Senior Regional Contract Manager
About The Position
The Senior Regional Contracts Manager is a strategic leader within SCAN’s Network Management team, responsible for developing and managing high-impact provider partnerships, delegated medical groups, IPAs, health systems, and hospitals. This role serves as a senior individual contributor and subject matter expert leading complex negotiations and shaping provider network strategies that directly influence SCAN’s financial performance, member experience, quality outcomes, and long-term growth. Working closely with Provider Relations and cross-functional leaders, this role plays a critical part in advancing SCAN’s mission to keep seniors healthy and independent.
Requirements
- Bachelor's Degree or equivalent experience.
- 10+ years of managed care contracting experience with complex provider organizations.
- Direct experience negotiating Medicare Advantage delegated risk agreements.
- Strong track record managing IPAs, delegated groups and/or hospital systems.
- Deep knowledge of CMS, DHCS, and regulatory requirements related to delegated risk.
- Ability to operate strategically while managing detailed contract execution.
- Strong cross-functional collaborator with a relationship-focused approach.
- Strong negotiation and influence skills, with the ability to navigate complex, high-stakes discussions.
- Leadership: Lead and inspire teams to achieve performance goals, offering guidance and support.
- Problem Solving: Good problem-solving skills.
- Communication: Excellent written and verbal communication and interpersonal skills.
- Advanced Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook, Teams) skills are required.
Nice To Haves
- Curious about AI and its power to transform how we operate and serve our members.
Responsibilities
- Serve as the lead negotiator for high-impact agreements across delegated medical groups, IPAs, hospitals and integrated delivery systems.
- Structure and negotiate arrangements across capitation, global risk, value-based reimbursement, and hospital contracts.
- Partner with actuarial, finance, and operational teams to evaluate financial and operational implications of contract strategies.
- Navigate non-standard and complex deal structures, balancing financial performance, compliance, and long-term partnership value.
- Manage relationships and negotiations with key, strategic provider partners, including some of SCAN's largest and most strategically complex organizations.
- Partner closely with Provider Relations to align contracting strategy with provider performance, issue resolution, and engagement efforts.
- Foster collaborative, solutions-based partnerships that support both provider success and SCAN’s objectives.
- Ensure accurate implementation and ongoing administration of provider contracts.
- Monitor performance across financial, operational, regulatory, quality, and member satisfaction metrics, including monitoring performance under delegated risk and value-based reimbursement arrangements.
- Act as an internal expert on delegated risk models, capitation, value-based reimbursement structures.
- Support the achievement of SCAN’s Vision and Goals.
- Other duties as assigned.
Benefits
- Base salary range: $106,200 to $153,705 per year
- Internal title: Sr, Regional Contract Mgr
- Work Mode: Mostly Remote
- An annual employee bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
- Excellent 401(k) Retirement Saving Plan with employer match and contribution
- Robust employee recognition program
- Tuition reimbursement
- An opportunity to become part of a team that makes a difference to our members and our community every day!
- A competitive compensation and benefits program
- A work-life balance
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
