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Curative · 3 weeks ago

Regional Head - Network Development (Northeast Region)

Austin, TX

Full-time

Hybrid

Director/Executive

$200K/yr - $250K/yr

15+ years exp

Curative is building the future of health insurance with a unique employer-based plan aimed at removing financial barriers to care. The Head of Network Development will lead the strategic development and management of Curative's provider network in the Northeast Region, ensuring competitive positioning and operational success.

Health CareHealth DiagnosticsHealth InsuranceMedicalMedical DevicePersonal Health

Responsibilities

Lead the network development for Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, & Vermont

Assure that Curative develops and maintains a network that is very competitive with the larger health plans

Hire, train and direct a group of negotiators contracting with providers across the designated state(s) and maintaining key provider relationships

Lead and complete negotiations with the largest health systems in the geography that result in very competitive contracts with those health systems

Maintain network regulatory compliance in designated state(s)

Manage the most critical provider relationships in the Northeast Region to make and keep Curative competitive with the larger health plans in terms of unit costs

Work collaboratively with all internal departments to assure that the designated state's network strategy and priorities are fully aligned with Curative’s growth and profitability objectives

Understand all clinical specialties to ensure contract terms and conditions address the coding structures which are most impacted by negotiations

Identify and manage initiatives that improve total medical cost and quality; including renegotiation of existing agreements

Prepare, analyze, review, and project financial impact of high spend or increasingly complex provider contracts and alternate contract terms

Remote with occasional travel (10%)

Qualification

Provider contractingFinancial acumenNegotiating skillsRelationship managementCommunication skillsCustomer centricProblem solvingDecision-making

Required

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 in developing and managing key provider relationships including senior executives

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

Bachelor's degree or equivalent experience in related fields or equivalent combination of education and experience

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