Curative HR LLC

Vice President Network Development - Southwest Region

Curative HR LLC · Full Time · 7 hours ago

Curative HR LLC

🌎 United States 💵 $200K - $260K per year ⭐ 10+ yrs exp 💼 Others

Lead network development and provider contracting for the Southwest region to ensure competitiveness with larger health plans. Manage critical provider relationships and align network strategy with company growth and profitability objectives.

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Enterprise Account Executive

Curative HR LLC · Full Time · 8 days ago

Curative HR LLC

🌎 United States ⭐ 10+ yrs exp 💼 Sales

Lead the development and execution of enterprise account strategies to maximize client retention and satisfaction for large employer groups. Manage the end-to-end implementation process and collaborate with internal teams to align product offerings with market demands.

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Software Engineer L2 - Real-Time Pharmacy Platform

Curative HR LLC · Full Time · 13 days ago

Curative HR LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

Architect and own a real-time benefits management platform using an AI-first development approach. You will manage the full lifecycle from product discovery and stakeholder collaboration to production uptime and operational metrics.

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Sr. Claims Integrity & Quality Analyst, Health Plan Operations

Curative HR LLC · Full Time · 14 days ago

Curative HR LLC

🌎 United States 💵 $90000 - $120K per year ⭐ 5-10 yrs exp 💼 Legal

Conduct in-depth audits of complex and high-dollar healthcare claims to ensure payment accuracy and regulatory compliance. Partner with cross-functional teams to identify operational defects and implement automated controls to improve claims adjudication.

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Senior Auditor, Healthcare Claims

Curative HR LLC · Full Time · 20 days ago

Curative HR LLC

🌎 United States 💵 $95000 - $120K per year ⭐ 5-10 yrs exp 💼 Finance

Lead and execute comprehensive claims quality, compliance, and audit programs to ensure adjudication accuracy across various healthcare lines of business. Partner with cross-functional teams to identify root causes of errors and drive automation initiatives to increase operational scalability.

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Specialty UM Pharmacist

Curative HR LLC · Full Time · 20 days ago

Curative HR LLC

🌎 United States 💵 $130K - $150K per year ⭐ 2-5 yrs exp 💼 Healthcare

Perform prior authorization reviews and coverage determinations for high-cost specialty medications covered under medical benefits. Support the development of medical drug policies, utilization management strategies, and Pharmacy & Therapeutics Committee activities.

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Claims Resolution Specialist

Curative HR LLC · Full Time · 20 days ago

Curative HR LLC

🌎 United States 💵 $25 - $29 per hour ⭐ 0-2 yrs exp 💼 Legal

Responsible for the accurate adjudication and resolution of medical claims, balance billing disputes, and reimbursement requests. Acts as a liaison between members and providers to ensure compliance with the No Surprises Act and state laws.

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Account Executive - North Florida Region

Curative HR LLC · Full Time · 20 days ago

Curative HR LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Sales

The Account Executive is responsible for the onboarding, renewal, and growth of assigned employer accounts while ensuring high client satisfaction. They serve as the primary contact for employer administrators and collaborate with internal teams to deliver seamless healthcare services.

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Platform Engineer L2

Curative HR LLC · Full Time · a month ago

Curative HR LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Software Development

Design, deploy, and maintain cloud infrastructure and CI/CD pipelines to improve developer productivity. Own the full lifecycle of services and subsystems while ensuring fault tolerance and HIPAA compliance.

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Senior Accountant

Curative HR LLC · Full Time · a month ago

Curative HR LLC

🌎 United States 💵 $90000 - $110K per year ⭐ 2-5 yrs exp 💼 Finance

The Senior Accountant will manage advanced month-end close activities, financial reporting, and account reconciliations. They will also conduct in-depth financial analysis and collaborate with cross-functional teams to improve accounting processes.

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VP of Information Security & IT

Curative HR LLC · Full Time · a month ago

Curative HR LLC

🌎 United States 💵 $275K - $310K per year ⭐ 10+ yrs exp 💼 Software Development

Lead and execute a comprehensive information security and IT strategy, serving as the HIPAA Information Security Officer. Oversee GRC, security operations, and enterprise IT infrastructure to support a growing AI-driven healthcare organization.

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Network Contracting Manager

Curative HR LLC · Full Time · a month ago

Curative HR LLC

🌎 United States 💵 $120K - $130K per year ⭐ 5-10 yrs exp 💼 Others

Negotiate and maintain agreements with vendors and national providers while streamlining contracting support processes. Serve as the primary network focal point for internal departments and manage provider termination and credentialing agreements.

