Director Provider Contracting
SCAN
Director Provider Contracting
SCAN
Not-for-profit Medicare Advantage plan for seniors
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.
About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 450,000 members in California, Arizona, Nevada, Oregon, Washington and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter.
The Job
The Director of Contracts is a strategic leader within SCAN’s Network Management team, responsible for developing and managing high-impact provider partnerships including delegated medical groups, IPAs, health systems, and hospitals. This role serves as a subject matter expert in leading complex negotiations and shaping provider network strategies that directly influence SCAN’s financial performance, member experience, quality outcomes, and long-term growth. They may also lead a team of contract specialists and provide guidance on contract-related issues.
Working closely with Provider Relations and cross-functional leaders, this role plays a critical part in advancing SCAN’s mission to keep seniors healthy and independent. The Director of Contracts will partner extensively with Health Plan Operations and Provider Relations to ensure contract strategies, operational processes, and provider engagement activities are aligned with organizational goals, regulatory requirements, and business objectives.
You Will
Lead Complex Provider Contracting and Negotiations - Serve as the lead negotiator for high-impact agreements across delegated medical groups, IPAs, hospitals, and integrated delivery systems. Structure and negotiate capitation, global risk, value-based reimbursement, and hospital contract arrangements. Partner with actuarial, finance, and operational teams to evaluate financial and operational implications of contracting strategies while navigating complex deal structures that balance financial performance, regulatory compliance, and long-term partnership value.
Drive Network Strategy and Provider Partnerships - Manage relationships and negotiations with key provider partners, including some of SCAN's largest and most strategically complex organizations. Collaborate closely with Provider Relations to align contracting strategies with provider performance, engagement, and issue resolution efforts. Foster collaborative partnerships that support provider success and advance SCAN's strategic objectives.
Own Contract Performance and Execution - Ensure the accurate implementation, administration, and ongoing management of provider contracts. Monitor financial, operational, regulatory, quality, and member satisfaction outcomes, including performance under delegated risk and value-based reimbursement arrangements. Leverage analytics and provider performance dashboards to identify opportunities for improvement, drive corrective actions, and optimize contract performance through cross-functional collaboration.
Provide Strategic and Operational Leadership - Contribute to strategic planning, departmental direction, and goal setting in partnership with senior leadership. Establish and maintain policies, practices, and procedures that support operational effectiveness and have a significant impact on organizational performance.
Lead and Develop Team Performance - Provide leadership, guidance, and oversight to team members as assigned. May have responsibility for personnel actions, including hiring, performance management, coaching, development, and termination decisions.
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.
Your Qualifications
Bachelor’s Degree or equivalent experience
10 years of experience Network, Contracting
5 years of progressive leadership experience
What's in it for you?
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
SCAN provides health coverage for seniors through Medicare Advantage and offers community programs like Independence at Home and Volunteer Action for Aging. Members enroll in SCAN’s Medicare Advantage plan to receive medical benefits, and SCAN also runs in-home care and community services that support aging in place, funded by the organization and partners. It differentiates itself as a not-for-profit with a long history (since 1977) focused on seniors and caregivers and backed by strong employee benefits and community engagement. The goal is to help seniors stay healthy and independent by improving access to care and strengthening the communities the organization serves.
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