Contracting Systems Manager – Health Plan

SCAN

Contracting Systems Manager overseeing provider contract implementation for SCAN Health Plan. Acting as subject matter expert on contract management systems and enterprise implementations.

Posted 8/2/2026full-timeLong Beach • California • 🇺🇸 United StatesMid-LevelSenior💰 $92,400 - $133,671 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Contract Management and Healthcare Systems Implementation, with a strong focus on contract-to-configuration alignment, risk analysis, and process improvement. Proficient in leading testing activities and collaborating across multiple business functions to ensure operational accuracy and compliance.

Highest-signal resume keywords

Contract Management ExpertiseHealthcare Systems ImplementationRisk Analysis and MitigationTesting and Validation LeadershipCross-Functional Collaboration

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract InterpretationReimbursement MethodologiesClaims OperationsConfiguration SupportOperational AnalysisFinancial Impact AnalysisIssue ResolutionImplementation ReadinessProcess ImprovementAdvanced Microsoft Office

Soft Skills

Analytical ThinkingProblem SolvingCommunicationCollaborationLeadership

Tools & Technologies

QNXTContract Management SystemsEnterprise Systems

Industry Keywords

Managed CareProvider ContractingNetwork ManagementHealth Insurance OperationsHealthcare Administration

About the role

Key responsibilities & impact

Serve as the Contracting subject matter expert for QNXT, contract management system, and other enterprise system implementations.
Provide oversight and validation of contract-to-configuration alignment to ensure provider agreements are accurately operationalized.
Review complex reimbursement methodologies and contract provisions to identify risks associated with system configuration and claims adjudication.
Lead contract-related testing activities including UAT, parallel testing, payment validation, and go-live readiness assessments.
Identify, investigate, and escalate discrepancies between contract intent and system outcomes.
Partner with Configuration, Claims, IT, Provider Operations, and implementation teams to develop solutions for contract implementation issues.
Establish and maintain processes and controls that support ongoing contract-to-system accuracy.
Serve as the primary business resource for contract implementation, renewals, amendments, and system enhancement initiatives.
Analyze operational and financial impacts of contract implementation decisions and provide recommendations to leadership.
Lead special projects and process improvement initiatives supporting enterprise contracting and payment accuracy objectives.

Requirements

What you’ll need

Bachelor's degree or equivalent experience in Healthcare Administration, Business Administration, Finance, Information Systems, Public Health, or related field
5+ years of experience in managed care, provider contracting, network management, claims operations, configuration support, healthcare systems implementation, or related healthcare or health insurance plan operations.
Experience interpreting and applying complex provider contract terms, reimbursement methodologies, and payment arrangements.
Experience participating in large-scale operational or technology implementations.
Experience collaborating across multiple business functions, including Contracting, Claims, Configuration, Operations, Network Management, Finance, and Information Technology.
Experience supporting testing, validation, issue resolution, implementation readiness, and production support activities for business-critical systems.
Strong analytical experience identifying operational, financial, payment, and implementation risks and developing recommendations for resolution.
Microsoft Office (Word, Excel, PowerPoint, Teams, Outlook) at advanced skill level.

Benefits

Comp & perks

An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
Eleven paid holidays per year
One floating holiday
One birthday holiday
Excellent 401(k) Retirement Saving Plan with employer match and contribution
Robust employee recognition program
Tuition reimbursement