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Sr. Help Desk Technician

Curative HR LLC · Full Time · a month ago

Curative HR LLC

🌎 United States 💵 $95000 - $110K per year ⭐ 2-5 yrs exp 💼 Support

The role focuses on providing Tier 2/3 technical support while building AI-driven automation to modernize help desk operations. It involves optimizing onboarding/offboarding processes and reducing manual effort through scalable service delivery systems.

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Claims Coordination of Benefits (COB) Analyst

Curative HR LLC · Full Time · a month ago

Curative HR LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Legal

The analyst ensures payment accuracy by identifying and coordinating benefits across multiple payers to prevent improper payments. They interpret COB rules, resolve complex claim issues, and collaborate with recovery and vendor management teams to reduce waste.

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Tax Staff Accountant

Curative HR LLC · Full Time · a month ago

Curative HR LLC

🌎 United States 💵 $26 - $32 per hour ⭐ 0-2 yrs exp 💼 Finance

The Tax Staff Accountant assists with the preparation and filing of federal, state, and local tax returns and workpapers. They are also responsible for managing tax payment forecasts, resolving IRS notices, and supporting tax audits.

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Help Desk Technician

Curative HR LLC · Full Time · 2 months ago

Curative HR LLC

🌎 United States 💵 $60000 - $75000 per year ⭐ 2-5 yrs exp 💼 Support

Provide first-line technical support for Windows and MacOS endpoints and manage SaaS applications like Google Workspace and Slack. Handle user provisioning, hardware troubleshooting, and IT asset inventory management using Jira Service Management.

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Senior Tax Accountant

Curative HR LLC · Full Time · 2 months ago

Curative HR LLC

🌎 United States 💵 $90000 - $100K per year ⭐ 2-5 yrs exp 💼 Finance

Coordinate with external firms to prepare and file federal, state, and local tax returns and provisions. Manage tax workpapers, payment forecasts, and conduct research on nexus requirements and statutory filings.

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Software Engineer L2

Curative HR LLC · Full Time · 2 months ago

Curative HR LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Software Development

The engineer will serve as the technical owner of the care coordination platform, managing the full-stack codebase and production infrastructure. They will collaborate directly with clinical stakeholders to translate operational needs into shipped software using an AI-first development approach.

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Sr Network Contract Specialist - West Region

Curative HR LLC · Full Time · 2 months ago

Curative HR LLC

🌎 United States 💵 $100K - $135K per year ⭐ 10+ yrs exp 💼 Legal

Oversees the development and management of insurance networks to improve affordability and quality outcomes. Manages complex contract negotiations with hospitals and providers while maintaining strategic partnerships in the West region.

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Director, Network Development (Texas Region)

Curative HR LLC · Full Time · 2 months ago

Curative HR LLC

🌎 United States 💵 $150K - $175K per year ⭐ 10+ yrs exp 💼 Others

The Director provides strategic leadership for network management and contracting, overseeing negotiations with major health systems and physician groups. They are responsible for managing a team of negotiators, ensuring unit cost targets are met, and fostering strong provider partnerships.

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Project Coordinator, State Licensing

Curative HR LLC · Full Time · 2 months ago

Curative HR LLC

🌎 United States ⭐ 0-2 yrs exp 💼 Product

The Project Coordinator will support the filing, tracking, and maintenance of insurance-related licenses and registrations across multiple states. They will also manage documentation, monitor application statuses, and liaise with internal departments to ensure compliance.

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Director, Network Development -(South East Region)

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $150K - $175K per year ⭐ 5-10 yrs exp 💼 Others

The Director of Network Development oversees the creation and management of insurance networks in the South East Region to improve affordability and quality outcomes. This role involves negotiating complex provider contracts, building strategic partnerships, and collaborating cross-functionally to optimize network performance.

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Installation Manager

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Others

The Installation Manager oversees the post-sale implementation process for new and renewal business, ensuring all setup milestones are met. They also serve as a subject matter expert to resolve group and broker escalations while maintaining accurate client records.

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Pharmacy Technician - Member Services

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States ⭐ 5-10 yrs exp 💼 Support

The role involves monitoring prescription claims rejections from third-party pharmacies, contacting members and providers with rejection information, and offering alternative options. Responsibilities also include working with the prior authorization team, evaluating requests, processing overrides in the JUDI system, and acting as a Subject Matter Expert on pharmacy and drug benefits.

