Contracting Systems Lead: QNXT & Care Analytics

SCAN Group; Long Beach (CA); On-site; USD 110,000 - 150,000; Full time

Job summary

SCAN Group is a nonprofit health organization serving millions across multiple states. The Contracting Systems Manager will act as the contracting SME for QNXT and related systems, ensuring contract intent is translated into configuration and operational outcomes.

You will oversee testing, validation, and issue resolution to minimize disruption and protect financial integrity. The role collaborates with Configuration, Claims, IT, and Provider Operations to operationalize new agreements,

Qualifications

• Bachelor’s degree or equivalent experience in Healthcare Administration, Business Administration, Finance, Information Systems, or Public Health.

Responsibilities

• 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 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 elevate 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.
• 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.

Education

Bachelor’s degree or equivalent in Healthcare Administration, Business Administration, Finance, Information Systems, Public Health

Job description

SCAN Group is a nonprofit health organization serving millions across multiple states. The Contracting Systems Manager will act as the contracting SME for QNXT and related systems, ensuring contract intent is translated into configuration and operational outcomes.

You will oversee testing, validation, and issue resolution to minimize disruption and protect financial integrity. The role collaborates with Configuration, Claims, IT, and Provider Operations to operationalize new agreements,