Sr. Manager, Provider Contracting

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

Your Role

The Model Contracts team is responsible for the development and management of provider contract templates and related language that support the Blue Shield of California and Blue Shield of California Promise Health Plan networks across all lines of business. The Sr. Manager, Model Contracts will report to the Director, Network Operations. In this role you will be responsible for developing, maintaining, and optimizing standardized contract templates, exhibits, amendments, and related documentation used in provider and managed care contracting. This role partners closely 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. In addition, the Sr. Manager, Model Contracts will manage the Model Contracts team inclusive of Contract Specialists.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

We are actively recruiting candidates within 50 miles of our BSC offices in Woodland Hills, Long Beach, and San Diego ONLY.

Your Knowledge and Experience

• Bachelor's degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree

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

• Requires at least 8 years of experience in health plan operations, provider contracting, network management, or related fields

• Requires 4 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports

• Requires extensive knowledge and expertise in managed healthcare in the California market including risk models, payment methodologies, regulatory compliance and end-to-end health plan operations

• Requires excellent writing, editing, proofreading, and document organization skills, with the ability to convert complex requirements into clear and consistent contract language.

• Requires 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.

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.