Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Sr. Manager, Provider Contracting

Blue Shield of CA

Your Role The Model Contracts team is responsible for the development and management of provider contract templates and related language that support the Blue Shield of California and Blue Shield of California Promise Health Plan networks across all lines of business. The Sr. Manager, Model Contracts will report to the Director, Network Operations. In this role you will be responsible for developing, maintaining, and optimizing standardized contract templates, exhibits, amendments, and related documentation used in provider and managed care contracting. This role partners closely with Legal, Network Management, Contracting, Finance, Compliance, Operations, and other stakeholders to ensure templates are clear, accurate, compliant, operationally usable, and aligned with business objectives. In addition, the Sr. Manager, Model Contracts will manage the Model Contracts team inclusive of Contract Specialists. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. We are actively recruiting candidates within 50 miles of our BSC offices in Woodland Hills, Long Beach, and San Diego ONLY. Your Knowledge and Experience Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree Advanced degree preferred (JD, MBA, MPH, MHA) Requires at least 8 years of experience in health plan operations, provider contracting, network management, or related fields Requires 4 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports Requires extensive knowledge and expertise in managed healthcare in the California market including risk models, payment methodologies, regulatory compliance and end-to-end health plan operations Requires excellent writing, editing, proofreading, and document organization skills, with the ability to convert complex requirements into clear and consistent contract language. Requires excellent written and verbal communication skills with a proven track record in effective relationship building and influencing stakeholders at all levels of the organization Strong attention to detail, analytical thinking, judgment, and ability to manage multiple priorities in a deadline-driven environment. Ability to collaborate effectively with legal, business, operational, technical, and leadership stakeholders. Proficiency with Microsoft Word, document management tools, version control practices, and contract lifecycle or workflow systems. Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week. Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need. #J-18808-Ljbffr Blue Shield of CA

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Sr. Manager, Provider Contracting in Los Angeles, CA vacancy
  • Senior Contract Sourcing Program Manager at Providence Saint John’s Health Center in Santa Monica, CA. This position is Full Time and will work 8-hour, Day shifts. Join Providence Saint John's Health Center, recognized as one of the best regional hospitals in 17 types of... 
    Senior
    Minimum wage
    Full time
    Contract work
    Local area
    Shift work
    Day shift

    Providence Health & Services

    Santa Monica, CA
    4 days ago
  • The Regents of the University of California on behalf of their Los Angeles Campus is seeking a Contracts and Grants Supervisor 2 to provide executive-level financial leadership within the MIMG department. This role oversees multi‑million‑dollar budgets, research funding... 
    Senior

    UCLA

    Los Angeles, CA
    1 day ago
  • $120.16k - $158.62k

     ...organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior...  ...and social services needed to thrive. The Senior Manager, Vendor Contracting & Partnerships serves as WelbeHealth’s enterprise leader for... 
    Senior
    Contract work
    Remote work

    WelbeHealth, LLC.

    Los Angeles, CA
    2 days ago
  • $135.14k

    Select how often (in days) to receive an alert: Senior Manager, Provider Appeals and Dispute Resolution Management Job Category: Management...  ..., resolution, and closure. Leveraging deep expertise in contracts, reimbursement methodologies, and regulatory requirements, the... 
    Senior
    Full time
    Contract work

    L.A. Care

    Los Angeles, CA
    3 days ago
  • Blue Shield of California is seeking a Sr. Manager, Model Contracts to lead the development and optimization of standardized contract templates and related documents used across provider and managed care contracting. You will collaborate with Legal, Finance, Compliance,... 
    Senior
    Contract work

    Blue Shield of CA

    Los Angeles, CA
    2 days ago
  • L.A. Care Health Plan in Los Angeles seeks a Senior Advisor Contract Management and Execution to oversee provider contracting lifecycle from opportunity to final execution. You will evaluate reimbursements, shape negotiation strategies, and ensure compliant contract language... 
    Senior
    Contract work

    L.A. Care Health Plan

    Los Angeles, CA
    3 days ago
  • L.A. Care Health Plan in Los Angeles, CA is seeking a Senior Manager for Provider Appeals and Dispute Resolution Management to oversee the full lifecycle of provider appeals, payment disputes, and complex reimbursement issues. You will establish standardized processes... 
    Senior

    L.A. Care

    Los Angeles, CA
    3 days ago
  • AltaMed Health Services in California seeks a Senior Provider Contract Negotiator to develop, negotiate, and manage a high‑performing provider network, ensuring compliant contracts and cost efficiency. You will lead contract negotiations for PCP and specialists, mentor... 
    Senior
    Contract work

    AltaMed Health Services

    Montebello, CA
    2 days ago
  • Elevance Health in California is seeking a Senior Provider Network Manager to lead contracting, provider relations, and network development across complex providers. You will negotiate contract terms, manage relationships, and drive strategic network design to support... 
    Senior
    Contract work
    Work at office
    2 days per week
    1 day per week

    The Elevance Health Companies, Inc.

