Director Network Development – Southeast Region

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $175k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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Curative

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2020

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

Curative is an employer-focused health insurance company offering a next-generation group health plan that emphasizes affordability, engagement, and simplicity. Their plans promise $0 in-network copays, $0 deductibles, and a single competitive monthly premium, along with a broad provider network, telehealth, an extensive $0-preferred prescription formulary, care navigators, and the Curative Cash Card to eliminate out-of-pocket costs in many settings. Curative markets to employers and brokers while providing members with resources like a Baseline Visit, care programs, online portals, and pharmacy services, and holds an A- rating from AM Best and HITRUST r2 certification.

📋 Description

• Oversee the development and management of insurance networks • Improve affordability and quality outcomes while managing provider relationships and negotiation strategies • Manage contract negotiations with major health systems, large physician groups, and ancillary providers • Conduct several negotiations simultaneously to meet growth demands • Build relationships that nurture provider partnerships and support local market strategy • Maintain communication with Claims, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Marketing partners • Meet unit cost targets while preserving an adequate network • Identify and manage initiatives improving total medical cost and quality, including renegotiation of existing agreements • Prepare, analyze, review, and project the financial impact of high-spend or complex provider contracts and alternate contract terms • Collaborate cross-functionally on provider compensation, pricing development, contractual information, and reimbursement modeling activities • Assist in resolving elevated provider service complaints and complex or escalated issues • Manage key provider relationships and critical interfaces with providers and business staff • Coach and support newer team members on negotiation strategies and approaches • Demonstrate knowledge of providers and the competitive landscape in an assigned geographic area • Partner with Regulatory Affairs to ensure timely and accurate network filings • Participate with Compliance to ensure adherence to guidelines supporting Mental Health Parity • Perform other duties as assigned

🎯 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 • Ability to influence both sales and provider audiences through strong written and verbal communication skills • Experience with formal presentations • Customer centric and interpersonal skills • Bachelor's degree (B.A.) from four-year college or university • 7+ years of work experience beyond degree within provider contracting and/or health insurance • Current hospital and/or large group and ancillary contracting experience in appropriate state • Existing relationships with major health systems and large physician groups in appropriate state • Ability to travel 5–10% of the time

🏖️ 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 arrangements to work remotely • 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