Network Contracting Specialist jobs in United States
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Curative · 1 month ago

Network Contracting Specialist

Curative is building the future of health insurance with an innovative employer-based plan designed to enhance accessibility. The Network Contracting Specialist will lead negotiations with physician groups and ancillary providers, manage provider relationships, and ensure compliance while driving cost and quality initiatives.

Health CareHealth DiagnosticsHealth InsuranceMedicalMedical DevicePersonal Health

Responsibilities

Manages contract negotiations with physicians and physician groups in assigned area
Conducting several negotiations simultaneously to meet growth demands
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 manage initiatives that improve total medical cost and quality
Prepares, analyzes, reviews, and projects financial impact of high spend or increasingly complex provider contracts and alternate contract terms
Assists in resolving elevated provider service complaints. Research problems and negotiate 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
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
Performs other duties as assigned

Qualification

Provider contractingHealthcare knowledgeNegotiation skillsRelationship managementFinancial acumenCommunication skillsProblem solvingTeam player

Required

Bachelor's degree or equivalent experience in related field, plus 3+ years of work experience within provider contracting and/or health insurance
Experience with physician and physician group 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
Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
Remote with occasional travel (5-10%)

Preferred

Existing relationships with physicians and physician groups in Texas is highly recommended

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 paid parental leave, based on role eligibility.

Company

Curative

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Curative provides employer-based health insurance plans and healthcare services.

Funding

Current Stage
Late Stage
Total Funding
$160.55M
Key Investors
Upside Vision FundJustin Mateen
2025-11-28Series B· $152.55M
2020-09-23Series A· $8M
2020-02-01Seed

Leadership Team

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Fred Turner
Chief Executive Officer
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Isaac Turner
Chief Technology Officer
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Company data provided by crunchbase