Contracting Systems Manager - Health Plan

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

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the "12 Angry Seniors." Their mission continues to guide everything we do.

Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults.

Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity.

At SCAN, we believe scale should strengthen-not dilute-our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Job

The Contracting Systems Manager serves as the contracting subject matter expert responsible for ensuring provider contract intent is accurately translated into system configuration and operational outcomes. Acting as the primary Contracting representative for QNXT, contract management systems, and related enterprise implementations, this role provides oversight of contract-to-configuration alignment, testing validation, discrepancy resolution, and implementation readiness to reduce financial, operational, and provider disruption risk.

This position partners closely with Configuration, Claims, IT, Network Management, Provider Operations, Finance, and implementation teams to ensure provider contract requirements are accurately operationalized and sustained throughout the contract lifecycle, including new agreements, renewals, amendments, and system enhancement initiatives.

You Will

• 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.

Experience Required

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