Regional Contracts Manager
Core
Manage business partnerships with contracted provider networks (medical groups, IPAs, hospitals) to support financial performance, member experience, and quality outcomes for a nonprofit health organization serving older adults.
Role type
Senior regional contracts manager (managed care)
Builds
Provider network contracts and partnerships
Domain
Healthcare / Managed Care / Senior Services
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Managed care contracting, contract negotiation, financial modeling, regulatory compliance (CMS/DHCS), SQL, data analysis, problem-solving
Preferred skills
Leadership experience, AI curiosity
Technologies
Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook, Teams), SQL
Responsibilities
Negotiate high-impact agreements with delegated medical groups, IPAs, and hospitals; model expected yield and monitor contract performance; review and redline contract documents; establish business relationships with network providers; partner with actuarial and finance teams on contract strategies; resolve complex issues regarding shared risk pools, claims, and eligibility.
Seniority
Senior, hands-on IC with leadership responsibilities