Curative · 18 hours ago
Health Plan Ops Analyst
Austin, TX
Full-time
Onsite
Entry, Mid Level
2+ years expCurative is building the future of health insurance with an innovative employer-based plan aimed at removing financial barriers to care. The Health Plan Operations Analyst will optimize business operations, provide expert consultation to management, and manage projects related to data analysis and reporting.
Health CareHealth DiagnosticsHealth InsuranceMedicalMedical DevicePersonal Health
Responsibilities
Develop, interpret, and implement management policies and operating practices to enhance organizational efficiency and effectiveness
Lead major assignments that directly impact the organization's operations, ensuring alignment with strategic objectives
Provide expert consultation and advice to management on operational matters, contributing to strategic planning and decision-making
Manage projects related to data analysis and reporting, ensuring timely delivery and alignment with organizational goals
Examine health plan data to identify trends, discrepancies, and opportunities for process improvement
Design and maintain comprehensive reports and dashboards reflecting key performance indicators (KPIs), financial metrics, and operational efficiency
Deliver actionable insights and recommendations based on data analysis to support strategic and operational decisions
Ensure organizational compliance with regulatory requirements and internal policies through diligent monitoring and audits
Oversee quality metrics and perform audits to validate the accuracy and effectiveness of operational processes
Evaluate network additions and access improvements in coordination with all ops departments
Assess and enhance current operational processes and workflows, collaborating with cross-functional teams to implement and track improvements
Assist with the implementation and management of new operational initiatives and systems, working closely with Legal and Compliance departments
Prepare and present findings, reports, and recommendations to management and stakeholders, ensuring clarity and alignment with organizational goals
Act as a liaison between operations and other departments, fostering effective communication and collaboration across the organization
Stay current with industry trends, best practices, and technological advancements to drive operational improvements
Lead initiatives to streamline processes and improve operational effectiveness, collaborating with cross-functional teams
Provide actionable insights and recommendations based on data analysis to support strategic decision-making
Contribute to the development of operational strategies and initiatives to improve performance
Qualification
Required
Advanced proficiency in Microsoft Office (Excel—including Power Query, pivot tables, and advanced formulas—Word, Access) and Google Workspace
Strong working knowledge of data analytics tools such as SQL, Python, and/or R, along with experience using BI and visualization platforms (e.g., Power BI, Tableau, Looker)
Familiarity with cloud-based data environments and data integration workflows
Hands-on experience leveraging AI tools and large language models (e.g., Claude, ChatGPT, Copilot) to support data analysis, research, documentation, summarization, workflow automation, and decision support
Ability to apply AI responsibly to improve efficiency, insight generation, and accuracy in business and healthcare analytics contexts
Strong understanding of provider payment systems, reimbursement methodologies, and payment reconciliation processes
Proficient in medical coding standards, including ICD, CPT, and HCPCS, and their application within claims adjudication and analytics
Comprehensive knowledge of health plan operations, including end-to-end provider claims and payment systems, data flows, and regulatory considerations
Ability to translate operational data into actionable insights
Advanced ability to analyze large, complex datasets; identify trends, risks, and opportunities; and deliver data-driven insights that inform strategy, operational improvement, and financial performance
Excellent written and verbal communication skills, with the ability to translate complex analytical findings into clear, concise, and compelling narratives for technical and non-technical audiences, including leadership and external stakeholders
Strong interpersonal skills with a professional demeanor and demonstrated ability to build trust, collaborate cross-functionally, and maintain productive relationships across diverse teams and partners
Proven ability to define complex problems, evaluate data-driven options, and implement effective, scalable solutions that address root causes and support organizational goals
Demonstrated ability to manage competing priorities, meet deadlines, and deliver high-quality work in fast-paced environments, with a strong sense of ownership and urgency
Highly adaptable, with the ability to manage multiple initiatives, pivot in response to changing priorities, and continuously learn emerging analytics techniques, healthcare regulations, and AI capabilities
Skilled in interacting effectively with all levels of management and across organizational layers, contributing as both an independent contributor and collaborative team member
Bachelor's degree in Health Administration, Business Administration, Data Science, or a related field
Minimum of 2-3 years of experience in health plan operations, data analysis, or a related role
Experience with health insurance and managed care is highly preferred
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