Senior Network Contracting Specialist - MidAtlantic at Curative HR LLC | Austin, TX, US | Rezi

Senior Network Contracting Specialist - MidAtlantic at Curative HR LLC

Senior Network Contracting Specialist - MidAtlantic

Curative HR LLC · Austin, TX, US

1 weeks ago

Senior Network Contracting Specialist - MidAtlantic

Curative HR LLC · Austin, TX, US

8 days ago
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About the Role

Curative is seeking a Senior Contracting Specialist to oversee the development and management of insurance networks. This role focuses on improving affordability and quality outcomes, managing provider relationships, and leading negotiation strategies within a specified region. The position is vital for building and maintaining a strong healthcare provider network, ensuring member access to care, and optimizing network performance.

Responsibilities

  • Manages contract negotiations with large physician groups and ancillary providers, conducting several negotiations simultaneously to meet growth demands.
  • Builds proactive 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 renegotiating existing agreements.
  • Prepares, analyzes, reviews, and projects the financial impact of high-spend or complex provider contracts and alternate contract terms.
  • Collaborates cross-functionally to manage provider compensation and pricing development, submission of contractual information, and review/analysis of reports for negotiation and reimbursement modeling.
  • Assists in resolving elevated provider service complaints by researching and negotiating with internal/external partners/customers to resolve complex or escalated issues.
  • Manages key provider relationships and serves as a critical interface with providers and business staff.
  • Coaches and supports newer team members on strategies and approaches for successful negotiations.
  • Demonstrates comprehensive knowledge of providers in an assigned geographic area, understanding interrelationships and the competitive landscape.
  • Partners with Regulatory Affairs to ensure timely and accurate network filings, participating with Compliance to ensure adherence to established guidelines supporting Mental Health Parity.
  • Performs other duties as assigned.

Requirements

  • Existing relationships with major health systems and large physician groups within the region are required.
  • Superior problem-solving, decision-making, negotiating skills, contract language, and financial acumen.
  • Experience with physician group 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

  • Negotiation
  • Contract Management
  • Provider Relations
  • Financial Acumen
  • Communication
  • Presentation Skills
  • Problem Solving
  • Decision Making

Location

  • Remote
  • In-person opportunities

Work Type

  • Full-time
  • Remote
  • In-person

Experience Level

  • 7+ years of work experience beyond degree within provider contracting and/or health insurance

Education Level

  • Bachelor’s degree or equivalent experience in a related field

Benefits

  • 100% employer-covered medical premiums for employees and 50% coverage for dependents on the base plan.
  • $0 copays and $0 deductibles (with completion of our Baseline Visit).
  • Preventive and primary care included.
  • 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.

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 $150M in Series B funding and a valuation of $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.