    Los Angeles, CA
    1 day ago
  • $120k - $145k

     ...Discover your future with us. We are seeking a Senior Contracts Manager  who will be charged with significant responsibilities in negotiating...  ...internal communications within the company at all levels to provide information on open contract matters. Establish and maintain... 
    Senior
    Full time
    Contract work
    For contractors
    Fixed term contract
    Work experience placement
    Work at office
    Local area
    Flexible hours

    Arete Associates

    Los Angeles, CA
    25 days ago
  •  ...and Blue Shield of California Promise Health Plan negotiating provider contracts for commercial, Medi-Cal and Medicare lines of business for...  ...In this role, you will lead complex provider negotiations and manage relationships with selected health systems, hospitals, medical... 
    Contract work
    Work at office
    2 days per week

    Blue Shield of CA

    Los Angeles, CA
    4 days ago
  • $90k - $115k

    THE·TEAM is proud to provide representation and marketing services to talent, brands and...  ...TEAM Creator Partnerships seeks a Senior Manager with influencer experience that truly...  ...results against client goalsSource, vet and contract influencer talentDemonstrate the ability... 
    Senior
    Full time
    Contract work
    Work at office
    Worldwide

    Wasserman Media Group

    Los Angeles, CA
    5 days ago
  •  ...Must be a US Citizen Duration - 19 month contract position with potential to be extended...  ...specific training will be required and provided. Location - NASA, Pasadena, CA (onsite...  ...effectively with all levels of program/project management, technical organizations, peers,... 
    Senior
    Contract work
    For contractors
    For subcontractor
    Work at office
    Local area

    Columbus Technologies and Services Inc

    Pasadena, CA
    10 days ago
  • $146.2k - $169.9k

     ...build and monetize large audiences, and provide advertisers unique capabilities to engage...  ...role? The Senior Commerce Platform Manager will play a critical role in shaping and...  ...readiness, and compliance requirements prior to contract execution Drive automation across... 
    Senior
    Contract work
    Work at office
    Local area
    Remote work
    Monday to Thursday
    Flexible hours

    Roku

    Santa Monica, CA
    1 day ago
  • $150.5k - $227.4k

     ...for an experienced and collaborative Sr. Project Manager- Healthcare Buildings who thrives when...  ...program objectives.  You''ll manage and provide construction oversight to OARs and...  ...building systems/components and technology, contract management (gmp/ lump sum), project... 
    Senior
    Full time
    Contract work
    Work at office

    Jacobs

    Los Angeles, CA
    4 days ago
  • $145k - $225k

    GFT is seeking a Senior Project Manager, Water to join our Water / Wastewater Team in Southern...  ....This position is responsible for providing all aspects of engineering for water/wastewater...  ...are completed in accordance with the contract documents, on time and budgetParticipate... 
    Senior
    Full time
    Contract work
    For contractors
    Local area
    Remote work

    Gannett Fleming

    Los Angeles, CA
    5 days ago
  • A leading talent management firm is seeking a Contracts Manager to support production services. This role requires managing and negotiating production agreements while collaborating with various internal and external partners. The ideal candidate will have 3-5 years of... 
    Senior
    Contract work

    Cypress HCM

    Los Angeles, CA
    2 days ago
  • $135k - $150k

    Overview The Senior Sourcing Manager is responsible for executing sourcing strategies that...  ...complex supplier negotiations covering contracts, pricing, payment terms, service levels,...  ...to change. The Company is committed to providing equal opportunity for employees and... 
    Senior
    Full time
    Contract work
    Temporary work

