Regional Contracts Manager

SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. The Job The Regional Contracts Manager shall, in concert with the Senior Regional Director and regional team develop and manage business partnership with SCAN contracted physician organizations, key hospitals, ancillary and supplemental providers to support achievement of SCAN’s goals including margin, quality measures, and achievement of our mission to enhance senior’s ability to manage their health and live independently. You Will Evaluate and negotiate contracts in a fiscally responsible manner to ensure a sustainable, high quality, compliant network for assigned region. Establish and maintain productive business relationships with SCAN’s contracted network providers. Accountable for assigned provider network performance related to financial, operational, regulatory, quality and member satisfaction targets. Develop and execute provider specific performance improvement plans. Utilize contracting knowledge for effective problem resolution and compliance. Participate in regularly scheduled Joint Operations Committee meetings (JOCs). Responsible for assuring that the day to day operations of the provider network are consistent with SCAN standards/ expectations. Act as technical resource on contract related issues. Participate in interdepartmental meetings and selected committees. Develop goals and objectives that align with the organization’s vision for future growth. Maintain professional and technical knowledge by attending educational workshops. Contribute to team effort by accomplishing related results as needed. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned. Your Qualifications Bachelor’s Degree required or comparable combination of education/experience. 5+ years managed care contracting experience required. Prior health plan experience required. Knowledge of CMS, DHCS and other regulatory requirements required. Strong analytic, quantitative, and problem-solving skills required. Strong negotiation, interpersonal and presentation skills required. What's in it for you? Base Pay Range: $92,400.00 - $147,800.00 Work Mode: Mostly Remote An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) 11 paid holidays per year, plus 1 additional floating holiday Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program 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. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. A background check is required.

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