Network Contracting Specialist
Location
United States
Posted
95 days ago
Salary
$75K - $95K / year
Seniority
Mid Level
No structured requirement data.
Job Description
Network Contracting Specialist
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. Role Summary We are seeking an experienced healthcare contracting professional to lead negotiations with large physician groups and ancillary providers. This role requires strong knowledge of clinical specialties, reimbursement models, and provider networks. Key responsibilities include managing cost and quality initiatives, maintaining provider relationships, analyzing complex contracts, and ensuring regulatory compliance. The ideal candidate excels in cross-functional collaboration, strategic negotiation, and mentoring team members. Duties And Responsibilities - Manages contract negotiations with physicians and physician groups in assigned area. - Conducting several negotiations simultaneously to meet growth demands. - 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 manage initiatives that improve total medical cost and quality. - Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms. - Assists in resolving elevated provider service complaints. Research problems and negotiate 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. - 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. - Performs other duties as assigned Position Requirements - Bachelor’s degree or equivalent experience in related field, plus 3+ years of work experience within provider contracting and/or health insurance - Experience with physician and physician group 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 - Superior problem solving, decision-making, negotiating skills, contract - language and financial acumen - Remote with occasional travel (5-10%) - Existing relationships with physicians and physician groups in Texas is highly recommended 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 paid parental leave, based on role eligibility.
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