    Califia Farms

    Los Angeles, CA
    2 days ago
  • $110k - $140k

     ...’re looking for an experienced Sourcing Manager to help bring our products to life through...  ...and geopolitical exposure. Drive contract strategy, including MSAs, pricing agreements...  ...exceeds defined goals. In addition, e.l.f. provides a variety of other benefits to employees... 
    Senior
    Full time
    Contract work
    Work at office
    Work from home
    Flexible hours
    3 days per week

    e.l.f. Beauty

    Beverly Hills, CA
    2 days ago
  • Shimmick Corporation is seeking an experienced Contract Change Manager to lead the identification, development, pricing, negotiation, administration, and resolution of construction contract changes on a major Southern California project. The ideal candidate will combine... 
    Senior
    Contract work

    Shimmick Corporation

    Glendale, CA
    2 days ago
  • $70 - $80 per hour

    This range is provided by Jobot Consulting. Your actual pay will be based on your skills and experience — talk with...  ...in hospital-based patient care, is seeking a Sr Project Manager for a 12-month remote contract. We value expertise in Soarian Financials and Clinical... 
    Senior
    Contract work
    Remote work

    Jobot Consulting

    Los Angeles, CA
    1 day ago
  • $128.59k - $201.74k

     ...a brighter way forward. Senior Project Manager - Retail Financial Renovations & InfrastructurePosition...  ...financial modelingDocument control and contract administrationPermit and regulatory...  ...clients.This position does not provide visa sponsorship. Candidates must be authorized... 
    Senior
    Full time
    Contract work
    Local area
    Remote work

    Jones Lang LaSalle

    Los Angeles, CA
    3 days ago
  • Center Theatre Group is seeking a Senior Director - Management and Administration in Los Angeles to lead the Executive Office, overseeing three teams and unifying contracting, operations, and human resources. The role reports to the Managing Director/CEO and shapes strategic... 
    Senior
    Work at office

    Louisville Ballet

    Los Angeles, CA
    1 day ago
  • $186.4k - $252.2k

     ...must be ready to shape what comes next.As Sr. Manager, Production Operations, you will be a...  ...a team of production operations leads, providing coaching, mentorship, and career...  ...Partner with Legal and Production Finance on contract terms, rate frameworks, and commercial... 
    Senior
    Contract work
    Local area
    Remote work
    Worldwide
    Flexible hours

    Amazon

    Culver City, CA
    7 days ago
  • A leading construction consultancy is seeking a Contract Administrator III in Los Angeles. This role requires over 10 years of experience...  ...possess a bachelor's degree and be adept with construction management software. Join an innovative team dedicated to excellence in... 
    Senior
    Contract work

    PMCS Group, Inc.

    Los Angeles, CA
    3 days ago
  • $88.64k - $110.8k

     ...quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond...  ...every day.Job OverviewThe Senior Provider Contract Negotiator plays a key role in developing and managing a high-performing, cost-effective, and compliant... 
    Senior
    Contract work
    Flexible hours

    AltaMed Health Services

    Montebello, CA
    2 days ago
  • CSV-TAUREAN seeks a Contract/Program Manager to lead a DoD contract from Presidio of Monterey, CA, with travel to Crystal City, VA. The role interfaces with client leadership, directing program execution, staffing, scheduling, and performance metrics. Candidates should... 
    Senior
    Contract work

    CSV-TAUREAN

    El Monte, CA
    1 day ago
  • $161.18k - $323.83k

     ...revenues exceed $3 billion.The Project Manager position will be responsible for leadership...  ...our market sector, you will be able to provide infrastructure for community benefit....  ...client presentations, project budgeting and contracting for successful opportunities•... 
    Senior
    Full time
    Part time
    Work experience placement
    Work at office
    Local area
    Relocation
    Visa sponsorship
    Flexible hours

    Black & Veatch

    Los Angeles, CA
    4 days ago
  • A major infrastructure firm in Los Angeles is seeking Contracts and Claims Managers to oversee contract management and claims resolution on large-scale infrastructure projects. The ideal candidate will have over 10 years of relevant experience and strong negotiation skills... 
    Senior
    Contract work
    Flexible hours

    Luster National

    Los Angeles, CA
    1 day ago
  • $170k - $200k

     ...ServicesJob Description SummaryThe Senior Director will provide leadership to the project management service line for the designated, regional portfolio,...  ...resources.Assist Vendor Management is negotiation of contracts with selected vendor(s) and manage performance of all... 
    Senior
    Minimum wage
    Full time
    Work at office
    Flexible hours

    Cushman & Wakefield

    Los Angeles, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Sr. Manager, Provider Contracting. Be the first to apply!