Provider Network Operations Specialist

Curative•Austin, TX

About The Position

Provider Network Operations Specialist 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 Under the supervision of the Director of Network Development, this network operations specialist fosters and maintains relationships with multiple departments throughout the organization. To successfully nurture such relationships, professionals in the network operations support specialist role must possess strong communication and multi-tasking skills. Furthermore, provider relations support specialists must have advanced customer service experience that will help them to address and resolve various types of issues, daily tasks, and successfully manage multiple projects at one time.

Requirements

Basic knowledge and understanding of provider relations activities
PC Proficiency and skills to include MS Office Suite Products and Google Products
A proactive, results-driven individual who is comfortable working independently and as part of a team.
Strong interpersonal, verbal, and written communication skills to build and maintain relationships with external providers and internal teams.
Good analytical skills and highly organized with the ability to manage multiple tasks and priorities simultaneously.
Ability to create presentations, training documents, reports, and analytical graphs.
Highly organized and self-driven
Minimum 5+ years related experience, proven and proficient in provider relations

Nice To Haves

A minimum of 3 years' experience in client services, provider services or contract management.
Adept at problem solving and decision-making skills
Adept at collaboration and teamwork
Adept at execution and delivery skills
Strong communication and problem-solving skills

Responsibilities

Establish key relationships both internally and externally
Evaluate and organize list of initiatives and priorities
Monitor and address emails from both internal and external constituents
Support and assist with Key Performance Indicators
Initiating and maintaining effective channels of communication across multiple teams
Gather, review, and verify all pertinent information related to projects / initiatives
Responsible for maintaining relationships with healthcare providers
Managing multiple competing priorities to assist with achieving company strategies and goals.
Maintain a working knowledge of basic medical / health plan related terminology
Assist in regulatory compliance activities as directed
Conduct pre-signature contract reviews
Assist providers in ERA and EFT enrollment
Other duties as directed

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.