The JobThe
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.
