About the Role
The Director Network Development oversees the development and management of insurance networks, focusing on improving affordability and quality outcomes while managing provider relationships and negotiation strategies. This role is crucial for building and maintaining a strong network of healthcare providers, ensuring access to care for members, and optimizing network performance.
Responsibilities
- Manages contract negotiations with Major Health System and large physician groups and ancillary providers, conducting several negotiations simultaneously to meet growth demands.
- Possesses deep understanding and experience with all clinical specialties to ensure contract terms and conditions address the coding structures most impacted by negotiations.
- Proactively builds relationships that nurture provider partnerships to support the local market strategy.
- Initiates, nurtures, and maintains effective communication channels with matrix partners including 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 a competitive position.
- Identifies and manages initiatives that improve total medical cost and quality, including renegotiation of existing agreements.
- Prepares, analyzes, reviews, and projects the financial impact of high spend or increasingly complex provider contracts and alternate contract terms.
- Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and review analysis of reports as part of negotiation and reimbursement modeling activities.
- Assists in resolving elevated provider service complaints, researching and negotiating with internal/external partners/customers to resolve complex or escalated issues.
- Manages key provider relationships and is accountable for critical interface with providers and business staff.
- Coaches and supports newer team members on strategies and approaches to successful negotiations.
- Demonstrates comprehensive knowledge of providers in an assigned geographic area by understanding interrelationships and the competitive landscape.
- Partners with Regulatory Affairs to ensure all network filings are timely and accurate, including participation with Compliance to ensure adherence to established guidelines supporting Mental Health Parity.
- Assumes and performs 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 are required.
Skills
- Negotiating skills
- Contract language
- Financial acumen
- Provider contracting
- Health insurance
- Hospital contracting
- Large group contracting
- Ancillary provider contracting
- Delegated credentialing
- Provider relationship management
- Managed care
- Provider business models
- Written communication
- Verbal communication
- Formal presentations
Location
- Remote
Work Type
- Remote
- Full-time
Experience Level
- 7+ years of work experience beyond degree within provider contracting and/or health insurance.
Education Level
- Bachelor's degree (B. A.) from four-year college or university
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.
About the Company
- Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.
- Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.
- If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better.
