Provider Contracting Specialist, Senior, Model Contracts

About the role

The Model Contracts team manages and maintains Blue Shield of California’s standardized provider agreement templates across multiple lines of business and risk arrangements. The Provider Contracting Specialist, Senior (Model Contracts) will report to the leader of the Model Contracts team. In this role, the individual will support the accuracy, consistency, and regulatory compliance of provider contract templates, enabling compliant and efficient provider contracting operations across the organization.

Responsibilities

• Maintain and update standardized provider contract templates used across Blue Shield of California
• Support contract templates covering multiple risk arrangements and product types, including shared, dual, and full risk; facility and medical group agreements; IPPA; and HMO and PPO products
• Cross-functional reviews of contract template updates with Legal, Mandate teams, and internal subject matter experts
• Incorporate legal, regulatory, and mandate-driven changes into approved template language
• Prepare and manage governmental filings for new or updated provider contract templates and track approval status
• Maintain accurate version control, documentation, and approval records for all model contract templates
• Serve as a resource to Provider Contracting and related teams regarding approved template language and appropriate usage
• Identify potential compliance risks or inconsistencies and escalate through established governance channels
• Support internal audit, compliance, and regulatory review requests related to provider contract templates

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Healthcare Policy, Public Health, or a related field, or equivalent experience
• Minimum of 5 years of relevant experience in healthcare contracting, contract administration, regulatory support, or a related role involving standardized agreement maintenance
• Knowledge of healthcare provider contracting concepts and managed care products
• Experience coordinating reviews with legal, regulatory, and business stakeholders
• Strong written and verbal communication skills with high attention to detail
• Strong organizational, prioritization, and documentation skills
• Proficiency with Microsoft Office applications; experience with contract management systems preferred

About Us

About Blue Shield of California As of January 2025, Blue Shield of California became a subsidiary of Ascendiun. Ascendiun is a nonprofit corporate entity that is the parent to a family of organizations including Blue Shield of California and its subsidiary, Blue Shield of California Promise Health Plan; Altais, a clinical services company; and Stellarus, a company designed to scale healthcare solutions. Together, these organizations are referred to as the Ascendiun Family of Companies. At Blue Shield of California, our mission is to create a healthcare system worthy of our family and friends and sustainably affordable. We are transforming health care in a way that genuinely serves our nonprofit mission by lowering costs, improving quality, and enhancing the member and physician experience. To achieve our mission, we foster an environment where all employees can thrive and contribute fully to address the needs of the various communities we serve. We are committed to creating and maintaining a supportive workplace that upholds our values and advances our goals. Blue Shield is a U.S. News Best Company to work for, a Deloitte U.S. Best Managed Company and a Top 100 Inspiring Workplace. We were recognized by Fair360 as a Top Regional Company, and one of the 50 most community-minded companies in the United States by Points of Light. Here at Blue Shield, we strive to make a positive change across our industry and communities – join us!

Our Values

• Honest
• Human
• Courageous

Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork - Activity level: Sedentary, frequency most of work day. Please click here for further physical requirement detail.

Equal Employment Opportunity

All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or disability status and any other classification protected by Federal, State and local laws. JOB INFO Job Identification : 20260827 Job Category : Provider Network Posting Date : 2026-06-30T20:59:42+00:00 Job Schedule : Full time Locations : Woodland Hills, CA, United States Long Beach, CA, United States San Diego, CA, United States Pay Range for California : $90860.00 to $136290.00 Pay Range for Bay Area : $102424.00 to $153636.00 Note : Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate experience, location (California, Bay Area, or outside California), and current employee salaries for similar roles. Role can be filled by a candidate requiring sponsorship : No