Senior Network Contracting Specialist - MidAtlantic

Valid8 Financial, Inc.; Austin (TX); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Curative seeks a Senior Contracting Specialist to oversee the development and management of insurance networks, focusing on affordability and quality while negotiating with provider groups across the region.

You will manage large physician and ancillary provider negotiations, build strategic relationships, and collaborate with Claims, Medical Management, Credentialing, Legal, and Compliance to optimize network performance.

Qualifications

• Bachelor’s degree or equivalent with 7+ years in provider contracting/health insurance.
• Experience contracting with physician groups and ancillary providers.
• Strong negotiation, contract language, and financial acumen.
• Proven ability to build external provider relationships and manage key partnerships.
• Experience with managed care delivery systems and provider business models.

Responsibilities

• Lead contract negotiations with large physician groups and ancillary providers.
• Address coding structures impacted by negotiations within contracts.
• Nurture provider partnerships to support local market strategy.
• Collaborate with Claims, Medical Management, Credentialing, Legal, and Compliance.
• Meet unit cost targets while maintaining network adequacy.
• Explore initiatives to reduce total medical costs and renegotiate terms.
• Prepare financial impact analyses of high spend contracts.
• Oversee provider compensation and pricing development activities.
• Resolve elevated provider service issues in collaboration with partners.

Skills

Provider contracting

Negotiation

Relationship management

Financial acumen

Cross-functional collaboration

Education

Bachelor's degree or equivalent in related field

7+ years in provider contracting/health insurance

Job description

Curative is building the future of health insurance with a first-of-its-kind employer-based plan designed to remove financial barriers and make care truly accessible: one monthly premium with $0 copays and $0 deductibles*. Backed by our recent $150M in Series B funding and valuation at $1.275B, Curative is scaling rapidly and investing in AI-powered service, deeper member engagement, and a smart network designed for today’s workforce.

Our north star guides everything we do: healthcare only works when people can actually use it. That belief drives every decision we make: from how we design our plan, support our members, to how we collaborate as a team.

If you want to do meaningful work with a team that moves fast, experiments boldly, and cares deeply, Curative is the place to do it. We’re growing fast and looking for teammates who want to help transform health insurance for the better.

JOB SUMMARY

The Senior Contracting Specialist oversees the development and management of insurance networks, focusing on improving affordability and quality outcomes while managing provider relationships and negotiation strategies in their specified region. This role is crucial for building and maintaining a strong network of healthcare providers, ensuring access to care for members, and optimizing network performance. Candidates should have experience working with providers in their specified region states.

ESSENTIAL DUTIES AND 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 manage 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 newer team members on strategies and approaches to successful negotiations
• 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

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions:

• 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 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

EDUCATION and/or EXPERIENCE

• Bachelor’s degree or equivalent experience in related field, including 7+ years of work experience beyond degree within provider contracting and/or health insurance

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; talk; and hear.
• The employee is frequently required to reach with hands and arms.
• Specific vision abilities required by this job include close vision, color vision
• The noise level in the work environment is usually: Mild
• For this position the percentage of expected Travel is: 5-10% of the time

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)

Chronic condition programs (diabetes, weight, hypertension)

Maternity and family planning support

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.