation - Strong executive communication and stakeholder management skills - Proven ability to lead through change and scale operations in high-growth environments 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 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. SUMMARY We are seeking a detail-oriented and proactive Health Plan Operations Analyst to play a pivotal role in optimizing our office and customer business operations. This role requires a strategic thinker with the authority to formulate, interpret, and implement management policies and operational practices. The successful candidate will be responsible for major assignments in the organization’s operations, provide expert consultation to management, and be actively involved in planning both long- and short-term organizational objectives. The role also involves investigating and resolving significant issues on behalf of management. ESSENTIAL DUTIES AND RESPONSIBILITIES Strategic Operations Management: - Policy and Practice Formulation: Develop, interpret, and implement management policies and operating practices to enhance organizational efficiency and effectiveness. - Operational Oversight: Lead major assignments that directly impact the organization's operations, ensuring alignment with strategic objectives. - Consultation and Expert Advice: Provide expert consultation and advice to management on operational matters, contributing to strategic planning and decision-making. - Project Management and Build: Manage projects related to data analysis and reporting, ensuring timely delivery and alignment with organizational goals. Oversee the development and implementation of reporting tools and systems, coordinating with IT and other departments as needed. Data and Reporting Management: - Data Analysis: Examine health plan data to identify trends, discrepancies, and opportunities for process improvement. - Report Creation: Design and maintain comprehensive reports and dashboards reflecting key performance indicators (KPIs), financial metrics, and operational efficiency. - Strategic Recommendations: Deliver actionable insights and recommendations based on data analysis to support strategic and operational decisions. Compliance and Quality Assurance: - Regulatory Adherence: Ensure organizational compliance with regulatory requirements and internal policies through diligent monitoring and audits. - Quality Control: Oversee quality metrics and perform audits to validate the accuracy and effectiveness of operational processes. Operational Support: - Network and Access Evaluation: Evaluate network additions and access improvements in coordination with all ops departments. - Process Improvement: Assess and enhance current operational processes and workflows, collaborating with cross-functional teams to implement and track improvements. - Initiatives and Systems: Assist with the implementation and management of new operational initiatives and systems, working closely with Legal and Compliance departments. Stakeholder Communication and Liaison: - Reporting: Prepare and present findings, reports, and recommendations to management and stakeholders, ensuring clarity and alignment with organizational goals. - Cross-Departmental Liaison: Act as a liaison between operations and other departments, fostering effective communication and collaboration across the organization. Strategic Planning and Recommendations: - Trend Monitoring: Stay current with industry trends, best practices, and technological advancements to drive operational improvements. - Process Enhancement: Lead initiatives to streamline processes and improve operational effectiveness, collaborating with cross-functional teams. - Provide actionable insights and recommendations based on data analysis to support strategic decision-making. - Contribute to the development of operational strategies and initiatives to improve performance. 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: - Technical & Analytics Proficiency - Advanced proficiency in Microsoft Office (Excel—including Power Query, pivot tables, and advanced formulas—Word, Access) and Google Workspace. Strong working knowledge of data analytics tools such as SQL, Python, and/or R, along with experience using BI and visualization platforms (e.g., Power BI, Tableau, Looker). Familiarity with cloud-based data environments and data integration workflows. - AI & Automation Enablement - Hands-on experience leveraging AI tools and large language models (e.g., Claude, ChatGPT, Copilot) to support data analysis, research, documentation, summarization, workflow automation, and decision support. Ability to apply AI responsibly to improve efficiency, insight generation, and accuracy in business and healthcare analytics contexts. - Commercial Health Plan Experience - Payment Systems Expertise: Strong understanding of provider payment systems, reimbursement methodologies, and payment reconciliation processes. Proficient in medical coding standards, including ICD, CPT, and HCPCS, and their application within claims adjudication and analytics. - Health Plan Operations Knowledge: Comprehensive knowledge of health plan operations, including end-to-end provider claims and payment systems, data flows, and regulatory considerations, with the ability to translate operational data into actionable insights. - Analytical Acumen: Advanced ability to analyze large, complex datasets; identify trends, risks, and opportunities; and deliver data-driven insights that inform strategy, operational improvement, and financial performance. - Communication & Data Storytelling: Excellent written and verbal communication skills, with the ability to translate complex analytical findings into clear, concise, and compelling narratives for technical and non-technical audiences, including leadership and external stakeholders. - Interpersonal Skills: Strong interpersonal skills with a professional demeanor and demonstrated ability to build trust, collaborate cross-functionally, and maintain productive relationships across diverse teams and partners. - Problem-Solving & Critical Thinking: Proven ability to define complex problems, evaluate data-driven options, and implement effective, scalable solutions that address root causes and support organizational goals. - Time Management & Execution: Demonstrated ability to manage competing priorities, meet deadlines, and deliver high-quality work in fast-paced environments, with a strong sense of ownership and urgency. - Adaptability & Continuous Learning: Highly adaptable, with the ability to manage multiple initiatives, pivot in response to changing priorities, and continuously learn emerging analytics techniques, healthcare regulations, and AI capabilities. - Professional Presence and Leadership Interaction: Skilled in interacting effectively with all levels of management and across organizational layers, contributing as both an independent contributor and collaborative team member. EDUCATION and/or EXPERIENCE - Bachelor’s degree in Health Administration, Business Administration, Data Science, or a related field. - Experience: Minimum of 2-3 years of experience in health plan operations, data analysis, or a related role. Experience with health insurance and managed care is highly preferred. 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. - The employee is frequently required to reach with hands and arms. - 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 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 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. The Role The Staff Physician will be a foundational member of a newly forming team at Curative Medical Group. Reporting to the Lead Physician, you will provide high-quality, evidence-based care to members via telehealth. In this role, you will independently assess, diagnose, and treat acute conditions while utilizing our advanced AI-assisted clinical framework. You will play a vital role in the early success of this service line by providing clinical feedback to help refine workflows as the program scales. In addition to patient care, you will collaborate with the Lead Physician and other Curative teams to ensure a seamless transition for members into other health plan programs. Key Responsibilities - Clinical Excellence: Deliver timely and safe virtual care for acute conditions, maintaining high standards of clinical empathy and quality to ensure a positive, member-centered experience. - Clinical Integration: Actively identify opportunities to connect members with other Curative programs, ensuring a seamless transition to broader health plan services. - Protocol Utilization: Effectively apply our third-party AI framework and evidence-based protocols to maintain clinical safety and efficiency. - Collaborative Practice: Maintain a strong collaborative relationship with the Lead Physician and peer clinicians in accordance with Curative clinical standards. - Workflow Feedback: Provide real-time feedback on digital tools and clinical processes to help leadership refine the foundational operations of the program. - Collaboration with NPs and PAs: Work closely with Nurse Practitioners (NPs) and Physician Assistants (PAs) to meet state regulations, providing necessary clinical consultation, supervision, and support for collaborative agreements. Professional Qualities - Systems Mindset: Ability to understand how your individual patient encounters contribute to the broader Curative ecosystem and a willingness to help optimize the member journey. - Collaborative Approach: A strong team player who works effectively with clinical and operations peers to drive the overall success of the service line. - Adaptability in Emerging Environments: Comfort operating within a scaling environment, with the flexibility to adapt to evolving workflows and provide constructive feedback. Qualifications & Requirements - Education: MD or DO from an accredited medical school. - Certification: Active Board Certification in Family Medicine, Emergency Medicine, or Internal Medicine; Active BLS certification. - Clinical Experience: 3+ years of clinical experience in urgent care or emergency medicine; virtual telehealth experience preferred. - State Licensure: Active, unrestricted license in Texas. Must hold active Florida license or be eligible for registration/licensure immediately upon hire. Requirement to obtain additional state licenses as the program scales. - Technical Proficiency: Ability to quickly master new digital health tools and AI-assisted platforms. - Language Skills (Preferred): Proficiency in Spanish is highly valued. Location & Modality - Fully remote role. - All clinical care and collaboration are conducted virtually through approved internal communication platforms. - Occasional travel for team-building or training (<10%). Work Expectations & Schedule - Direct Patient Care: This role is focused on direct patient care, managing a schedule of virtual urgent care visits. - Schedule: This is an hourly role. Shifts are scheduled between the hours of 8am – 8pm CST. Scheduling models may vary. Hours updated 8A-8P Perks & Benefits - Flexible work options: remote and in-person opportunities - 401K for employees

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. The Role The Staff Clinician will be a foundational member of a newly forming team at Curative Medical Group. Reporting to the Lead Advanced Practice Provider, you will provide high-quality, evidence-based care to members via telehealth. In this role, you will independently assess, diagnose, and treat acute conditions while utilizing our advanced AI-assisted clinical framework. You will play a vital role in the early success of this service line by providing clinical feedback to help refine workflows as the program scales. Key Responsibilities - Clinical Excellence: Deliver timely, safe, and effective care for acute conditions, maintaining high standards of clinical empathy and independent judgment in a virtual environment to ensure a positive member experience. - Clinical Integration: Facilitate a seamless member experience by ensuring effective care transitions from virtual urgent care to other Curative programs. - Protocol Utilization: Effectively apply our third-party AI framework and evidence-based protocols to maintain clinical safety and efficiency. - Collaborative Practice: Maintain a strong collaborative relationship with the Lead Physician in accordance with state regulations and Curative clinical standards. - Workflow Feedback: Provide real-time feedback on digital tools and clinical processes to help leadership refine