Senior Network Development Contractor

🔥 2 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

👻 Ghost score 10%

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Curana Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

🤝 B2B

⚕️ Healthcare Insurance

Healthcare • B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

📋 Description

• Recruit, evaluate, contract with, and maintain physician, hospital, ancillary, and other provider relationships within assigned geographies • Help maintain network adequacy while supporting strategic expansion into new counties and markets • Research prospective providers, conduct due diligence, and independently prioritize outreach based on evolving network needs • Build relationships through cold calling, email outreach, and consultative conversations that communicate the value of joining the network • Initiate, negotiate, and execute managed care contracts, including agreements involving complex providers and large medical groups • Explain contract terms, payment structures, and reimbursement rates to providers and assess the financial impact of proposed terms • Maintain accurate contracts, outreach activity, and supporting documentation within established tracking systems • Apply sound judgment in ambiguous situations while aligning decisions with department strategy, organizational objectives, established guidelines, and procedures • Manage multiple priorities in a fast-paced, remote environment and contribute to continuous process improvement

🎯 Requirements

• Bachelor’s degree in business, healthcare administration, or a related field, or equivalent relevant experience • 4-8 years of experience negotiating and servicing managed care contracts with physicians, hospitals, ancillary providers, and/or other healthcare providers • Experience with Medicare Advantage contracting • Familiarity with Medicare Special Needs Plans, including I-SNP and C-SNP, is a plus • Experience in value-based contracting and/or a strong understanding of value-based care concepts • Track record of working with complex providers, such as large institutional providers, large medical groups, and ancillary organizations • Strong provider outreach, prospecting, relationship-building, research, and due diligence capabilities • Confidence initiating cold calls and email outreach and presenting a compelling case for network participation • Ability to understand and communicate contract terms, reimbursement structures, payment methodologies, and financial impact • Excellent written and verbal communication, organization, documentation, and record-keeping skills • Ability to work independently, make informed decisions with minimal direction, and balance multiple priorities as business needs change • Proficiency with Microsoft Word and Excel • Company is unable to provide sponsorship for a visa at this time (H1B or otherwise)

🏖️ Benefits

• Fully remote work arrangement • Flexible work hours based on candidate’s location • Collaborative team serving multiple time zones • Varied assignments rewarding initiative, sound judgment, and independent decision-making