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Senior Regional Contract Manager

$106.2k - $153.71k

Scangroup

## Senior Regional Contract ManagerApplylocations: Long Beach Office 3800time type: Full timeposted on: Posted Yesterdayjob requisition id: JR2890Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do.Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.**The Job**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.**You Will*** 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.* We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.* Actively support the achievement of SCAN’s Vision and Goals.* Other duties as assigned.**Your 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, 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.**What's in it for you?*** 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!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At **SCAN** we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are 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 proud to be an 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

Vacancy posted 17 hours ago
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