the foundational operations of the program. Professional Qualities - Systems Mindset: Ability to understand how your individual patient encounters contribute to the broader Curative ecosystem and a willingness to help optimize the member journey. - Collaborative Approach: A strong team player who works effectively with clinical and operations peers to drive the overall success of the service line. - Adaptability in Emerging Environments: Comfort operating within a scaling environment, with the flexibility to adapt to evolving workflows and provide constructive feedback. Qualifications & Requirements - Education: Master’s or Doctorate degree in Nursing (NP) or Physician Assistant Studies (PA). - Certification: National certification (AANP, ANCC, or NCCPA); Active BLS certification. - Clinical Experience: 3+ years of clinical experience in urgent care or emergency medicine; virtual telehealth experience preferred. - State Licensure: Active, unrestricted license in Texas; must be eligible for Florida registration immediately upon hire. Requirement to obtain additional state licenses as the program scales. - Technical Proficiency: Ability to quickly master new digital health tools and AI-assisted platforms. - Language Skills (Preferred): Proficiency in Spanish is highly valued. Location & Modality - Fully remote role. - All clinical care and collaboration are conducted virtually through approved internal communication platforms. - Occasional travel for team-building or training (<10%). Work Expectations & Schedule - Direct Patient Care: This role is focused on direct patient care, managing a schedule of virtual urgent care visits. - Schedule: This is an hourly role. Shifts are scheduled between the hours of 8am – 8pm CST. Scheduling models may vary, including options such as three 12-hour shifts or four 10-hour shifts or five 8-hour shifts. 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 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. Summary As the Lead Physician, you will serve as the clinical anchor for the launch of our Virtual Urgent Care service. While leveraging established AI frameworks and evidence-based protocols, you will be responsible for overseeing the clinical adoption of these tools, monitoring quality metrics, and serving as the primary liaison between the technology and the medical staff. The Physician for Virtual Urgent Care is a key clinical member of Curative Medical Group, responsible for providing high-quality care to Curative members via telehealth. This provider will independently assess, diagnose, treat, and manage acute conditions for patients, ensuring a seamless and member-centered virtual experience. The Virtual Urgent Care physician will apply strong, independent evidence-based clinical reasoning and digital health best practices to deliver timely, safe, and effective care. Key Responsibilities - Provide comprehensive virtual care for a wide range of acute, episodic health conditions (e.g., infections, minor injuries, rashes, GI issues) through synchronous (video) and asynchronous (chart review/messaging) encounters. - Formulate and implement evidence-based treatment plans based on patient assessments, standards of care, and professional practice guidelines. - Prescribe, recommend, and/or employ appropriate medical drug therapies and other treatments, with attention to efficacy, safety, and cost. - Order, collect, and interpret laboratory and other diagnostic tests as appropriate, coordinating with local facilities or in-home services as needed. - Identify and escalate patients who require a higher level of care, such as an in-person evaluation or emergency department visit. - Collaborate with Curative Nurse Practitioners and Physician Assistants within Urgent Care as outlined by Texas Medical Board requirements Member Experience & Communication - Deliver compassionate, member-centered care, building trust and rapport in a fast-paced virtual environment. - Counsel patients and families regarding medical diagnoses, treatment plans, medication usage, and self-care techniques. - Ensure timely, accurate, and comprehensive docIm umentation of all clinical encounters within the Electronic Health Record (EHR) system. - Maintain appropriate records detailing patient treatment plans and outcomes. Program and Workflow Support - Collaborate with other clinicians, support staff, and leadership to ensure care continuity and quality. - Adhere to all established clinical guidelines, policies, and virtual care best practices. - Support the ongoing refinement of virtual urgent care workflows and clinical resources. - Promote a member-centered culture emphasizing professionalism, empathy, and high-quality care. Qualifications - Active, unrestricted license to practice as a Physician in Texas - Willingness to obtain and maintain multi-state licensure as required by the organization. - Board Certified in Family Medicine or Emergency Medicine. - Minimum 5 years of clinical experience in urgent care, emergency medicine, family medicine, or a related primary care field. - Prior experience in telehealth or virtual care is strongly preferred. - Strong independent clinical reasoning, critical thinking, and complex problem-solving skills. - Excellent verbal and written communication skills, with a demonstrated ability to counsel and educate patients virtually. - Proficiency with EHR systems, virtual care platforms, and related software applications. - Active Basic Life Support (BLS) certification. - Reliable high-speed internet and a private, HIPAA-compliant home workspace are required. Work Expectations Clinical Schedule - This role is focused on direct patient care, managing a schedule of virtual urgent care visits. - Schedule is typically 8am -5pm CST but may vary based on program needs and patient volume. Location & Modality - Fully remote role. - All clinical care and collaboration are conducted virtually through the EHR and internal communication platforms. - Occasional travel for on-site meetings (e.g., leadership, team-building, or annual training) may be requested but is not typical. 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 - CME (Continuing Medical Education) stipend - 401K for full-time employees - Generous Up to 8–12 weeks paid parental leave, based on role eligibility.

