Senior Regional Contract Manager
$106.2k - $153.71kSHPCA SCAN Health Plan
Job Summary Senior Regional Contracts Manager at SCAN is a strategic leader within the Network Management team responsible for developing and managing high‑impact provider partnerships, including delegated medical groups, IPAs, health systems, and hospitals. The role is a senior individual contributor and subject‑matter expert who leads complex negotiations and shapes provider network strategies that directly influence SCAN’s financial performance, member experience, quality outcomes, and long‑term growth. Responsibilities Lead negotiations 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 complex organizations. Collaborate closely with Provider Relations to align contracting strategy with provider performance, issue resolution and engagement efforts. Foster collaborative, solutions‑based partnerships that support 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 under delegated risk and value‑based reimbursement arrangements. Act as an internal expert on delegated risk models, capitation, value‑based reimbursement structures. Qualifications 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 for complex, high‑stakes discussions. Leadership: Lead and inspire teams to achieve performance goals. 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 required. Compensation & Benefits Base salary range: $106,200 to $153,705 per year. Internal title: Sr. Regional Contracts Manager. Mostly remote work mode. Annual employee bonus program. Robust wellness program. Generous paid‑time‑off (PTO). Eleven paid holidays per year, plus one floating holiday and one birthday holiday. Excellent 401(k) retirement savings plan with employer match and contribution. Robust employee recognition program. Tuition reimbursement. Equal Employment Opportunity Statement SCAN is committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is a proud equal employment opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #J-18808-Ljbffr SHPCA SCAN Health Plan
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