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Junior Actuary

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $65000 - $80000 per year ⭐ 0-2 yrs exp 💼 Finance

The Junior Actuary will assist with developing pricing strategies, refining underwriting guidelines in collaboration with senior actuaries, and analyzing company data to support pricing and strategy decisions. Responsibilities also include calculating group rates, contributing to executive reports, and maintaining communication with internal teams on various actuarial projects.

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Sr. Director, Claims Operations

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $205K - $235K per year ⭐ 10+ yrs exp 💼 Legal

This senior director role is accountable for the end-to-end performance of the claims function, encompassing adjudication accuracy, operational efficiency, compliance, vendor management, and technology optimization. The leader will drive operational excellence, implement strategic transformation initiatives using AI and automation, and ensure claims operations effectively support rapid company growth.

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Network Contracting Specialist

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $75000 - $95000 per year ⭐ 2-5 yrs exp 💼 Others

This role involves leading negotiations with large physician groups and ancillary providers, simultaneously managing several contract negotiations to meet growth demands. Key duties include nurturing provider partnerships, maintaining communication with matrix partners, and being responsible for meeting unit cost targets while preserving an adequate network.

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Network Contracting Specialist

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $75000 - $95000 per year ⭐ 2-5 yrs exp 💼 Others

The specialist manages contract negotiations with physicians and physician groups, simultaneously conducting multiple negotiations to meet growth demands while nurturing provider partnerships. Responsibilities include meeting unit cost targets, improving medical cost and quality, and analyzing the financial impact of complex provider contracts.

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Health Plan - Actuary Manager

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $150K - $190K per year ⭐ 5-10 yrs exp 💼 Finance

The Actuary Manager will apply mathematical and statistical knowledge to support technical functions like rating, pricing, valuation, reserving, and financial forecasting for the health plan. Key duties include building and testing actuarial models, creating monthly reports, developing customized pricing models, and ensuring reserve adequacy through frequent monitoring.

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Part Time Physician - Virtual Urgent Care

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $110 - $120 per hour ⭐ 2-5 yrs exp 💼 Healthcare

The Staff Physician will provide high-quality, evidence-based care to members via telehealth by independently assessing, diagnosing, and treating acute conditions using an advanced AI-assisted clinical framework. Responsibilities also include providing clinical feedback to refine workflows and collaborating to ensure seamless member transitions into other health plan programs.

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Sr. Network Contracting Specialist (North East Region)

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $100K - $135K per year ⭐ 5-10 yrs exp 💼 Others

The Director Network Development oversees the development and management of insurance networks, focusing on improving affordability and quality outcomes while managing provider relationships and negotiation strategies in the NorthEast Region. Responsibilities include managing contract negotiations with large physician groups, meeting unit cost targets, and identifying initiatives to improve total medical cost and quality.

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Regional Head - Network Development (Mid Atlantic Region)

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $200K - $250K per year ⭐ 10+ yrs exp 💼 Others

This role is responsible for leading the strategic development, competitive positioning, and operational management of the provider network across the Mid Atlantic Region, ensuring coverage and unit costs are highly competitive against larger health plans. Key functions include leading complex negotiations, managing critical provider relationships, ensuring regulatory compliance, and aligning network strategy with growth and profitability goals.

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Health Plan Ops Analyst

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States ⭐ 2-5 yrs exp 💼 Healthcare

This role involves formulating and implementing management policies and operational practices to enhance organizational efficiency, while also leading major assignments impacting the organization's operations. The analyst will provide expert consultation to management and be actively involved in strategic planning and resolving significant operational issues.

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Medical Director, Utilization Review

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $260K - $280K per year ⭐ 5-10 yrs exp 💼 Healthcare

This pivotal role involves overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity determinations for healthcare services. The Medical Director will act as a key clinical expert, ensuring appropriate resource utilization, promoting evidence-based care, and leading peer-to-peer discussions with practitioners.

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Clinical Revenue Lead

Curative HR LLC · Full Time · 3 months ago

Curative HR LLC

🌎 United States 💵 $120K - $155K per year ⭐ 5-10 yrs exp 💼 Sales

This role involves leading direct financial negotiations with hospitals to secure fair cash-pay rates for high-cost procedures and auditing hospital estimates for coding accuracy, ensuring alignment with clinical necessity. The lead will also review clinical trial protocols to differentiate between sponsor-covered research costs and Standard of Care costs that the health plan should cover.

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