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Curative

Building a healthier tomorrow, together.

Director, Network Development – Mid Atlantic Region

DirectorDirectorFull TimeRemoteLeadTeam 501-1,000Since 2020Company SiteLinkedIn

Location

North Carolina + 2 moreAll locations: North Carolina | Pennsylvania | Virginia

Posted

4 days ago

Salary

$175K - $200K / year

Seniority

Lead

Bachelor Degree7 yrs expEnglish

Job Description

Director, Network Development – Mid Atlantic Region

Curative

• 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.

Job Requirements

  • 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

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.

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