About Curative

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.

 

 

 

Role Summary/Objective:

Curative wants to change the view on what a health plan can be. We created a health plan reinvented for a world that is built around whole-person affordable preventive care featuring more benefits. $0 copays and $0 deductibles when members complete the Baseline Visit within 120 days of enrollment into the Plan. The Population Health department is responsible for driving improved health outcomes, leveraging a data-first mindset to help our members achieve their optimal health well-being. 

 

As a part of Curative’s Population Health department, we are seeking an experienced and dynamic Clinical Revenue Lead, you will play a pivotal role in Curative’s mission to bring transparency and fairness to healthcare pricing. 

 

This is a high-impact, role requiring the clinical expertise of a Registered Nurse and the technical precision of a Certified Coder. You will serve as the primary bridge between clinical necessity and financial execution, managing the Cash Card payment ecosystem for high-cost procedures. Your goal is to ensure that our health plan is never overcharged by auditing hospital cash estimates, negotiating fair-market rates, and meticulously defining Standard of Care within the complex landscape of clinical trials.

Key Responsibilities

Financial Negotiation with Hospitals/Providers

  • Lead direct negotiations with hospital systems and specialty facilities to secure competitive, transparent cash-pay rates for high-cost surgical and diagnostic procedures.

  • Leverage clinical knowledge to review hospital cash estimates and ensure pricing aligns with actual resource utilization.

  • Act as the primary point of escalation for Curative Cash Card payment disputes or complex pricing discrepancies within the Population Health team.

  • Assist with maintaining, tracking, and creating financial metrics, ROI, dashboards, and senior leadership executive presentations and updates relative to this job role.

Clinical Coding & Audit

  • Review and validate hospital-provided cash estimates for accuracy, ensuring CPT, HCPCS, and ICD-10 codes accurately reflect the clinical intent.

  • Audit coding practices to identify and mitigate upcoding, unbundling, or inappropriate facility fees that inflate costs.

  • Develop internal benchmarks for high-frequency, high-cost procedures to streamline the estimate approval process.

Clinical Trial & Standard of Care Analysis

  • Review clinical trial protocols to distinguish between research-related costs (sponsor-covered) and Standard of Care (SOC) costs.

  • Negotiate with providers to ensure Curative only pays for SOC components, preventing the subsidization of experimental research.

  • Provide clinical and financial justifications to providers when redefining disputed SOC costs.

Cross-Functional Leadership

  • Collaborate with the Utilization Management, Member Success, Claims, Payment Integrity and Network teams to provide clinical clarity on complex claims.

  • Provide feedback to the product team on Cash Card workflows based on negotiation trends and provider friction points.

  • Be able to verbally articulate program status updates to various levels of internal stakeholders at Curative - from individual contributors to C-level employees.

Required Qualifications

  • Licensure: Active Registered Nurse (RN) license in good standing.

  • Certification: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).

  • Experience: 5+ years of experience in a clinical setting (Hospital, Surgical, or ICU preferred).

    • 3+ years of experience in Revenue Cycle Management (RCM), Managed Care, or Utilization Review.

  • Negotiation Skills: Track record of negotiating with hospital billing departments or payor-provider contracting.

  • Technical Knowledge: Deep understanding of CMS National Coverage Determinations (NCDs) for clinical trials and Medicare-based reimbursement methodologies.

Other Duties:

  • Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Work Environment:

  • This job operates in a remote environment with the need to have a reliable internet and phone connection

  • Must have a quiet place, secure, with no distractions to perform duties for work from home

  • Must have password protected, stable internet access - stipend will be provided

  • Work location MUST be secure and private to maintain HIPAA compliance for work from home

  • Office equipment will be supplied including: PC, monitor, keyboard, mouse, headset

  • While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; talk; and hear.

  • Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

Position Type/Expected Hours of Work:

  • You’ll take on challenging work, but you can be located anywhere in the continental U.S. (some exceptions may apply). This is a full-time salaried position. 

Travel:

  • Minimal to no business travel is expected, there are rare circumstances where the team member may be expected to travel to (infrequent) on-site leadership meetings/conferences

 

 

 

Perks & Benefits 

 

  • 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)

    • One-on-one care navigation

    • Chronic condition programs (diabetes, weight, hypertension)

    • Maternity and family planning support

    • 24/7/365 Curative Telehealth

    • Pharmacy benefits 

  • Comprehensive dental and vision coverage

  • 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.