Provider Contractor I

Curana Health; Northern (KY); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Curana Health is seeking a Provider Contractor I to build and maintain a Medicare-compliant provider network across assigned geographies, focusing on physicians and ancillary providers in alignment with Curana's value-based care strategy.

You will recruit, contract, and support providers, communicate terms and reimbursement rates, and ensure documentation is up to date while fostering long-term relationships to improve access to care for seniors.

Qualifications

• Bachelor's degree or equivalent combination of education and work experience.
• 2 to 5 years of experience negotiating and servicing managed care contracts with physicians and/or other healthcare providers preferred.
• Experience contracting for Medicare Advantage plans strongly preferred.

Responsibilities

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

Skills

Contract negotiation

Provider reimbursement

Managed care

Communication skills

Organizational skills

MS Office

Process improvement

Education

Bachelor's degree or equivalent

Tools

Microsoft Word

Microsoft Excel

Job description

At Curana Health, we're on a mission to radically improve the health, happiness, and dignity of older adults—and we're looking for passionate people to help us do it.

As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities.

Founded in 2021, we've grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for.

Ranked #147 on the Inc. 5000 list of America's fastest-growing private companies, we're just getting started. If you're looking to make a meaningful impact on the senior healthcare landscape, you're in the right place—and we look forward to working with you.

For more information about our company, visit CuranaHealth.com.

Summary

The Provider Contractor I is responsible for building and maintaining a Medicare-compliant provider network across assigned geographies. This role plays a critical part in ensuring access to care for our senior living residents by recruiting, contracting, and supporting physicians and ancillary healthcare providers in alignment with Curana's value-based care strategy.

Essential Duties & Responsibilities

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

Qualifications

KNOWLEDGE, SKILLS, AND ABILITIES

• Solid understanding of the financial implications of contract terms, payment structures, and provider reimbursement rates
• Demonstrated 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

EDUCATION

• Bachelor's degree or equivalent combination of education and work experience

EXPERIENCE

• 2 to 5 years of experience negotiating and servicing managed care contracts with physicians and/or other healthcare providers preferred
• Experience contracting for Medicare Advantage plans strongly preferred