Curative (Curative Insurance Company) is a leading healthcare services company that has created and launched a first-of-its-kind employer-based health insurance plan. Founded by CEO Fred Turner in 2020, Curative is reengineering health insurance by providing unmatched simplicity and cost transparency with a competitive monthly premium and zero additional costs*. Curative is remaking our healthcare system into one that works for and supports members’ whole health and well-being through every step of their personal health journey. Previously, Curative and its managed medical entities were national leaders bringing COVID-19 testing and vaccine-administration resources to bear in response to the pandemic. For more information on Curative, visit www.curative.com, subscribe to our newsletter at curative.com/subscribe, or follow us on Facebook, Instagram, Twitter, or LinkedIn.*To qualify, members need to complete a Baseline Visit within 120 days of the plan's effective date, which kicks off support of the member’s well-being through every step of their health journey.**Please be aware of counterfeit/fake job postings and profiles using different aliases that fraudulently allege to be from Curative. All job postings and correspondence will be sourced via Curative Inc. We will never ask you for any sort of payment nor will we ever conduct interviews via text message. If you have received or suspect any similar activity attributed to Curative, please report it at www.ic3.gov and contact abuse@curative.com directly for further assistance.

Job description

Curative is reimagining health insurance - with $0 out of pocket costs and by reducing barriers to people seeking care. Help us create a better healthcare experience for our members by making it easy & intuitive for them to access the care they need. Curative is rapidly growing, and is raising the bar in what people expect from their health plan. We’re looking for someone who can think creatively and scale growing health plan operations.

Essential Functions

Oversee successful functioning of health plan operations systems end-to-end including provider load, plan configuration, claims, enrollment, eligibility, employer group and provider operations
Monitor production environments, prioritization schedules, issue resolution, and vendor interfaces to optimize quality, reduce downtime, and increase efficiency and work with Tech team for problem resolution and productivity improvements
Work closely with business stakeholders to resolve any issues with systems and applications functionality both internally and across vendors
Maximize health plan operations performance across systems to drive efficiencies, creating market leading quality and operational administrative cost structure
Identify technology, automation and artificial intelligence application for health plan back office functions for improved scalability and speed to market

Responsibilities

Think creatively and scale growing health plan system operations Identify OKR, KPI, quality and monitoring performance metrics resulting in superior health plan operations delivery in configurations, claims, employer group and provider support
Drive appropriate SLA and vendor performance metrics for high performance end to end system functionality
Identify next level improvements to scale efficiently and effectively through AI and automation strategy development of both internal and external capabilities (vendor, BPO, claims edits)
Form strong relationships with technology team to drive system and technology efforts for market leading operations

Please Reach Out If This Describes Your Experience

Expertise in claims, configuration, eligibility and other health plan operating systems
Experience in health plans system vendor oversight and monitoring

Qualifications

10+ years proven track record of health plan operations technology and system deployment
Experience in Health Edge and Health Rules Payer is extremely helpful
10+ years of successful technology maintenance oversight
Bachelor’s Degree
Remote position, with occasional travel

Required profile