Curative HR LLC logo

Sr. Business Process Mgr - Claims

Hiring from
United States
Work type
Hybrid
Posted

627,134 remote jobs, straight from company career pages

100% free · New jobs every minute

Show job description

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.

SUMMARY

We are seeking an exceptional operational leader to drive transformational process improvement across our claims operations and broader business functions. This is a strategic roledesigned for someone with consulting or corporate operations background who can identify systemic inefficiencies, redesign workflows, and implement scalable solutions that enhance both speed and accuracy. You will own end-to-end claims processes, contracting workflows, and cross-functional process optimization initiatives. brief summary of the job description.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Map, audit, and systematically redesign the end-to-end claims life cycle—from initial intake and adjudication to dispute resolution and settlement.

  • Identify bottlenecks, redundancies, and defect rates; implement automated, scalable workflows to decrease cycle times and processing costs.

  • Establish standard operating procedures (SOPs) and build clear process maps (BPMN) that integrate human review with technological automation.

  • Oversee the end-to-end workflow for partner/vendor contracting, onboarding, and compliance tracking.

  • Translate complex contractual commitments into operational rules, SLAs, and measurable guardrails for the claims and fulfillment teams.

  • Partner with Legal, Sales, and Finance to streamline handoffs and cycle times between deal closing and operational execution.

  • Partner with engineering/product teams to define functional requirements for internal tools, CRM/ERP workflows, and automation rules.

  • This position assumes and 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:

  • Experience: 6–10+ years of progressive experience in business process management, operational transformation, or strategy & operations.

  • Consulting Foundation: 2–4+ years at a top-tier management consulting firm or inside a high-growth tech/operations environment is strongly preferred.

  • Domain Knowledge: Direct exposure to claims workflows (insurance, healthcare, fintech, warranty) or contract lifecycle management (CLM) is a strong plus, though structured operational instincts take precedence.

  • Analytical Chops: Advanced quantitative modeling skills (Excel/Sheets, SQL, or BI tools like Tableau/Looker) with a track record of using data to drive operational decisions.

  • Communication: Exceptional ability to synthesize complex, messy processes into clear executive narratives, swimlane diagrams, and actionable roadmaps.

EDUCATION and/or EXPERIENCE

  • Bachelor's degree (B. A.) from four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience.



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.

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

  • The noise level in the work environment is usually: □ Mild

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

    • 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

  • Generous PTO policy plus 11 paid annual company holidays

  • 401K for employees

  • Generous Up to 8–12 weeks paid parental leave, based on role eligibility.

Similar jobs

Apply for this job100% free