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 today’s 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. We’re growing fast and looking for teammates who want to help transform health insurance for the better. Summary The Claims Resolution Specialist is responsible for ensuring accurate, timely, and compliant resolution of medical claims, balance billing issues, and reimbursement requests. This role serves as a key liaison between members, providers, and internal teams to protect members from inappropriate financial liability, including compliance with the No Surprises Act (NSA) and applicable state balance billing laws. The position requires strong analytical skills, detailed claims review, provider and member communication, and a commitment to delivering exceptional member experience. Essential Duties and Responsibilities Claims Review, Adjudication & Resolution - Review, analyze, and adjudicate medical claims in accordance with plan benefits, internal policies, and regulatory requirements. - Confirm member eligibility, plan enrollment, coordination of benefits (COB), authorizations, and benefit limitations. - Validate accurate coding using ICD-10, CPT, HCPCS, and revenue codes. - Identify underpayments, overpayments, duplicate claims, and processing errors; calculate allowable amounts, contractual adjustments, and interest as required. - Process claim adjustments, reversals, reprocessing, and corrected claims. Balance Billing & Regulatory Compliance - Investigate and resolve member balance billing disputes with providers and facilities. - Ensure compliance with the No Surprises Act (NSA) and applicable federal and state balance billing and consumer protection regulations. - Educate providers on appropriate billing practices, plan policies, and regulatory requirements. - Escalate recurring provider non-compliance or systemic billing issues to leadership. Reimbursement & Payment Processing - Process member and provider reimbursement requests, including out-of-network and manual reimbursement submissions. - Review and validate required documentation, receipts, and clinical information. - Ensure reimbursements comply with benefit coverage, payment timelines, and regulatory standards. - Prepare and route reimbursement payments for approval with accurate documentation and coding. Member, Provider & Internal Support - Communicate clearly and professionally with members and providers regarding claim determinations, benefits, and payment responsibilities. - Respond to internal and external claim inquiries, appeals, reconsiderations, and dispute requests. - Collaborate cross-functionally with Claims, Provider Relations, Member Services and Finance teams to resolve complex cases. - Handle sensitive or escalated interactions with empathy, professionalism, and discretion. Documentation, Quality & Process Improvement - Document claim decisions, resolution steps, and communications accurately in claims and CRM systems. - Meet or exceed departmental productivity, quality, and timeliness standards. - Identify trends, system issues, or process gaps and provide recommendations for improvement. - Participate in training, meetings, and continuing education to maintain current knowledge of policies and regulations. . Additional Responsibilities - Adhere to all HIPAA, confidentiality, and compliance requirements. - Maintain a secure remote work environment. - Perform additional duties and special projects as assigned by leadership. Qualifications Required: - 1+ year of experience in healthcare claims processing, billing, reimbursement, or claims resolution. - Working knowledge of PPO, EPO, and other health plan benefit structures. - Strong analytical and problem-solving skills with high attention to detail. - Excellent written and verbal communication skills with the ability to interact professionally with members and providers. - Proficiency in Google Workspace and/or Microsoft Office (Excel/Sheets required). - Ability to manage multiple priorities in a fast-paced, deadline-driven environment. Preferred: - Knowledge of the No Surprises Act (NSA) and relevant state-level balance billing regulations. - Experience with medical coding (ICD-10, CPT, HCPCS) and claim adjudication rules preferred. - Familiarity with claims processing platforms and CRM systems (HealthEdge HealthRules Payer System a plus). - Prior experience handling provider disputes, underpayments, and reimbursement requests.. Skills & Competencies - Strong customer service and member advocacy mindset. - Effective negotiation and conflict resolution abilities. - Ability to work independently while collaborating within a team environment. - Maintains composure in escalated or high-volume situations. - Strong computer skills and ability to work at a computer for extended periods. Education - High School Diploma or GED required. - Associate’s or Bachelor’s degree in Healthcare Administration, Business, or a related field preferred. Work Environment / Telecommuting Requirements - Remote position requiring a secure, private workspace compliant with HIPAA standards. - Reliable high-speed internet connection required. - Minimal travel may be required for training or meetings (less than 5%). 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 8–12 weeks paid parental leave, based on role eligibility.