Vice President, Network Development

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🕒 vor 11 Tagen

🤠 Texas – Remote

🤠 Texas – Remote

💵 $200.000 - $260.000 / Jahr

⏰ Vollzeit

🔴 Experte

👔 Vizepräsident

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Curative

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501 - 1000 Mitarbeiter

Gegründet 2020

🏥 Gesundheitswesen

🛡️ Versicherung

Healthcare • Insurance

Curative ist ein arbeitgeberzentriertes Krankenversicherungsunternehmen, das einen innovativen Gruppengesundheitsplan anbietet, der sich durch Erschwinglichkeit, Engagement und Einfachheit auszeichnet. Ihre Pläne versprechen $0 Zuzahlungen im Netzwerk, $0 Selbstbehalte und eine einheitliche, wettbewerbsfähige monatliche Prämie, zusammen mit einem breiten Anbieternetzwerk, Telemedizin, einem umfangreichen $0-bevorzugten Rezeptformular, Betreuungsnavigatoren und der Curative Cash Card, um Selbstkosten in vielen Bereichen zu eliminieren. Curative richtet sich an Arbeitgeber und Makler, während es den Mitgliedern Ressourcen wie einen Baseline-Besuch, Pflegeprogramme, Online-Portale und Apothekendienste bietet und ein A- Rating von AM Best sowie die HITRUST r2-Zertifizierung besitzt.

Beschreibung

• 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

🎯 Anforderungen

• Bachelor’s degree or equivalent experience in related field, including 15+ years of work experience beyond degree within provider contracting and/or health insurance • 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 • Remote with occasional travel (5-10%) • Existing relationships with Major Health Systems and Large Physician Groups in major state(s)

🏖️ Vorteile

• 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 • 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.