Senior Manager, Provider Contracting & Model Contracts

Blue Shield of CA; Oakland (CA); Hybrid; USD 160,000 - 200,000; Full time

Job summary

Blue Shield of California is seeking a Sr. Manager, Model Contracts to develop, maintain, and optimize standardized contract templates and related documentation for provider and managed care contracting across lines of business.

The role partners with Legal, Network Management, Contracting, Finance, Compliance, and Operations to ensure templates are clear, compliant, and operationally usable, while leading the Model Contracts team including Contract Specialists.

Qualifications

• Bachelor's degree or High School Diploma/GED with 4 years of relevant experience in lieu of a degree.
• Advanced degree preferred (JD, MBA, MPH, MHA).
• At least 8 years of experience in health plan operations, provider contracting, network management, or related fields.
• 4 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports.
• Extensive knowledge of managed healthcare in the California market including risk models, payment methodologies, regulatory compliance and end-to-end health plan operations.
• Excellent writing, editing, proofreading, and document organization skills, with the ability to convert complex requirements into clear and consistent contract language.
• Excellent written and verbal communication skills with a proven track record in effective relationship building and influencing stakeholders at all levels of the organization.
• Strong attention to detail, analytical thinking, judgment, and ability to manage multiple priorities in a deadline-driven environment.
• Ability to collaborate effectively with legal, business, operational, technical, and leadership stakeholders.
• Proficiency with Microsoft Word, document management tools, version control practices, and contract lifecycle or workflow systems.

Responsibilities

• Develop, maintain, and optimize standardized contract templates, exhibits, amendments, and related documentation used in provider and managed care contracting.
• Partner with Legal, Network Management, Contracting, Finance, Compliance, Operations, and other stakeholders to ensure templates are clear, accurate, compliant, operationally usable, and aligned with business objectives.
• Manage the Model Contracts team inclusive of Contract Specialists.

Skills

Excellent writing

Editing

Proofreading

Document organization

Written and verbal communication

Stakeholder management

Analytical thinking

Attention to detail

Cross-functional collaboration

Microsoft Word proficiency

Contract lifecycle/workflow systems

Education

Bachelor's degree or High School Diploma/GED with 4 years of relevant experience

Advanced degree preferred (JD, MBA, MPH, MHA)

Tools

Microsoft Word

Document management tools

Version control practices

Contract lifecycle or workflow systems

Job description

Blue Shield of California is seeking a Sr. Manager, Model Contracts to develop, maintain, and optimize standardized contract templates and related documentation for provider and managed care contracting across lines of business.

The role partners with Legal, Network Management, Contracting, Finance, Compliance, and Operations to ensure templates are clear, compliant, and operationally usable, while leading the Model Contracts team including Contract Specialists.