Lets use an example to try to explain.
Say Futures contract X is quoted in the market at 101 to 103. Thus you can buy at 103 or sell at 101 if you wish to take the market's price.
As a market maker you quote the 2 way price and hope to do enough business either side of the spread that you will, over time, earn as much of that spread as possible.
As a market maker you need to run a flat (no exposure) but this is not always realistic if you want to generate volume. So you will hedge as far as possible, sometimes by proxy in a correlated asset or, more often, in the same asset.
Lets say you, Mr. MarketMaker, are quoting 101 to 103 still but are net short, you may elect to move your 103 up to 104 to attract fewer buyers and your 101 up to 102 to get more sellers (to balance your book a bit).
While you are doing all this though the other market makers (and you) are also moving prices around as a function of supply and demand that comes across the other guys books as well as your own.
In essence you need a fast mind and a multi-factor model. It may sound a little fiddly but it is a great game.