Medicare Provider Network Architect

Curana Health; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Curana Health seeks a Provider Contractor I to build and maintain a Medicare-compliant provider network across assigned geographies. The role recruits, contracts, and supports physicians and ancillary providers in alignment with Curana's value-based care strategy.

The position emphasizes negotiating terms, ensuring compliance, and sustaining strong partner relationships to improve access to care for senior living residents.

Qualifications

• Solid understanding of contract terms, payment structures, and provider reimbursement rates.
• Ability to work independently, exercise sound judgment, and seek guidance appropriately.
• Familiarity with managed care guidelines, procedures, and compliance requirements.
• Excellent written and verbal communication skills, with the ability to convey complex information clearly.
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced environment.
• Proficiency in Microsoft Office applications, particularly Word and Excel.
• Commitment to continuous process improvement and operational excellence.

Responsibilities

• Recruit, contract, and maintain a Medicare-compliant provider network within assigned geographies.
• Communicate contract terms, payment structures, and reimbursement rates clearly to providers.
• Maintain up-to-date contracts and documentation in the department's tracking system.
• Align contracting activities with departmental and organizational strategy and objectives.
• Build and sustain productive, long-term relationships with provider partners.

Skills

Contract terms understanding

Independent work

Managed care knowledge

Communication skills

Organizational skills

MS Office (Word, Excel)

Process improvement

Education

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Job description

Curana Health seeks a Provider Contractor I to build and maintain a Medicare-compliant provider network across assigned geographies. The role recruits, contracts, and supports physicians and ancillary providers in alignment with Curana's value-based care strategy.

The position emphasizes negotiating terms, ensuring compliance, and sustaining strong partner relationships to improve access to care for senior living residents.