Vice President, Network Development

Emploi pas sur LinkedIn

🕒 il y a 12 jours

🤠 Texas – Distant

🤠 Texas – Remote

💵 $200 000 - $260 000 / an

⏰ Temps Plein

🔴 Expert

👔 Vice-président

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Curative

Site WebLinkedInTous les Emplois

501 - 1000 employés

Fondée en 2020

🏥 Santé

🛡️ Assurance

Healthcare • Insurance

Curative est une entreprise d'assurance santé orientée vers les employeurs, proposant un plan de santé de groupe de nouvelle génération mettant l'accent sur l'accessibilité financière, l'engagement et la simplicité. Leurs plans promettent zéro frais de consultation en réseau, zéro franchise et une prime mensuelle unique et compétitive, accompagnés d'un large réseau de prestataires, de télémédecine, d'une vaste liste de médicaments préférentiels à zéro, de navigateurs de soins et de la Curative Cash Card pour éliminer les coûts à la charge des membres dans de nombreux contextes. Curative s'adresse aux employeurs et courtiers tout en fournissant aux membres des ressources telles qu'une visite de base, des programmes de soins, des portails en ligne et des services de pharmacie. L'entreprise détient une note A- de AM Best et la certification HITRUST r2.

Description

• 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

🎯 Exigences

• 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)

🏖️ Avantages

• 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.