Senior Network Development Contractor
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Job Description
Senior contractor expanding Medicare-compliant provider networks for Curana Health’s value-based senior healthcare programs. Negotiating managed care contracts and building provider relationships across assigned U.S. geographies.
Responsibilities:
- Recruit, evaluate, contract with, and maintain physician, hospital, ancillary, and other provider relationships within assigned geographies
- Help maintain network adequacy while supporting strategic expansion into new counties and markets
- Research prospective providers, conduct due diligence, and independently prioritize outreach based on evolving network needs
- Build relationships through cold calling, email outreach, and consultative conversations that communicate the value of joining the network
- Initiate, negotiate, and execute managed care contracts, including agreements involving complex providers and large medical groups
- Explain contract terms, payment structures, and reimbursement rates to providers and assess the financial impact of proposed terms
- Maintain accurate contracts, outreach activity, and supporting documentation within established tracking systems
- Apply sound judgment in ambiguous situations while aligning decisions with department strategy, organizational objectives, established guidelines, and procedures
- Manage multiple priorities in a fast-paced, remote environment and contribute to continuous process improvement
Requirements:
- Bachelor’s degree in business, healthcare administration, or a related field, or equivalent relevant experience
- 4-8 years of experience negotiating and servicing managed care contracts with physicians, hospitals, ancillary providers, and/or other healthcare providers
- Experience with Medicare Advantage contracting
- Familiarity with Medicare Special Needs Plans, including I-SNP and C-SNP, is a plus
- Experience in value-based contracting and/or a strong understanding of value-based care concepts
- Track record of working with complex providers, such as large institutional providers, large medical groups, and ancillary organizations
- Strong provider outreach, prospecting, relationship-building, research, and due diligence capabilities
- Confidence initiating cold calls and email outreach and presenting a compelling case for network participation
- Ability to understand and communicate contract terms, reimbursement structures, payment methodologies, and financial impact
- Excellent written and verbal communication, organization, documentation, and record-keeping skills
- Ability to work independently, make informed decisions with minimal direction, and balance multiple priorities as business needs change
- Proficiency with Microsoft Word and Excel
- Company is unable to provide sponsorship for a visa at this time (H1B or otherwise)
Benefits:
- Fully remote work arrangement
- Flexible work hours based on candidate’s location
- Collaborative team serving multiple time zones
- Varied assignments rewarding initiative, sound judgment, and independent decision-making
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