Director, Network Development (Healthcare)

Curative•Austin, TX

About The Position

Director, Network Development (Healthcare) About Curative 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. SUMMARY The Director Network Development Senior is a leader who provides strategic leadership and oversight for network management and contracting team. Develops and implements network strategies, manage provider contracts and negotiations, leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships..

Requirements

Superior problem solving, decision-making, negotiating skills, contract language and financial acumen
In depth understanding of the contract cycle from contractual negotiation to credentialing and contract terms load
Hospital / Health Systems, Large Physician Groups and Ancillary provider contracting and negotiations
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
Team player with proven ability to develop strong working relationships within a fast- paced, high-volume organization
Customer centric and interpersonal skills are required
5+ years of being a people manager
Experience with Google products
Bachelor's degree (B. A.) from four-year college or university; or equivalent experience in related field.
7+ years of experience with health plan or provider organizations
A minimum of 10 years professional work experience in provider negotiating and contracting with Texas and Oklahoma hospitals and/or affiliated large group contracting experience
Must have current hospital and/or large group and ancillary contracting experience in appropriate state
Existing relationships with major health systems and large physician groups in Texas and Oklahoma is required

Responsibilities

Manages contract negotiations with Major Health Systems, large physician groups in Texas and Oklahoma; national ancillary providers; conducting several negotiations simultaneously to meet growth demands
Deep understanding and experience with all complex contracts to ensure contract terms and conditions address the coding structures which are most impacted by negotiations
People manager and mentor. Will directly manage a team of negotiators.
Able to work in a fast-paced environment with high volume contracting requirements for the role. (Position will be responsible for completing a minimum number of contracts per month as well as managing the team to do the same.)
Proactively build 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 and identify and manage initiatives that improve total medical cost and quality; including renegotiation of existing agreements
Prepares, analyzes, reviews, and projects 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 the 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 and/or escalated issues.
Manages key provider relationships and is accountable for critical interface with providers and business staff
Coach and support newer team members on strategies and approaches to successful negotiations
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; including participation with Compliance to ensure adherence to established guidelines supporting Mental Health Parity
This position assumes and performs other duties as assigned.

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 Up to 8-12 weeks paid parental leave, based on role eligibility.