Senior Network Contracting Specialist (Mid West Region) jobs in United States
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Curative · 23 hours ago

Senior Network Contracting Specialist (Mid West Region)

Curative is innovating health insurance with a unique employer-based plan aimed at removing financial barriers to accessible care. The Senior Network Contracting Specialist will manage contract negotiations with large physician groups, build provider relationships, and ensure compliance with regulatory standards while maintaining competitive cost targets.

Health CareHealth DiagnosticsHealth InsuranceMedicalMedical DevicePersonal Health

Responsibilities

Manages contract negotiations with large physician groups and ancillary providers; conducting several negotiations simultaneously to meet growth demands
Deep understanding and experience with all clinical specialties to ensure contract terms and conditions address the coding structures which are most impacted by negotiations
Proactively builds 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
Identify and manages 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 new team members on negotiation strategies and approaches to successful
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
Performs other duties as assigned

Qualification

Provider contractingFinancial acumenNegotiation skillsRelationship managementHealth insurance experienceProblem solvingDecision-makingCommunication skillsTeam player

Required

Bachelor's degree or equivalent experience in related field, including 7+ years of work experience with hospitals and providers beyond degree within provider contracting and/or health insurance
Existing relationships with major health systems and large physician groups within the region is 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
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

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

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Curative provides employer-based health insurance plans and healthcare services.

Funding

Current Stage
Late Stage
Total Funding
$160.55M
Key Investors
Upside Vision FundJustin Mateen
2025-11-28Series B· $152.55M
2020-09-23Series A· $8M
2020-02-01Seed

Leadership Team

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Fred Turner
Chief Executive Officer
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Isaac Turner
Chief Technology Officer
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Company data provided by crunchbase