Curative · 13 hours ago
Operations Manager: Credentialing & AI Integration
Austin, TX
Full-time
Hybrid
Mid, Senior Level
$90K/yr - $100K/yr
2+ years expCurative is building the future of health insurance with innovative employer-based plans and is seeking an Operations Manager to lead the digital evolution of their credentialing ecosystem. This strategic role involves overseeing credentialing functions, ensuring compliance, and integrating AI to enhance operational efficiency.
Health CareHealth DiagnosticsHealth InsuranceMedicalMedical DevicePersonal Health
Responsibilities
Manage the daily lifecycle of provider credentialing and recredentialing, ensuring 100% compliance with state regulations and internal policies. Incumbent will manage a small credentialing staff (onshore & offshore) responsible for direct credentialing, both physician and facility and overseeing delegated credentialing entities
Act as the Subject Matter Expert (SME) for the development of a scalable, proprietary platform. You will translate operational needs into technical requirements to integrate AI into document collection, verification, and organization
Analyze existing "manual-heavy" workflows to identify opportunities for automation, with the specific goal of drastically reducing credentialing cycle times
Maintaining, Tracking, and Managing rosters for accuracy and completeness for final reporting that is needed for timely setup for claims payment, member assignment, and directory display
Maintain rigorous oversight of delegated credentialing processes, ensuring that as we automate, we remain audit-ready and compliant with all regulatory bodies
Facilitate interdepartmental communication between Leadership, Network, and in-house engineering teams to ensure the platform meets both operational and technical standards
This position assumes and performs other duties as assigned
Qualification
Required
Bachelor's Degree (BA) from four year college or university, or one to two years of related experience and/or training, or equivalent work experience with focus in credentialing
2+ years of provider credentialing experience, 1-year supervisory experience to include managing offshore resources
High degree of knowledge in NCQA and/or JCO credentialing standards
Proficient computer experience, i.e. Google Suite and Microsoft Suite of applications
Experience with credentialing software (Medallion, CAQH, CredSimple)
Experience with Process Improvement
Excellent written, verbal, presentation and leadership skills. Self-starter who can work independently with minimal supervision
Preferred
Managed Care/Hospital Credentialing
Experience with state and federal regulatory agencies
Proficient in Google Suite of applications, Microsoft Word/Excel, Adobe, TrueForm, Access and/or credentialing software programs
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.
Company
Curative
Curative provides employer-based health insurance plans and healthcare services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$160.55MKey Investors
Upside Vision FundJustin Mateen
2025-11-28Series B· $152.55M
2020-09-23Series A· $8M
2020-02-01Seed
Leadership Team
Fred Turner
Chief Executive Officer
Isaac Turner
Chief Technology Officer
Recent News
Soma Capital
2026-01-09
2026-01-07
2026-01-03
Company data provided by crunchbase