Remote Risk Quant Jobs in Los Angeles, CA (NOW HIRING)

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 Regional Contracts Manager shall, in concert with the Senior Regional Director and regional team develop and manage business partnership with SCAN contracted provider partnerships, delegated medical groups, IPAs, health systems, and hospitals to support achievement of SCAN's financial performance, member experience, quality outcomes, and long-term growth. 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.

You Will

• Serve as support negotiator for high-impact agreements across delegated medical groups, IPAs, hospitals and integrated delivery systems.

• Work with internal business units to model expected yield, monitor actual contract performance, test the feasibility of non-template terms and conditions and follows appropriate approval process.

• Act as technical resource on contract related issues and offer strong leadership internally as well as externally.

• Review, analyze, and redline contract documents in accordance with organizational standards, risk tolerance, and contractual objectives, applying sound professional judgment to negotiate and resolve terms.

• Accountable for assigned provider network performance related to financial, operational, regulatory, quality and member satisfaction targets.

• Establish and maintain productive business relationships with SCAN's contracted network providers, including medical groups, IPA's, hospitals, and integrated delivery systems.

• Partner with actuarial, finance, and operational teams to evaluate financial and operational implications of contract strategies.

• Utilize contracting knowledge for effective problem resolution and compliance. Responsible for timely and professional interaction in response to contract related inquiries. Research, analyze and resolve complex problems dealing with hospital shared risk pool, claims, appeals, and eligibility issues within the appropriate limits.

• Navigate non-standard and complex deal structures, balancing financial performance, compliance, and long-term partnership value.

• Responsible for assuring that the day-to-day operations of the provider network are consistent with SCAN standards/expectations.

• 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.

• 5 years managed care contracting experience with complex provider organizations.

• 2-3 years of leadership experience.

• Knowledge of CMS, DHCS and other regulatory requirements related to delegated risk.

• Strong analytic, quantitative, and problem-solving skills required.

• Strong negotiation, interpersonal and presentation skills with an ability to appropriately and effectively address diverse audiences required.

• Technical expertise - Advanced technical skills for functional area. Advanced Microsoft Office Suite (Word, Excel, PowerPoint, Access, Outlook, Teams), and SQL are required.

• Problem Solving - Strong problem solving skills.

• Communication - Excellent written and verbal communication and interpersonal skills.

What's in it for you?

• Base salary range: $92,400 to $133,671 per year

• Internal title: Regional Contracts Mgr

• Work Mode: Partially Remote

• An annual employee bonus program

• Robust Wellness Program

• Generous paid-time-off (PTO)

• Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday

• Excellent 401(k) Retirement Saving Plan with employer match and contribution

• Robust employee recognition program

• Tuition reimbursement

• An opportunity to become part of a team that makes a difference to our members and our community every day!

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)